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Although all reports reviewed were claimant generated the senior author does see referrals from both sides of the law system. A common argument supporting the presence of back symptoms at low velocity is related to the massive weights of cars and vulnerability of subjects. An argument against symptoms suggests that energy absorbing bumpers should stop transmission of force. If engineering arguments are accepted a physical injury to the neck and even more strongly to the back should not occur at very low energy. check details It is however said that humans are not machines. As such the answer to this papers question may not be clear and its findings may add to the overall debate on the matter. Do the findings mean that physical harm may occur with no energy transference? A paper looking at placebo forces causing claimed physical neck injury is available, it did suggest that it was clear that their subjects felt they had been physically injured.5 The litigant role may be mentioned and the elimination of compensation has been associated with a decreased incidence of injury, Saskatchewen removed such payments and found up to a 43% decreased frequency of injury, they commented on a profound effect of insurance on frequency and duration of whiplash.4 Previous psychological problems and multiple pre-injury general practitioner attendances can be associated with a greater duration and severity of symptoms although whether this affects the absolute frequency of injury is difficult to elucidate.9 A group of CYTH4 people that this study looked at is the sub-group of patients who suggested a back injury in the absence of neck injury. We found this group Selleckchem Temsirolimus of people to often have pre-existing or a history of back pain. We felt it was possibly unreasonable to sustain a back injury where the forces applied to the spine were insufficient to cause a neck injury, 5.5% of our back pain group claimed this occurrence. This group may however be the most honest, the symptoms expressed after whiplash are well know and a question might be why fabricate a back injury and not a neck injury. We showed that in the group who sustained a back injury alone, these patients were significantly (p?