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Sökning: onr:"swepub:oai:DiVA.org:liu-116944" > The Effect of Neck-...

The Effect of Neck-specific Exercise With, or Without a Behavioral Approach, on Pain, Disability, and Self-Efficacy in Chronic Whiplash-associated Disorders A Randomized Clinical Trial

Ludvigsson, Maria Landén (författare)
Peterson, Gunnel, (författare)
Uppsala universitet, Centrum för klinisk forskning i Sörmland (CKFD)
O'Leary, Shaun (författare)
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Dedering, Asa (författare)
Peolsson, Anneli (författare)
Landén Ludvigsson, Maria, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Region Östergötland, Rehab Väst
OLeary, Shaun, (författare)
University of Queensland, Australia; Queensland Heatlh, Australia
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Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm. Centrum för klinisk forskning i Sörmland (CKFD). (creator_code:org_t)
Linköpings universitet Institutionen för medicin och hälsa. Avdelningen för fysioterapi. (creator_code:org_t)
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Linköpings universitet Medicinska fakulteten. (creator_code:org_t)
Region Östergötland Närsjukvården i västra Östergötland. Rehab Väst. (creator_code:org_t)
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2015
Engelska.
Ingår i: The Clinical Journal of Pain. - Lippincott, Williams andamp; Wilkins. - 0749-8047. ; 31:4, s. 294-303
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objectives: The aim of this study was to compare the effect on self-rated pain, disability, and self-efficacy of 3 interventions for the management of chronic whiplash-associated disorders: physiotherapist-led neck-specific exercise (NSE), physiotherapist-led NSE with the addition of a behavioral approach, or Prescription of Physical Activity (PPA). Materials and Methods: A total of 216 volunteers with chronic whiplash-associated disorders participated in this randomized, assessor blinded, clinical trial of 3 exercise interventions. Self-rated pain/pain bothersomeness (Visual Analogue Scale), disability (Neck Disability Index), and self-efficacy (Self-Efficacy Scale) were evaluated at baseline and at 3 and 6 months. Results: The proportion of patients reaching substantial reduction in pain bothersomness (at least 50% reduction) was more evident (P less than 0.01) in the 2 NSE groups (29% to 48%) compared with the PPA group (5%) at 3 months. At 6 months 39% to 44% of the patients in the 2 neck-specific groups and 28% in the PPA group reported substantial pain reduction. Reduction of disability was also larger in the 2 neck-specific exercise groups at both 3 and 6 months (P less than 0.02). Self-efficacy was only improved in the NSE group without a behavioral approach (P = 0.02). However, there were no significant differences in any outcomes between the 2 physiotherapist-led NSE groups. Discussion: NSE resulted in superior outcomes compared with PPA in this study, but the observed benefits of adding a behavioral approach to the implementation of exercise in this study were inconclusive.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Medicinska grundvetenskaper -- Neurovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Basic Medicine -- Neurosciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  (hsv//swe)
MEDICAL AND HEALTH SCIENCES  (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Physiotherapy (hsv//eng)

Nyckelord

chronic; whiplash; exercise; disability; pain

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