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THE EFFECT OF 3 DIFFERENT EXERCISE APPROACHES ON NECK MUSCLE ENDURANCE, KINESIOPHOBIA, EXERCISE COMPLIANCE, AND PATIENT SATISFACTION IN CHRONIC WHIPLASH

Peterson, Gunnel, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Uppsala University, Sweden
Landén Ludvigsson, Maria, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Region Östergötland, Rehab Väst
OLeary, Shaun P., (författare)
University of Queensland, Australia; Queensland Heatlh, Australia
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Dedering, Asa M., (författare)
Karolinska Institute, Sweden; Karolinska University Hospital, Sweden
Wallman, Thorne, (författare)
Uppsala University, Sweden; Uppsala University, Sweden
Jonsson, Margaretha I. N., (författare)
County Council Vastmanland, Sweden
Peolsson, Anneli, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, University of Queensland, Australia
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2015
Engelska.
Ingår i: Journal of Manipulative and Physiological Therapeutics. - MOSBY-ELSEVIER. - 0161-4754 .- 1532-6586. ; 38:7, s. 465-746.e4
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • <p>Objective: The purpose of this study was to compare the effects of 3 different exercise approaches on neck muscle endurance (NME), kinesiophobia, exercise compliance, and patient satisfaction in patients with chronic whiplash. Methods: This prospective randomized clinical trial included 216 individuals with chronic whiplash. Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise (NSE), NSE combined with a behavioral approach (NSEB), or prescribed physical activity (PPA). Measures of ventral and dorsal NME (endurance time in seconds), perceived pain after NME testing, kinesiophobia, exercise compliance, and patient satisfaction were recorded at baseline and at the 3- and 6-month follow-ups. Results: Compared with individuals in the prescribed physical activity group, participants in the NSE and NSEB groups exhibited greater gains in dorsal NME (P = .003), greater reductions in pain after NME testing (P = .03), and more satisfaction with treatment (P less than .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P greater than .07). Conclusion: Among patients with chronic whiplash, a neck-specific exercise intervention (with or without a behavioral approach) appears to improve NME. Participants were more satisfied with intervention including neck-specific exercises than with the prescription of general exercise.</p>

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Sjukgymnastik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Physiotherapy (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)

Nyckelord

Exercise Therapy; Neck Pain; Whiplash Injuries; Rehabilitation

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