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  • Landén Ludvigsson, Maria,Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Region Östergötland, Rehab Väst (författare)

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

  • E-artikel/E-kapitelEngelska2015


  • LIBRIS-ID:oai:DiVA.org:liu-116944
  • 10.1097/AJP.0000000000000123doi
  • 24918474pmid
  • urn:nbn:se:liu:diva-116944urn

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  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype
  • Ämneskategori:ref swepub-contenttype


  • Published
  • 5
  • <p>Funding Agencies|Swedish government through the Swedish Research Council; Swedish Social Insurance Agency through the REHSAM foundation Stockholm, Sweden; Sormland, Sweden County Council; Uppsala, Sweden County Council; Swedish Research Council, Stockholm, Sweden; Health Practitioner Research Fellowship (Queensland Health); Health Practitioner Research Fellowship (University of Queensland, Brisbane, Australia [NHMRC CCRE Spinal Pain, Injury and Health])</p>
  • <p>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.</p>

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Peterson, Gunnel,Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Uppsala University, Sweden(SwePub:liu) (författare)
  • OLeary, Shaun,University of Queensland, Australia; Queensland Heatlh, Australia(SwePub:) (författare)
  • Dedering, Asa,Karolinska Institute, Sweden; Karolinska University Hospital, Sweden(SwePub:) (författare)
  • Peolsson, Anneli,Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten(SwePub:liu) (författare)

Sammanhörande titlar

  • Ingår i:The Clinical Journal of PainLippincott, Williams andamp; Wilkins0749-80471536-540931:4, s. 294-303


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