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. 2006 Mar;23(3):195–201. doi: 10.1136/emj.2005.027102

Table 5 Predictors of persistent neck pain—initial injury/clinical factors.

Persistent neck pain* Relative risk† (95%CI)
No Yes
Initial injury severity (subjective assessment—tertiles)
 Low 139 (83.2) 28 (16.8) 1.0
 Medium 128 (74.9) 43 (25.1) 1.5 (0.97 to 2.3)
 High 84 (61.3) 53 (38.7) 2.3 (1.6 to 3.5)
Initial Neck Disability Index score (tertiles)
 Low 120 (83.3) 24 (16.7) 1.0
 Medium 109 (74.7) 37 (25.3) 1.6 (0.99 to 2.5)
 High 63 (53.8) 54 (46.2) 2.8 (1.8 to 4.2)
Number of other WAD symptoms (tertiles)‡
 0–3 132 (83.0) 27 (17.0) 1.0
 4–5 162 (75.3) 53 (24.7) 1.5 (0.99 to 2.2)
 6–10 58 (54.7) 48 (45.3) 2.9 (1.9 to 4.3)
WAD classification
 Grade I 199 (77.1) 59 (22.9) 1.0
 Grade II 54 (74.0) 19 (26.0) 1.2 (0.8 to 1.8)
 Grade III 12 (70.6) 5 (29.4) 1.5 (0.7 to 3.4)
Cervical bony tenderness
 No 227 (77.5) 66 (22.5) 1.0
 Yes 53 (67.9) 25 (32.1) 1.5 (1.02 to 2.2)
Presence of neurological signs or symptoms
 No 274 (75.3) 90 (24.7) 1.0
 Yes 12 (66.7) 6 (33.3) 1.6 (0.8 to 3.1)
Limited range of movement
 No 250 (73.7) 89 (26.3) 1.0
 Yes 34 (79.1) 9 (20.9) 0.9 (0.5 to 1.6)

*Totals of columns vary due to some missing data.

†Adjusted for age and sex.

‡Whiplash associated disorder (WAD) symptoms: headaches, abnormal/tingling sensation, dizziness, tinnitus, problems with vision, memory/concentration problems, neck pain, back pain, arm pain, shoulder pain