The effect of neck-specific exercise and prescribed physical activity on headache and dizziness in individuals with cervical radiculopathy: Further analyses of a randomized study with a 1-year follow-up

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Svensson, JardLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Neurokirurgiska kliniken US (author)

The effect of neck-specific exercise and prescribed physical activity on headache and dizziness in individuals with cervical radiculopathy: Further analyses of a randomized study with a 1-year follow-up

Article/chapterEnglish2023

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2023
TAYLOR & FRANCIS INC,2023
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LIBRIS-ID:oai:DiVA.org:liu-191368
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-191368URI
https://doi.org/10.1080/09593985.2022.2158697DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:151593588URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies|County Council of Ostergotland [RO-938436]; Stockholm County Council Funding ALF Medicine [20110071]; Swedish Government through the Karolinska Institutet, in the Swedish National School of Research Education in Health Care Sciences; Strategic Research Programme in Care Sciences
Objective: To evaluate the effect of neck-specific exercise (NSE) compared to prescribed physical activity (PPA) on headache and dizziness in individuals with cervical radiculopathy (CR). Also, to investigate associations between headache or dizziness and pain, neck muscle endurance (NME), neck mobility, physical activity, and fear avoidance beliefs.Methods: Individuals randomized to either NSE or PPA were selected to a headache subgroup (n = 59) and/or a dizziness subgroup (n = 73). Data were evaluated, according to headache and/or dizziness outcomes at baseline and at 3, 6, and 12-month follow-ups.Results: No significant between-group differences were found between NSE and PPA in either subgroup. In the headache subgroup, significant within-group improvements were seen at all follow-ups for NSE (p < .001) and from baseline to 3 (p = .037) and 12 (p = .003) months for PPA. For dizziness, significant within-group improvements were seen from baseline to 3 months for NSE (p = .021) and from baseline to 3 (p = .001) and 6 (p = .044) months for PPA. Multiple regression models showed significant associations at baseline between headache intensity and neck pain (adjusted R-square = 0.35, p < .001), and for dizziness with neck pain and dorsal NME (adjusted R-square = 0.34, p < .001).Conclusion: NSE and PPA show similar improvements in headache intensity and dizziness in individuals with CR. Headache intensity is associated with neck pain, and dizziness with neck pain and dorsal NME, highlighting the importance of these factors when evaluating headache and dizziness.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
Cervical radiculopathy; headache; dizziness; neck-specific exercise; prescribed physical activity

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Peolsson, AnneliLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Arbets- och miljömedicin(Swepub:liu)annpe35 (author)
Hermansen, AnnaLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Rörelse och Hälsa(Swepub:liu)annhe33 (author)
Cross, Jeremy J.Bond Univ, Australia (author)
Abbott, AllanKarolinska Institutet,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Region Östergötland, Ortopedkliniken i Linköping(Swepub:liu)allab56 (author)
Cleland, Joshua A.Tufts Univ, MA 02111 USA (author)
Kierkegaard, MarieKarolinska Institutet (author)
Halvorsen, MarieKarolinska Institutet (author)
Dedering, AsaKarolinska Inst, Sweden; Reg Dalarna, Sweden (author)
Linköpings universitetAvdelningen för prevention, rehabilitering och nära vård (creator_code:org_t)

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In:Physiotherapy Theory and Practice: TAYLOR & FRANCIS INC0959-39851532-5040

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