Laterality judgements are not impaired in patients with chronic whiplash associated disorders

Pedler, Ashley, Motlagh, Helena and Sterling, Michele (2013) Laterality judgements are not impaired in patients with chronic whiplash associated disorders. Manual Therapy, 18 1: 72-76. doi:10.1016/j.math.2012.07.006

Author Pedler, Ashley
Motlagh, Helena
Sterling, Michele
Title Laterality judgements are not impaired in patients with chronic whiplash associated disorders
Journal name Manual Therapy   Check publisher's open access policy
ISSN 1356-689X
Publication date 2013-02-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.math.2012.07.006
Volume 18
Issue 1
Start page 72
End page 76
Total pages 5
Place of publication Kidlington, Oxfordshire, United Kingdom
Publisher Churchill Livingstone
Language eng
Formatted abstract
Impaired integration of the body schema with motor processes may contribute to painful and/or restricted movement in chronic pain. Laterality judgment tasks assess this integration of the body schema with motor processes. The purpose of this study was to assess if patients with chronic whiplash associated disorders (WAD) are impaired on laterality judgment tasks. Accuracy (ACC) and reaction time (RT) for foot and neck laterality tasks were assessed in 64 (35 female) patients with chronic (>6months) WAD and 24 (14 female) asymptomatic subjects. Pain characteristics, post-traumatic stress symptoms, cold pain thresholds (CPT) and pressure pain thresholds (PPT) were collected for patients with WAD. The effect of WAD and body part on laterality task performance was assessed. For patients with WAD, the correlations between neck task performance and pain characteristics, post-traumatic stress symptoms and pain thresholds were assessed. There was no effect of group on laterality performance. Subjects showed better RT (p < 0.001) and ACC (p = 0.001) on the neck task in comparison to the foot task. There was a significant correlation between CPT and ACC (r = 0.33) and RT (r = −0.33) on the neck laterality task in patients with WAD. Cervical spine PPT were significantly correlated with accuracy (r = 0.36) and RT (r = 0.29) in patients with WAD. These findings suggest that patients with chronic WAD are not impaired on neck or foot laterality judgment tasks. Laterality training is not indicated in the management of chronic WAD.
Keyword Whiplash injuries
Psychomotor performance
Reaction time
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Available online 4 September 2012

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
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Created: Tue, 18 Sep 2012, 23:48:52 EST by Chesne McGrath on behalf of Medicine - Royal Brisbane and Women's Hospital