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3.
  • Ferreira, Mariana Candido, et al. (författare)
  • Cross-cultural adaptation of the profile fitness mapping neck questionnaire to brazilian Portuguese : internal consistency, reliability, and construct and structural validity
  • 2017
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 40:3, s. 176-186
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective</p><p>The purpose of this study was to adapt and evaluate the psychometric properties of the ProFitMap-neck to Brazilian Portuguese.</p><p>Methods</p><p>The cross-cultural adaptation consisted of 5 stages, and 180 female patients with chronic neck pain participated in the study. A subsample (n = 30) answered the pretest, and another subsample (n = 100) answered the questionnaire a second time. Internal consistency, test-retest reliability, and construct validity (hypothesis testing and structural validity) were estimated. For construct validity, the scores of the questionnaire were correlated with the Neck Disability Index (NDI), and the Hospital Anxiety and Depression Scale (HADS), the Tampa Scale of Kinesiophobia (TSK), and the 36-item Short-Form Health Survey (SF-36).</p><p>Results</p><p>Internal consistency was determined by adequate Cronbach's α values (α &gt; 0.70). Strong reliability was identified by high intraclass correlation coefficients (ICC &gt; 0.75). Construct validity was identified by moderate and strong correlations of the Br-ProFitMap-neck with total NDI score (–0.56 &lt; <em>R</em> &lt; –0.71) and with the SF-36, HADS-anxiety, HADS-depression, and TSK (–0.32 &lt; <em>R</em> &lt; –0.82). Exploratory factor analysis revealed 2 factors for the Symptom scale: intensity index and the Function scale. Symptom scale–frequency index identified 1 factor. Structural validity was determined by percentage of cumulative variance &gt;50%, Kaiser-Meyer-Olkin index &gt; 0.50, eigenvalue &gt; 1, and factor loadings &gt; 0.2.</p><p>Conclusion</p><p>Br-ProFitMap-neck had adequate psychometric properties and can be used in clinical settings, as well as research, in patients with chronic neck pain.</p>
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4.
  • Ferreira, Mariana Cândido, et al. (författare)
  • Cross-Cultural Adaptation of the Profile Fitness Mapping Neck Questionnaire to Brazilian Portuguese : Internal Consistency, Reliability, and Construct and Structural Validity
  • 2017
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 40:3, s. 176-186
  • Tidskriftsartikel (refereegranskat)abstract
    • <p><strong>OBJECTIVE:</strong> The purpose of this study was to adapt and evaluate the psychometric properties of the ProFitMap-neck to Brazilian Portuguese.</p><p><strong>METHODS:</strong> The cross-cultural adaptation consisted of 5 stages, and 180 female patients with chronic neck pain participated in the study. A subsample (n = 30) answered the pretest, and another subsample (n = 100) answered the questionnaire a second time. Internal consistency, test-retest reliability, and construct validity (hypothesis testing and structural validity) were estimated. For construct validity, the scores of the questionnaire were correlated with the Neck Disability Index (NDI), and the Hospital Anxiety and Depression Scale (HADS), the Tampa Scale of Kinesiophobia (TSK), and the 36-item Short-Form Health Survey (SF-36).</p><p><strong>RESULTS:</strong> Internal consistency was determined by adequate Cronbach's α values (α &gt; 0.70). Strong reliability was identified by high intraclass correlation coefficients (ICC &gt; 0.75). Construct validity was identified by moderate and strong correlations of the Br-ProFitMap-neck with total NDI score (-0.56 &lt;R &lt; -0.71) and with the SF-36, HADS-anxiety, HADS-depression, and TSK (-0.32 &lt;R &lt; -0.82). Exploratory factor analysis revealed 2 factors for the Symptom scale: intensity index and the Function scale. Symptom scale-frequency index identified 1 factor. Structural validity was determined by percentage of cumulative variance &gt;50%, Kaiser-Meyer-Olkin index &gt; 0.50, eigenvalue &gt; 1, and factor loadings &gt; 0.2.</p><p><strong>CONCLUSION:</strong> Br-ProFitMap-neck had adequate psychometric properties and can be used in clinical settings, as well as research, in patients with chronic neck pain.</p>
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5.
  • Grunnesjö, Marie I., et al. (författare)
  • A randomized controlled clinical trial of stay-active care versus manual therapy in addition to stay-active care : functional variables and pain.
  • 2004
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 27:7, s. 431-441
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>OBJECTIVES</p> <p>To compare the effect of manual therapy in addition to the stay-active concept versus the stay-active concept only in low back pain patients.</p> <p>STUDY DESIGN</p> <p>A randomized, controlled trial during 10 weeks.</p> <p>METHODS</p> <p>One hundred sixty outpatients with acute or subacute low back pain were recruited from a geographically defined area. They were randomly allocated to a reference group treated with the stay-active concept and, in some cases, muscle stretching and an experimental group receiving manual therapy and, in some cases, steroid injections in addition to the stay-active concept. Pain and disability rating index were used as outcome measures.</p> <p>RESULTS</p> <p>At baseline, the experimental group had somewhat more pain, a higher disability rating index, and more herniated disks than the reference group. After 5 and 10 weeks, the experimental group had less pain and a lower disability rating index than the reference group.</p> <p>CONCLUSIONS</p> <p>The manual treatment concept used in this study in low back pain patients appears to reduce pain and disability rating better than the traditional stay-active concept.</p> <p></p>
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6.
  • Hermansen, Anna, et al. (författare)
  • Evaluation of Physical Function in Individuals 11 to 14 Years after AnteriorCervical Decompression and Fusion Surgery : A Comparison betweenPatients and Healthy Reference Samples and Between 2 Surgical Techniques
  • 2014
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - Elsevier. - 0161-4754 .- 1532-6586. ; 37:2, s. 87-96
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective: The purpose of this study was to evaluate neck-related physical function in individuals 11 to 14 years after anterior cervical decompression and fusion (ACDF) surgery for degenerative cervical disk disease and to compare the long-term outcome of 2 surgical techniques, including the Cloward procedure and cervical intervertebral fusion cage. Methods: In this cross-sectional study, 51 individuals, 11 years or more after ACDF, underwent testing of cervical active range of motion, hand-grip strength, static and dynamic balance, neck muscle endurance, and completed pain ratings. The participants values were compared with values of age-and sex-matched healthy individuals to evaluate impairments. Correlations between different test scores and pain were performed. Group differences were analyzed between the 2 surgical techniques. Results: Sixty-five percent and 82% exhibited impairment in ventral and dorsal neck muscle endurance, respectively. Impairment rates of 18% to 39% for cervical active range of motion, 27% to 43% for hand-grip strength, 37% for standing balance, and 35% for dynamic balance were recorded. Twenty-nine percent of the participants had impairment (greater than30 mm visual analog scale) in pain. There were no significant differences in physical function between the 2 surgical treatment groups (Cloward procedure or cervical intervertebral fusion cage) (P = .10-.92). Conclusions: In those studied, a large percentage of patients who had anterior cervical decompression and fusion surgery have impairments in neck-related physical function when compared 11 to 14 years after surgery with age-and sex-matched healthy reference individuals. Neck-specific function, but not balance, was statistically correlated to pain. Neck muscle endurance was most affected, and balance impairments were also present in one-third of the individuals. There were no differences in long-term physical function between the 2 surgical techniques.</p>
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  • Peolsson, Anneli, et al. (författare)
  • Age- and Sex-Specific Reference Values of a Test of Neck Muscle Endurance
  • 2007
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 30:3, s. 171-177
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective</p><p>This study evaluates age- and sex-specific reference values for neck muscle endurance (NME).</p><p>Methods</p><p>In this cross-sectional study, 116 randomly selected, healthy volunteers (ages 25-64 years) stratified according to age and gender participated. Dorsal and ventral NME was measured in seconds until exhaustion in a laying-down position. A weight of 4 kg for men or 2 kg for women was used in the dorsal procedure. The ventral procedure was performed without external load. Background and physical activity data were obtained and used in the analysis of NME performance.</p><p>Results</p><p>Mean values for dorsal and ventral NME were about 7 and 2.5 minutes for men and 8.5 and 0.5 minutes for women, respectively. The cutoff values for subnormal dorsal and ventral NME were 157 and 56 seconds for men and 173 and 23 seconds for women, respectively. Women's NME was 122% of men's NME in the dorsal (<em>P</em> = .17) and 24% of men's NME in the ventral (<em>P</em> &lt; .0001) procedure. There were no significant differences among age groups. In multiple regression analysis, physical activity explained 4% of variability in the performance of the dorsal NME; and sex explained 37% of the variability in the performance of ventral NME.</p><p>Conclusion</p><p>The reference values and the cutoff points obtained could be used in clinical practice to identify patients with a subnormal NME. Sex is an important consideration when using both the test procedure and the reference values.</p>
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9.
  • Peolsson, Anneli, et al. (författare)
  • Cervical Muscle Activity During Loaded Arm Lifts in Patients 10 Years Postsurgery for Cervical Disc Disease
  • 2013
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - Elsevier. - 0161-4754 .- 1532-6586. ; 36:5, s. 292-299
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective</p><p>The purpose of this study was to compare the mechanical activity of the neck muscles during loaded arm lifting tasks in individuals with long-standing disability after anterior cervical decompression and fusion (ACDF) with that of healthy controls.</p><p>Methods</p><p>Ten individuals (mean age, 60 years; SD, 7.1) who underwent ACDF (10-13 years previously) for cervical disc disease and 10 healthy age- and sex-matched controls participated in the study. Ultrasonography was used to investigate the degree of deformation and deformation rate of ventral and dorsal neck muscles at the C4 segmental level during a single (1 × arm flexion to 120°) and repeated (10 × arm flexion to 90°) loaded arm elevation condition.</p><p>Results</p><p>The ACDF group showed greater deformation and deformation rate of the longus capitis (<em>P</em> = .02) and deformation rate of the sternocleidomastoid (<em>P</em> = .04) during the 120° arm lift. For repeated 90° arm lift, there was a significant group effect with higher deformation rate values observed in the longus capitis (<em>P</em> = .005-.01) and multifidus (<em>P</em> = .03) muscles in the ACDF group. Muscle behavior did not change the repeated arm lifts (no group × time interactions) for either the ventral or the dorsal muscles.</p><p>Conclusions</p><p>For study participants, greater muscle mechanical activity levels were observed in the ventral and multifidus muscles of patients with persistent symptoms after ACDF. These differences may indicate altered motor strategy in this patient group when performing the upper limb task and may need to be considered when prescribing exercise for postsurgical rehabilitation.</p>
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10.
  • Peolsson, Anneli, et al. (författare)
  • Function in Patients With Cervical Radiculopathy or Chronic Whiplash-Associated Disorders Compared With Healthy Volunteers
  • 2014
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 37:4, s. 211-218
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective: The purposes of this study were to examine whether any differences in function and health exist between patients with cervical radiculopathy (CR) due to disk disease scheduled for surgery and patients with chronic whiplash-associated disorders (WADs) and to compare measures of patients' physical function with those obtained from healthy volunteers. Methods: This is a cross-sectional study of patients with CR (n = 198) and patients with chronic WAD (n = 215). Patient data were compared with raw data previously obtained from healthy people. Physical measures included cervical active range of motion, neck muscle endurance, and hand grip strength. Self-rated measures included pain intensity (visual analog scale), neck disability (Neck Disability Index), self-efficacy (Self-Efficacy Scale), and health-related quality of life (EuroQol 5-dimensional self-classifier). Results: Patient groups exhibited significantly lower performance than the healthy group in all physical measures (P &lt; .0005) except for neck muscle endurance in flexion for women (P &gt; .09). There was a general trend toward worse results in the CR group than the WAD group, with significant differences in neck active range of motion, left hand strength for women, pain intensity, Neck Disability Index, EuroQol 5-dimensional self-classifier, and Self-Efficacy Scale (P &lt; .0001). Conclusions: Patients had worse values than healthy individuals in almost all physical measures. There was a trend toward worse results for CR than WAD patients.</p>
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