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Cognitive functioning after common whiplash. A controlled follow-up study

B P Radanov1, G Di Stefano, A Schnidrig

  • 1Department of Psychiatry, University of Berne, Switzerland.

Archives of Neurology
|January 1, 1993
PubMed
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Common whiplash patients showed initial cognitive deficits, with most recovering fully. Symptomatic individuals experienced delayed recovery in complex attention, possibly due to medication side effects.

Area of Science:

  • Neuroscience
  • Psychology
  • Traumatology

Background:

  • Common whiplash injuries can impact cognitive function.
  • Early assessment of cognitive deficits post-trauma is crucial for understanding recovery trajectories.
  • Subjective cognitive impairment is often reported alongside physical symptoms.

Purpose of the Study:

  • To investigate cognitive functioning in patients with common whiplash early after trauma and at 6-month follow-up.
  • To identify factors associated with persistent symptoms and delayed cognitive recovery.
  • To differentiate recovery patterns between fully recovered and still symptomatic whiplash patients.

Main Methods:

  • Prospective cohort study of 98 common whiplash patients.
  • Neuropsychological testing of cognitive functions, including complex attention, at baseline and 6 months.

Related Experiment Videos

  • Assessment of pain intensity, well-being, subjective cognitive impairment, and medication use.

    • Main Results:

    • At 6 months, 67 patients recovered fully, while 31 remained symptomatic.
    • Symptomatic patients were older, had more varied symptoms, higher pain, and greater subjective cognitive impairment.
    • Both groups improved in neuropsychological functions, but the symptomatic group showed delayed recovery in complex attention.

    Conclusions:

    • Most common whiplash patients recover cognitive function within 6 months.
    • Persistent symptoms are linked to baseline factors and delayed complex attention recovery.
    • Adverse medication effects may contribute to prolonged cognitive deficits in some patients.