Shifting Away From Pain: Neurocognitive Approach to Explain and Predict Recovery Following Whiplash Injury

  • STATUS
    Recruiting
  • End date
    Dec 21, 2023
  • participants needed
    70
  • sponsor
    University Ghent
Updated on 27 December 2021
Accepts healthy volunteers

Summary

Around half of the patients with neck pain after trauma (whiplash) will develop chronic pain. Understanding the transition from acute to chronic pain after whiplash is a priority since will help to identify those which patients are likely to fully recover and who do not. In the last years, there have been a call for an investigation of new biomarkers; particularly in brain structure and function. Alterations in the structure of the brain (gray matter, white matter and cortical thickness) as well as the brain function have been found in people with chronic WAD; which are also correlated with pain, disability and symptoms of central sensitization such as hyperalgesia. Previous research has found structural and functional brain differences between people who develop chronic low back pain compared to those who recovered; but research in this vein is still lacking in people with whiplash. Consequently, this study aims to examine the neural correlates of recovery following whiplash injury.

Description

This study aims to investigate whether or not there are differences in brain structure and function between people who recover after whiplash and those who do not. Thus, patients with acute neck pain after whiplash will be recruited. Also, a pain-free age- and sex-matched control group will be recruited for comparison.

A longitudinal prospective study will be conducted with two follow-up measurements (3 and 6 months). All measurements will take place at University Hospital of Ghent (UZ Gent), Ghent (Belgium). MRI measures will be taken at baseline (<4 weeks after the accident) and 6-months follow-up. The 3-months follow-up will only consist of the assessment of the online questionnaires; so, patients will not be required to come to UZ Gent.

Details
Condition Whiplash Injuries
Treatment Brain MRI (neuroimaging)
Clinical Study IdentifierNCT05161767
SponsorUniversity Ghent
Last Modified on27 December 2021

Eligibility

Yes No Not Sure

Inclusion Criteria

Neck pain within 4 weeks after the trauma
Native Dutch speaker
Refraining from consuming caffeine, alcohol and nicotine in the hour before the MRI scans in both measurement times

Exclusion Criteria

Neuropathic pain
Being pregnant
A history of a chronic pain syndrome
Chronic fatigue syndrome
Fibromyalgia
Cardiovascular disorders
Epilepsy
Endocrinological disorders
Rheumatic disorders
Psychiatric disorders
History of neck surgery
Loss of consciousness during/after the whiplash trauma
MRI incompatible health condition (e.g., pacemaker, metal prosthetic devices)
Claustrophobia
Healthy volunteers: (matched for age and gender). Additional exclusion criteria include for
healthy volunteers
a history of a chronic pain syndrome
a pain condition in the last six months for which treatment was sought
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Complete your scheduled study participation activities and then you are done. You may receive summary of study results if provided by the sponsor.

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