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Sökning: onr:"swepub:oai:DiVA.org:liu-116944" > The Effect of Neck-...

  • Landén Ludvigsson, MariaLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Rehab Väst (författare)

The Effect of Neck-specific Exercise With, or Without a Behavioral Approach, on Pain, Disability, and Self-Efficacy in Chronic Whiplash-associated Disorders : A Randomized Clinical Trial

  • Artikel/kapitelEngelska2015

Förlag, utgivningsår, omfång ...

  • Lippincott, Williams andamp; Wilkins,2015
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:liu-116944
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-116944URI
  • https://doi.org/10.1097/AJP.0000000000000123DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:130848301URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-239323URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Swedish government through the Swedish Research Council; Swedish Social Insurance Agency through the REHSAM foundation Stockholm, Sweden; Sormland, Sweden County Council; Uppsala, Sweden County Council; Swedish Research Council, Stockholm, Sweden; Health Practitioner Research Fellowship (Queensland Health); Health Practitioner Research Fellowship (University of Queensland, Brisbane, Australia [NHMRC CCRE Spinal Pain, Injury and Health])
  • This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. http://creativecommons.org/licenses/by-nc-nd/3.0.
  • Objectives: The aim of this study was to compare the effect on self-rated pain, disability, and self-efficacy of 3 interventions for the management of chronic whiplash-associated disorders: physiotherapist-led neck-specific exercise (NSE), physiotherapist-led NSE with the addition of a behavioral approach, or Prescription of Physical Activity (PPA). Materials and Methods: A total of 216 volunteers with chronic whiplash-associated disorders participated in this randomized, assessor blinded, clinical trial of 3 exercise interventions. Self-rated pain/pain bothersomeness (Visual Analogue Scale), disability (Neck Disability Index), and self-efficacy (Self-Efficacy Scale) were evaluated at baseline and at 3 and 6 months. Results: The proportion of patients reaching substantial reduction in pain bothersomness (at least 50% reduction) was more evident (P less than 0.01) in the 2 NSE groups (29% to 48%) compared with the PPA group (5%) at 3 months. At 6 months 39% to 44% of the patients in the 2 neck-specific groups and 28% in the PPA group reported substantial pain reduction. Reduction of disability was also larger in the 2 neck-specific exercise groups at both 3 and 6 months (P less than 0.02). Self-efficacy was only improved in the NSE group without a behavioral approach (P = 0.02). However, there were no significant differences in any outcomes between the 2 physiotherapist-led NSE groups. Discussion: NSE resulted in superior outcomes compared with PPA in this study, but the observed benefits of adding a behavioral approach to the implementation of exercise in this study were inconclusive.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Peterson, GunnelUppsala universitet,Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Uppsala University, Sweden,Centrum för klinisk forskning i Sörmland (CKFD)(Swepub:uu)gunpe888 (författare)
  • OLeary, ShaunUniversity of Queensland, Australia; Queensland Heatlh, Australia (författare)
  • Dedering, AsaKarolinska Institutet (författare)
  • Peolsson, AnneliLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten(Swepub:liu)annpe35 (författare)
  • Linköpings universitetAvdelningen för fysioterapi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:The Clinical Journal of Pain: Lippincott, Williams andamp; Wilkins31:4, s. 294-3030749-80471536-5409

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