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. 2024 May 2;25:346. doi: 10.1186/s12891-024-07427-9

Table 2.

Physical pathology leading to exclusion

Treatment group Healthy controls
Inclusion

● Chronic (> 6 months, < 5) neck problems

● WAD grades II-III [59] verified by clinical examination

● Average neck pain ≥ 2/10 on the Visual Analogue Scale (VAS) [60] last week prior to examination

● ≥20% neck disability on the Neck Disability Index (NDI) [41]

● of working age (18– 63 years)

● within daily reach of a computer/tablet/smartphone and Internet

● shown to have exhibited neck symptoms within the first week following the injury (i.e., neck pain, neck stiffness, or cervical radiculopathy)

● righthanded in addition to experiencing either equal-sided or dominant right-sided pain

● age and gender matched

● healthy individuals

● without neck pain or disability (VAS < 10 mm, NDI < 5%)

● without known diseases

Exclusion

● exhibiting signs of head injury* at the time of WAD injury

● previous fractures or dislocation of the cervical spine

● considerable degree of known/suspected physical pathology**

● severe neck problems within their medical history which resulted in sick leave for more than a month in the year before the current whiplash injury

● generalized or more overwhelming pain occurring elsewhere in the body presently

● other illness/injury that may prevent full participation from being feasible

● lack of ability to either understand or write Swedish

● increased risk of bleeding

● severe obesity (body mass index; BMI > 35)

● contraindications of MRI [48]

● earlier neck injury

● recurrent neck pain

● earlier treatment for neck pain

● increased risk of bleeding

● BMI > 35

● contraindications of MRI [48]

*Signs of head injury: amnesia before or after injury, loss of consciousness, altered mental status (e.g., confusion, disorientation), focal neurological changes (changes in perceptions of smell and taste)

**known or suspected physical pathology included: myelopathy, spinal tumours, spinal infection, ongoing malignancy, cervical spine surgery