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Postoperative struc...
Postoperative structured rehabilitation in patients undergoing surgery for cervical radiculopathy: a 2-year follow-up of a randomized controlled trial
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- Peolsson, Anneli (författare)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Löfgren, Håkan (författare)
- Ryhov Hosp, Sweden
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- Dedering, Asa (författare)
- Karolinska Institutet,Karolinska Univ Hosp, Sweden; Karolinska Inst, Sweden
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- Öberg, Birgitta (författare)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Zsigmond, Peter (författare)
- Linköpings universitet,Avdelningen för neuro- och inflammationsvetenskap,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US
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- Hedevik, Henrik (författare)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Wibault, Johanna (författare)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Rörelse och Hälsa
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(creator_code:org_t)
- AMER ASSOC NEUROLOGICAL SURGEONS, 2019
- 2019
- Engelska.
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Ingår i: Journal of Neurosurgery. - : AMER ASSOC NEUROLOGICAL SURGEONS. - 1547-5654 .- 1547-5646. ; 31:1, s. 60-69
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.3...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- OBJECTIVE Information about postoperative rehabilitation for cervical radiculopathy (CR) is scarce. The aim of this study was to investigate the additional benefits of structured postoperative rehabilitation (SPT), which was performed in all patients, compared with a pragmatic standard postoperative approach (SA), in which rehabilitation was used as needed and patients sought physiotherapy on their own without a referral, in patients with MRI evidence of disc herniation and concomitant clinical signs who underwent surgery for CR. METHODS Patients (n = 202) were randomized to receive SPT or SA. Included key variables in the present study were primary and selected secondary outcomes of a prospective randomized controlled multicenter study. The main outcome was the Neck Disability Index (NDI) score. The NDI score, pain variables, self-efficacy, and health-related quality of life were investigated at baseline and 3, 6, 12, and 24 months postoperatively. RESULTS SPT provided no additional benefits over SA (p = 0.08 to p = 0.99) at the postoperative 2-year follow-up. Both groups improved over time (p amp;lt; 0.0001), with no reported adverse effects. CONCLUSIONS One can conclude that SPT offered no additional benefits over SA; however, patients tolerated postoperative neck exercises without any negative side effects. These findings are important for the development of future active and neck-specific post-operative rehabilitation interventions for patients with CR.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- cervical radiculopathy; rehabilitation; physical therapy modalities; spine surgery
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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