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Factors associated with work ability following exercise interventions for people with chronic whiplash-associated disorders : Secondary analysis of a randomized controlled trial
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- Lo, Hiu Kwan (author)
- Univ Queensland, Div Physiotherapy, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia,The University of Queensland, Australia
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- Johnston, Venerina (author)
- Univ Queensland, Div Physiotherapy, Sch Hlth & Rehabil Sci, Brisbane, Qld, Australia; Univ Queensland, Recover Injury Res Ctr, Brisbane, Qld, Australia,The University of Queensland, Australia
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- Landén Ludvigsson, Maria, 1967- (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Rehab Väst
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- Peterson, Gunnel, 1959- (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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- Overmeer, Thomas, 1960- (author)
- Mälardalens högskola,Hälsa och välfärd,Mälardalen University, Sweden, Örebro University, Sweden,Mälardalen Univ, Sch Hlth Care & Social Welf, Physiotherapy Dept, Västerås, Sweden; Örebro Univ, Ctr Hlth & Med Psychol, Örebro, Sweden
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- David, Michael (author)
- Univ Queensland, Sch Publ Hlth, Brisbane, Qld, Australia; Univ Newcastle, Sch Med & Publ Hlth, Newcastle, NSW, Australia,The University of Queensland, Australia; The University of Newcastle, Newcastle, Australia
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- Peolsson, Anneli, 1967- (author)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten
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(creator_code:org_t)
- Medical Journals Sweden AB, 2018
- 2018
- English.
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In: Journal of Rehabilitation Medicine. - : Medical Journals Sweden AB. - 1650-1977 .- 1651-2081. ; 50:9, s. 828-836
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Abstract
Subject headings
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- Objective: To investigate the efficacy of exercise interventions and factors associated with changes in work ability for people with chronic whiplash-associated disorders. Design: Secondary analysis of a single-blind, randomized multi-centre controlled trial. Setting: Interventions were conducted in Swedish primary care settings. Patients: A total of 165 individuals with chronic whiplash-associated disorders grade II-III. Methods: Participants were randomly allocated to neck-specific exercise, neck-specific exercise with a behavioural approach, or prescribed physical activity interventions. Work ability was evaluated with the Work Ability Index at baseline, 3, 6 and 12 months. Results: The neck-specific exercise with a behavioural approach intervention significantly improved work ability compared with the prescribed physical activity intervention (3 months, p = 0.03; 6 months, p = 0.01; 12 months, p = 0.01), and neck-specific exercise at 12 months (p = 0.01). Neck-specific exercise was better than the prescribed physical activity intervention at 6 months (p = 0.05). An increase in work ability from baseline to one year for the neck-specific exercise with a behavioural approach group (p < 0.01) was the only significant within-group difference. Higher self-rated physical demands at work, greater disability, greater depression and poorer financial situation were associated with poorer work ability (p < 0.01). Conclusion: This study found that neck-specific exercise with a behavioural approach intervention was better at improving self-reported work ability than neck-specific exercise or prescribed physical activity. Improvement in work ability is associated with a variety of factors.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Sjukgymnastik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Physiotherapy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
Keyword
- employment
- whiplash injuries
- exercise
- persistent neck pain
Publication and Content Type
- ref (subject category)
- art (subject category)
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