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One- and two-year follow-up of a randomized trial of neck-specific exercise with or without a behavioural approach compared with prescription of physical activity in chronic whiplash disorder

Landén Ludvigsson, Maria, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Region Östergötland, Rehab Väst
Peterson, Gunnel, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten, Uppsala University, Sweden
Dedering, Asa, (författare)
Karolinska Institute, Sweden; Karolinska University Hospital, Sweden
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Peolsson, Anneli, (författare)
Linköpings universitet, Avdelningen för fysioterapi, Linköpings universitet, Medicinska fakulteten
Ludvigsson, Maria Landen, (författare)
Linkoping Univ, Div Physiotherapy, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden.;Cty Council Ostergotland, Rehab Vast, Motala, Sweden.
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Linköpings universitet Institutionen för medicin och hälsa. Avdelningen för fysioterapi. (creator_code:org_t)
Linköpings universitet Medicinska fakulteten. (creator_code:org_t)
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Region Östergötland Närsjukvården i västra Östergötland. Rehab Väst. (creator_code:org_t)
Uppsala universitet Medicinska och farmaceutiska vetenskapsområdet. Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm. Centrum för klinisk forskning i Sörmland (CKFD). (creator_code:org_t)
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2016
Engelska.
Ingår i: Journal of Rehabilitation Medicine. - FOUNDATION REHABILITATION INFORMATION. - 1650-1977. ; 48:1, s. 56-64
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Objective: To explore whether neck-specific exercise, with or without a behavioural approach, has benefits after 1 and 2 years compared with prescribed physical activity regarding pain, self-rated functioning/disability, and self-efficacy in management of chronic whiplash. Design: Follow-up of a randomized, assessor blinded, clinical trial. Patients: A total of 216 volunteers with chronic whiplash associated disorders, grades 2 or 3. Methods: Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise with or without a behavioural approach, or physical activity prescription. Self-rated pain (visual analogue scale), disability/functioning (Neck Disability Index/Patient Specific Functional Scale) and self-efficacy (Self-Efficacy Scale) were evaluated after 1 and 2 years. Results: Both neck-specific exercise groups maintained more improvement regarding disability/functioning than the prescribed physical activity group at both time-points (p <= 0.02). At 1 year, 61% of subjects in the neck-specific group reported at least 50% pain reduction, compared with 26% of those in the physical activity prescription group (p < 0.001), but at 2 years the difference was not significant. Conclusion: After 1-2 years, participants with chronic whiplash who were randomized to neck-specific exercise, with or without a behavioural approach, remained more improved than participants who were prescribed general physical activity.

Ämnesord

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

whiplash; chronic; exercise; randomized; follow-up study; spine; behaviour therapy
whiplash
chronic
exercise
randomized
follow-up study
spine
behaviour therapy

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