{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T18:55:23Z","timestamp":1784141723806,"version":"3.55.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","issue":"1-2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,23]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Many of the injury mechanisms that cause mild traumatic brain injury (mTBI) also create forces commonly associated with whiplash, resulting in cervical pain injury. The prevalence of associated neck pain with mTBI is not well established. There is a strong indication that injury to the cervical spine may aggravate, cause, and\/or impact recovery of symptoms and impairments associated with the concussive event and its primary effect on the brain. The purpose of this study is to help identify the prevalence of ensuing cervical pain within 90\u2009days of a previously documented mTBI and to examine the role of neck pain during concurrent concussive symptoms, in a military population stationed at a large military installation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>This retrospective design utilized a de-identified dataset using predetermined search and filter criteria, which included male active duty service members (SMs), 20 to 45\u2009years of age, who received medical care at any clinic on Fort Liberty (Fort Bragg, NC) during fiscal year (FY) 2012 to FY 2019, with documented cervicalgia and mTBI (via the International Classification of Diseases, 9th and 10th Revision, Clinical Modification codes), verified using electronic medical records. The final dataset served as the basis for subject sampling and was analyzed to determine the total number of documented cervicalgia and mTBI diagnoses. Results are presented as descriptive statistics. Approval for this study was received from the Andrews University Office of Research (18-097) and the Womack Army Medical Center Human Protections Office.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Between FY 2012 and FY 2019, 14,352 unique SMs accessed a Fort Bragg, NC health care facility, at least once\u00a0(Table\u00a0I). Overall, 52% of SMs diagnosed with cervicalgia were found to have a previously diagnosed mTBI during the 90\u2009days before the cervicalgia diagnosis. In contrast, the prevalence of same-day cervicalgia and mTBI diagnosis was &amp;lt;1% (Table\u00a0IV). The prevalence of isolated cervicalgia diagnosis at any time during the reporting period was 3%, whereas isolated mTBI diagnosis was 1% (Table\u00a0III).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Over 50% of SMs diagnosed with cervicalgia had sustained a documented mTBI within 90\u2009days prior, whereas less than 1% were diagnosed with cervicalgia at the time of initial primary care or emergency room encounter following the mTBI event. This finding suggests that the close anatomical and neurophysiological connections between the head and the cervical spine are both likely to be impacted through the same mechanism of injury. Delayed evaluation (and treatment) of the cervical spine may contribute to lingering post-concussive symptoms. Limitations of this retrospective review include the inability to assess the causality of the relationship between neck pain and mTBI, as only the existence and strength of the prevalence relationship can be identified. The outcome data are exploratory and intended to identify relationships and trends that may suggest further study across installations and across mTBI populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/milmed\/usad228","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T18:23:19Z","timestamp":1688062999000},"page":"e182-e187","source":"Crossref","is-referenced-by-count":6,"title":["Prevalence of\u00a0Neck Pain in\u00a0Soldiers as a Result of\u00a0Mild Traumatic Brain Injury\u2013Associated Trauma"],"prefix":"10.1093","volume":"189","author":[{"given":"Tara","family":"Caberwal","sequence":"first","affiliation":[{"name":"Womack Army Medical Center , Fort Bragg, NC 28310, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S","family":"Cecchini","sequence":"additional","affiliation":[{"name":"Womack Army Medical Center , Fort Bragg, NC 28310, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurel M","family":"Wentz","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Health Care Management, Appalachian State University , Boone, NC 28607, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Crist\u00f3bal S","family":"Berry-Cab\u00e1n","sequence":"additional","affiliation":[{"name":"Womack Army Medical Center , Fort Bragg, NC 28310, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"2024012918210461400_R1","doi-asserted-by":"crossref","DOI":"10.7249\/RR1928","article-title":"Examination of\u00a0recent deployment experience across the services and\u00a0components","author":"Wenger","year":"2018"},{"key":"2024012918210461400_R2","article-title":"DOD numbers for\u00a0traumatic brain injury worldwide \u2014 totals: 2000\u20132022 Q2","volume-title":"Defense and Veteran Brain Injury Center.","author":"Defense and Veteran Brain Injury Center"},{"issue":"3","key":"2024012918210461400_R3","first-page":"9","article-title":"External causes of\u00a0traumatic brain injury, 2000\u20132011","volume":"20","author":"Armed Forces Health Surveillance Branch","year":"2013","journal-title":"MSMR"},{"issue":"3","key":"2024012918210461400_R4","first-page":"253","article-title":"Acceleration-deceleration sport-related concussion: the gravity of\u00a0it all","volume":"36","author":"Barth","year":"2001","journal-title":"J Athl Train"},{"issue":"5","key":"2024012918210461400_R5","doi-asserted-by":"publisher","first-page":"364","DOI":"10.2519\/jospt.2009.2834","article-title":"Sensorimotor function and\u00a0dizziness in\u00a0neck pain: implications for\u00a0assessment and\u00a0management","volume":"39","author":"Kristjansson","year":"2009","journal-title":"J Orthop Sports Phys Ther"},{"issue":"2","key":"2024012918210461400_R6","doi-asserted-by":"publisher","first-page":"437","DOI":"10.1016\/j.pmr.2015.12.003","article-title":"Active rehabilitation of\u00a0concussion and\u00a0post-concussion syndrome","volume":"27","author":"Leddy","year":"2016","journal-title":"Phys Med Rehabil Clin N Am"},{"key":"2024012918210461400_R7","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/1590161","article-title":"Cervical spine involvement in\u00a0mild traumatic brain injury: a review","volume":"2016","author":"Morin","year":"2016","journal-title":"J Sports Med"},{"issue":"8","key":"2024012918210461400_R8","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1093\/arclin\/acs092","article-title":"Return to combat duty after concussive blast injury","volume":"27","author":"Kennedy","year":"2012","journal-title":"Arch Clin Neuropsychol"},{"issue":"11","key":"2024012918210461400_R9","doi-asserted-by":"publisher","first-page":"845","DOI":"10.2519\/jospt.2019.8547","article-title":"Can the neck contribute to persistent symptoms post concussion? 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