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Head banger's whiplash
1Department of Neurology, Boston University School of Medicine, Massachusetts.
Objective:
The current trend in dancing includes "head banging" with extreme flexion, extension, and rotation of the head and cervical spine. We suggest that dance-related severe pain in the cervical area may result from head banging.
Design:
A cohort of 37 eighth graders ages 13 or 14 participated in a dance marathon for charity lasting 7 h. There were 26 girls and 11 boys.
Setting:
During the dance marathon, three "heavy metal" songs were played during which head banging could be done.
Patients:
The painful syndromes that relate to head banging were evaluated by a convenience sample of the 37 marathon dancers in the eighth grade.
Interventions:
None.
Main Outcome Measures:
A self-selected age-matched control group is included since 17 adolescents participated in head banging and 20 did not.
Results:
Of the head bangers, 81.82% of the girls and 16.6% of the boys had resultant cervical spine pain that lasted 1-3 days. Only 26.2% of non-head-banging girls and 0% of non-head-banging boys had cervical spine pain lasting 1-3 days. Of all the 8th-grade participants, 62.16% had pain somewhere. Other types of pain included leg pain, back pain, and headache. Only three adolescents took any medication for their pain.
Conclusions:
The head-banger's whiplash is a self-limiting painful disorder. The easy resolution of the pain problem in adolescents is a tribute to the resilience of youth.