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Authors: Griggs, R.K.L. | Cook, J. | Gargan, M. | Bannister, G. | Amirfeyz, R.

Article Type: Research Article

Abstract: INTRODUCTION: The Bournemouth Questionnaire (BQ) was used to report the short to mid-term outcome of a prospective cohort of patients who had sustained Whiplash Associated Disorder (WAD), and establish whether outcome could be predicted on initial assessment. METHODS: One hundred patients with WAD grades I-III on the Quebec Task Force Classification were referred for physiotherapy (neck posture advice, initially practised under the direct supervision of a therapist). BQ scores were recorded on the first visit, at six weeks, then at final follow-up. RESULTS: Seventy-six percent of patients were available at final follow-up, 58% women. The mean age was 43.2 years …old and follow-up time 38 months (28-48). Symptoms plateaued after six weeks in the majority and improved gradually thereafter. When the individual BQ components on initial presentation were reassessed, patients who score disproportionately highly in BQ Question 5 (Depression) had a worse outcome. To quantify this, the ratio of BQ Questions 5 (Depression)/1 (Pain) was calculated. BQ5/1 ratio greater than 1 on initial presentation had an odds ratio of 2 for poor outcome (p= 0.02). CONCLUSION: The BQ can therefore be used to identify patients with a disproportionately high depression score (BQ5) who are highly likely to clinically deteriorate in the medium term. Show more

Keywords: Bournemouth Questionnaire, outcome, Whiplash Associated Disorders, whiplash, depression

DOI: 10.3233/BMR-140538

Citation: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 3, pp. 443-446, 2015