The effect of accident mechanisms and initial findings on the long-term course of XXXX .

@entity1 @entity174 @entity16 @entity542 @entity7125 @entity51 @entity158 @entity10
The aim of this study was to assess the relationships between accident mechanisms as well as initial findings and the long-term course of @entity7125 . A representative sample of 117 consecutive @entity1 referred by primary care physicians was followed-up over 12 months., @entity174 or dislocations of the cervical spine, @entity542 and pre-existing @entity16 were exclusion criteria. The interval between the accident and the baseline examination was 7.4 days (SD 4.2 days). Assessment included accident features (e.g. passenger position in the car, head restraint, head position, type of collision), initial symptoms (e.g. intensity and onset of @entity158 , symptoms of @entity51 , multiple symptom score), and signs (restricted neck movement, @entity51 ). At the 1-year examination, @entity1 were divided into an asymptomatic and a symptomatic group and were compared with respect to accident features and baseline findings. Twenty-four percent of @entity1 were still symptomatic after 1 year. Analysing accident mechanisms separately, rotated or inclined head position was the primary feature related to symptom persistence (P = 0.005). The symptomatic group scored higher at baseline on the multiple symptom rating (P = 0.004) and had a higher incidence of initial @entity10 (P = 0.004) and neurological symptoms (P = 0.008) together with a higher intensity of @entity10 (P = 0.0002) and neck @entity158 (P = 0.0009).(ABSTRACT TRUNCATED AT 250 WORDS)
