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

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

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

Article/chapterEnglish2015

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Lippincott, Williams andamp; Wilkins,2015
electronicrdacarrier

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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

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Language:English
Summary in:English

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Subject category:art swepub-publicationtype

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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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Medicinska och farmaceutiska grundvetenskaper Neurovetenskaper hsv//swe
MEDICAL AND HEALTH SCIENCES Basic Medicine Neurosciences hsv//eng
chronic; whiplash; exercise; disability; pain

Added entries (persons, corporate bodies, meetings, titles ...)

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

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

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