Abstract
BACKGROUND CONTEXT: A patient's self-reported history has, in general assumed to be accurate. Clinical management of individuals with persistent axial pain after MVA and well as measures to prevent future MVA, spinal cord injury and traffic deaths often depend on a presumed accurate report of pre-existing axial pain, drug, alcohol and psychological problems to initiate intervention. In addition, research efforts to determine the effects of MVA on subsequent health are often predicated on a presumed accurate history from the patient of past medical and psychosocial problems.
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