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Sökning: WFRF:(Peolsson Anneli L. C.)

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  • Peolsson, Anneli L. C., 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. - 0161-4754 .- 1532-6586. ; 36:5, s. 292-299
  • Tidskriftsartikel (refereegranskat)abstract
    • <p>Objective: 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. Methods: 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 (1x arm flexion to 120) and repeated (10x arm flexion to 90) loaded arm elevation condition. Results: The ACDF group showed greater deformation and deformation rate of the longus capitis (P = .02) and deformation rate of the sternocleidomastoid (P = .04) during the 120 degrees arm lift. For repeated 90 degrees arm lift, there was a significant group effect with higher deformation rate values observed in the longus capitis (P = .005-.01) and multifidus (P = .03) muscles in the ACDF group. Muscle behavior did not change the repeated arm lifts (no group x time interactions) for either the ventral or the dorsal muscles. Conclusions: 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>
  • Peterson, Gunnel E., et al. (författare)
  • 2015
  • Ingår i: Journal of Manipulative and Physiological Therapeutics. - 0161-4754 .- 1532-6586. ; 38:7, s. 465-476
  • Tidskriftsartikel (refereegranskat)abstract
    • <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 &lt; .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P &gt; .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>
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