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Table 1 Case definitions of Whiplash Associated Disorders

From: Managing Injuries of the Neck Trial (MINT): design of a randomised controlled trial of treatments for whiplash associated disorders

Term

Definition

WAD Grade 0

No neck complaints or signs

WAD Grade I

Complaint of pain, stiffness or tenderness, but no physical signs

WAD Grade II

Complaint of pain, stiffness or tenderness, and musculo-skeletal signs (decreased range of motion, point tenderness etc)

WAD Grade III

Complaint of pain, stiffness or tenderness and neurological signs (decreased or absent deep tendon reflexes, weakness and sensory deficits). Could also have musculo-skeletal signs.

WAD Grade IV

Fracture or dislocation

Late whiplash syndrome

Presence of pain, restriction of motion or other symptoms at six months or more after the injury, sufficient to hinder return to normal activities such as driving, usual occupation and leisure.