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  • Writer's pictureDr Josh Bonine DC

Neck Injury & Risk Factors Due to Rear End Collisions

Neck Injury & Risk Factors Due to Rear End Collisions

A recent study revealed that occupants that have their head turned during a rear end collision suffer greater injury than all other collisions. Manohar et al. (2006) stated that “In a 5-year retrospective study of 11,000 patients with cervical spine injury, 87.4% had soft tissue injuries…more than 25 of the patients. reported symptoms more than 5 years following whiplash” (p. 420). The symptoms commonly encountered included cranial nerve irritation, neck and upper extremity pain, restricted neck motion and paresthesia (numbness). This study concluded that “Head-turned rear impact caused significantly greater injury [to the cervical spine], as compared to head-forward rear and frontal impacts…” (Manohar et al., 2006, p.420) Therefore, when taking a history on your whiplash patients, be sure to ask, “Were you looking straight ahead or was your head turned?” as this is a “significant risk factor (a circumstance that makes a situation worse),” it is vital to determine when eliciting a client’s history.


Spine & Injury Centers of San Antonio is a local network of 5 chiropractic offices. As a group, we are raising the standard of care for injured patients and their families.

If you have recently been in a car accident, or had a personal injury, sports injury, or exercise injury, and are experiencing back pain, neck pain, knee pain, whiplash, headaches, leg pain, etc, our San Antonio injury chiropractors can help!

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Panjabi, M. M., Ivancic, P. C., Maak, T. G., Tominaga, Y., & Rubin, W. (2006). Multiplanar cervical spine injury due to head-turned rear impact. Spine, 31(4), 420-429.



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