Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle

A prospective observational study comparing shear wave elastography (SWE) of trapezius muscle with Neck Disability Index (NDI) in a prediction model of health status six months after a whiplash injury. Both SWE values, measured by two radiologists, and NDI scores were obtained at baseline and after...

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Autores principales:	Blaž Barun, Igor Barišić, Ana Krnić, Benjamin Benzon, Tonko Vlak, Jure Aljinović
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	car accident stiffness depression neck pain recovery Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/eaa45aa0d9c249058a5d3f142f9952ab
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spelling	oai:doaj.org-article:eaa45aa0d9c249058a5d3f142f9952ab2021-11-25T17:21:25ZNeck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle10.3390/diagnostics111120772075-4418https://doaj.org/article/eaa45aa0d9c249058a5d3f142f9952ab2021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2077https://doaj.org/toc/2075-4418A prospective observational study comparing shear wave elastography (SWE) of trapezius muscle with Neck Disability Index (NDI) in a prediction model of health status six months after a whiplash injury. Both SWE values, measured by two radiologists, and NDI scores were obtained at baseline and after physical therapy (PT) (6-month period). Those values were compared with a 3-point Likert scale (no, partial or full recovery). Twenty-two subjects completed the study. A decrease in trapezius stiffness was detected by both radiologists, statistically significant for one (Δ10.1 kPa; <i>p</i> = 0.04) but not for the second radiologist (Δ8.63 kPa; <i>p</i> = 0.07). The measurements showed excellent intra-observer (ICC 0.75–0.94) and inter-observer (ICC 0.78–0.88) reliability. After six months, fully recovered patients showed lower NDI scores than partially recovered patients (Δ22.98; <i>p</i> < 0.001). SWE values did not differ with the recovery status (55.6 ± 9.7 vs. 57 ± 15.8, Δ1.45; <i>p</i> = 0.82). The single most accurate variable in classifying health status six months after whiplash injury was the relative change of NDI, and it showed the highest accuracy (73.9%) and low Akaike information criterion (AIC = 39.2). Overall, the most accurate classification was obtained when combining NDI and SWE after physical therapy with an accuracy of 77.3% and a decrease in AIC (32.8).Blaž BarunIgor BarišićAna KrnićBenjamin BenzonTonko VlakJure AljinovićMDPI AGarticlecar accidentstiffnessdepressionneck painrecoveryMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2077, p 2077 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	car accident stiffness depression neck pain recovery Medicine (General) R5-920
spellingShingle	car accident stiffness depression neck pain recovery Medicine (General) R5-920 Blaž Barun Igor Barišić Ana Krnić Benjamin Benzon Tonko Vlak Jure Aljinović Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
description	A prospective observational study comparing shear wave elastography (SWE) of trapezius muscle with Neck Disability Index (NDI) in a prediction model of health status six months after a whiplash injury. Both SWE values, measured by two radiologists, and NDI scores were obtained at baseline and after physical therapy (PT) (6-month period). Those values were compared with a 3-point Likert scale (no, partial or full recovery). Twenty-two subjects completed the study. A decrease in trapezius stiffness was detected by both radiologists, statistically significant for one (Δ10.1 kPa; <i>p</i> = 0.04) but not for the second radiologist (Δ8.63 kPa; <i>p</i> = 0.07). The measurements showed excellent intra-observer (ICC 0.75–0.94) and inter-observer (ICC 0.78–0.88) reliability. After six months, fully recovered patients showed lower NDI scores than partially recovered patients (Δ22.98; <i>p</i> < 0.001). SWE values did not differ with the recovery status (55.6 ± 9.7 vs. 57 ± 15.8, Δ1.45; <i>p</i> = 0.82). The single most accurate variable in classifying health status six months after whiplash injury was the relative change of NDI, and it showed the highest accuracy (73.9%) and low Akaike information criterion (AIC = 39.2). Overall, the most accurate classification was obtained when combining NDI and SWE after physical therapy with an accuracy of 77.3% and a decrease in AIC (32.8).
format	article
author	Blaž Barun Igor Barišić Ana Krnić Benjamin Benzon Tonko Vlak Jure Aljinović
author_facet	Blaž Barun Igor Barišić Ana Krnić Benjamin Benzon Tonko Vlak Jure Aljinović
author_sort	Blaž Barun
title	Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
title_short	Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
title_full	Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
title_fullStr	Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
title_full_unstemmed	Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle
title_sort	neck disability index is better in classification of recovery after whiplash injury in comparison with ultrasound shear wave elastography of trapezius muscle
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/eaa45aa0d9c249058a5d3f142f9952ab
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Neck Disability Index Is Better in Classification of Recovery after Whiplash Injury in Comparison with Ultrasound Shear Wave Elastography of Trapezius Muscle

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