{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:16:03Z","timestamp":1770750963374,"version":"3.50.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2012,8,1]],"date-time":"2012-08-01T00:00:00Z","timestamp":1343779200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["JRSM Short Reports"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p> To document any consistent clinical findings in a large cohort of patients with whiplash associated disorder. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> Four-year observational study. <\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p> Large orthopaedic medicolegal practice in the UK. <\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p> 1025 consecutive cases of chronic whiplash associated disorder. <\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p> Observational study of the clinical features of whiplash associated disorder: detailed examination <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Three consistent clinical features: neck pain; reduced cervical spine range of motion; and myofascial-entheseal dysfunction. With regards to the myofascial-entheseal dysfunction there were trigger points in the upper, middle or lower trapezius; with or without enthesopathy in the lower or middle trapezius. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> On the basis of this large observational experience we propose a clinically-based definition of chronic whiplash associated disorder: a painful syndrome following acceleration-deceleration injury with neck stiffness; and myofascial-entheseal dysfunction. <\/jats:p><\/jats:sec>","DOI":"10.1258\/shorts.2012.012052","type":"journal-article","created":{"date-parts":[[2012,8,24]],"date-time":"2012-08-24T01:32:55Z","timestamp":1345771975000},"page":"1-4","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Myofascial-entheseal dysfunction in chronic whiplash injury: an observational study"],"prefix":"10.1177","volume":"3","author":[{"given":"Qmk","family":"Bismil","sequence":"first","affiliation":[{"name":"Consultant Orthopaedic Surgeon, The Wellington Hospital, London NW8 9LE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Msk","family":"Bismil","sequence":"additional","affiliation":[{"name":"Consultant Orthopaedic Surgeon, ExpertOrthopaedics.Com, Boston, Lincolnshire PE21 9DP, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,8,1]]},"reference":[{"issue":"8","key":"bibr1-shorts.2012.012052","first-page":"1S","volume":"20","author":"Spitzer WO","year":"1995","journal-title":"Spine"},{"key":"bibr2-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200710000-00011"},{"key":"bibr3-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.01675"},{"key":"bibr4-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7580.2006.00540.x"},{"key":"bibr5-shorts.2012.012052","first-page":"168","volume-title":"The Trigger Point Manual.","volume":"2","author":"Travell JG","year":"1992"},{"key":"bibr6-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200008010-00012"},{"key":"bibr7-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2007.03.009"},{"key":"bibr8-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.3.6.0471"},{"key":"bibr9-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200106010-00015"},{"key":"bibr10-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2008.03.001"},{"key":"bibr11-shorts.2012.012052","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.70.6.722"}],"container-title":["JRSM Short Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/shorts.2012.012052","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/shorts.2012.012052","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/shorts.2012.012052","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T16:25:44Z","timestamp":1741019144000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/shorts.2012.012052"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["10.1258\/shorts.2012.012052"],"URL":"https:\/\/doi.org\/10.1258\/shorts.2012.012052","relation":{},"ISSN":["2042-5333"],"issn-type":[{"value":"2042-5333","type":"print"}],"subject":[],"published":{"date-parts":[[2012,8]]}}}