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Neck-related physic...
Neck-related physical function, self-efficacy and coping strategies in patients with cervical radiculopathy : a randomized clinical trial of postoperative physiotherapy
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- Wibault, Johanna (author)
- Linköping University,Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Öberg, Birgitta (author)
- Linköping University,Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Dedring, Åsa (author)
- Karolinska Institute,Karolinska Institutet,Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden / Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden
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- Löfgren, Håkan (author)
- Neuro-Orthopedic Center, Ryhov Hospital, Jönköping, Sweden,Ryhov County Hospital, Jönköping
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- Zsigmond, Peter (author)
- Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US,Linköping University Hospital
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- Persson, Liselott (author)
- Lund University,Lunds universitet,Människan i rörelse: hälsa och rehabilitering,Forskargrupper vid Lunds universitet,Human Movement: health and rehabilitation,Lund University Research Groups,Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden
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- Jonsson, Margareta R. (author)
- Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden
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- Andell, Maria (author)
- Norrahammar Primary Health Care, Norrahammar, Sweden,Norrahammars vårdcentral
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- Peolsson, Anneli (author)
- Linköping University,Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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(creator_code:org_t)
- Elsevier BV, 2017
- 2017
- English.
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In: Journal of Manipulative and Physiological Therapeutics. - : Elsevier BV. - 0161-4754 .- 1532-6586. ; 40:5, s. 330-339
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Abstract
Subject headings
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- Objective: To compare postoperative rehabilitation with structured physiotherapy to standard approach in patients with cervical radiculopathy (CR) based on measures of neck-related physical function, self-efficacy and coping strategies at 6 months follow-up.Design: A randomized clinical trial of postoperative physiotherapy in patients with CR.Subjects: Patients (n= 202) with persistent CR who were scheduled for surgery.Methods: Patients were preoperatively randomized to receive structured postoperative physiotherapy (SPT, n=101) or standard postoperative approach (SA, n=101). SPT combined neck-specific exercises with a behavioral approach. Baseline, 3-month, and 6-month evaluations included questionnaires and clinical examinations. Neck muscle endurance, active cervical range of motion, self-efficacy, pain catastrophizing (CSQ_CAT), perceived control over pain, and ability to decrease pain were analyzed for between-group differences using complete case and per-protocol approaches.Results: No between-group difference was reported at the 6-month follow-up (p = 0.05 to 0.99), but all outcomes had improved from baseline (p<0.001). Patients in the SPT group with ≥50% attendance to treatment sessions showed larger improvements in CSQ_CAT (p= 0.04) during the rehabilitation period from 3 to 6 months after surgery compared to the patients who received SA.Conclusion: No between-group difference in outcomes was found at 6 months after surgery based on measures of neck-related physical function, self-efficacy and coping strategies. However, the results confirm that neck-specific exercises are tolerated by patients with CR after surgery, and that there may be a benefit from combining surgery with structured postoperative physiotherapy in patients with CR.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Neurologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Neurology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
Keyword
- Cervical radiculopathy
- Postoperative physiotherapy
- Randomized clinical trial
- Physical function
- Coping strategies
- Cervical Radiculopathy
- Coping Skills
- Physical Therapy Modalities
- Postoperative Period
- Randomized Clinical Trial
Publication and Content Type
- ref (subject category)
- art (subject category)
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