SwePub
Sök i LIBRIS databas

  Utökad sökning

WFRF:(Engquist M.)
 

Sökning: WFRF:(Engquist M.) > (2010-2014) > Surgery versus nons...

  • Engquist, M.Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Department of Orthopaedics, Ryhov Hospital, Sweden and Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden (författare)

Surgery versus nonsurgical treatment of cervical radiculopathy : A prospective, randomized study comparing surgery plus physiotherapy with physiotherapy alone with a 2-year follow-up

  • Artikel/kapitelEngelska2013

Förlag, utgivningsår, omfång ...

  • Lippincott Williams & Wilkins,2013
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:mdh-21898
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-21898URI
  • https://doi.org/10.1097/BRS.0b013e31829ff095DOI
  • https://gup.ub.gu.se/publication/182716URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-220003URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-99354URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

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

Anmärkningar

  • STUDY DESIGN.: Prospective randomized controlled trial. OBJECTIVE.: To study the outcome of anterior cervical decompression and fusion combined with a structured physiotherapy program compared with the same physiotherapy program alone for patients with cervical radiculopathy. SUMMARY OF BACKGROUND DATA.: Knowledge concerning the effects of interventions for patients with cervical radiculopathy is scarce due to a lack of randomized studies. METHODS.: Sixty-three patients were randomized to surgery with postoperative physiotherapy (n = 31) or physiotherapy alone (n = 32). The surgical group was treated with anterior cervical decompression and fusion. The physiotherapy program included general/specific exercises and pain-coping strategies. The outcome measures were disability (Neck Disability Index), neck and arm pain intensity (visual analogue scale), and the patient's global assessment. Patients were followed for 24 months. RESULTS.: The result from the repeated-measures analysis of variance showed no significant between-group difference for Neck Disability Index (P = 0.23). For neck pain intensity, the repeated-measures analysis of variance showed a significant between-group difference during the study period in favor of the surgical group (P = 0.039). For arm pain intensity, no significant between-group differences were found according to the repeated-measures analysis of variance (P = 0.580). Eighty-seven percent of the patients in the surgical group rated their symptoms as "better/much better" at the 12-month follow-up compared with 62% in the nonsurgical group (P < 0.05). At 24 months, the corresponding figures were 81% and 69% (P = 0.28). The difference was significant only at the 12-month follow-up in favor of the surgical group. Significant reduction in Neck Disability Index, neck pain, and arm pain compared with baseline was seen in both groups (P < 0.001). CONCLUSION.: In this prospective, randomized study of patients with cervical radiculopathy, it was shown that surgery with physiotherapy resulted in a more rapid improvement during the first postoperative year, with significantly greater improvement in neck pain and the patient's global assessment than physiotherapy alone, but the differences between the groups decreased after 2 years. Structured physiotherapy should be tried before surgery is chosen. Copyright © 2013 Lippincott Williams & Wilkins. Unauthorized reproduction of this article is prohibited.

Ämnesord och genrebeteckningar

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

  • Löfgren, H.Neuro-Orthopedic Center, Ryhov Hospital, Jönköping, Sweden (författare)
  • Öberg, BirgittaLinköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet(Swepub:liu)birob80 (författare)
  • Holtz, AndersUppsala universitet,Neurokirurgi,Department of Neuroscience, Neurosurgery, Uppsala University Hospital, Uppsala, Sweden(Swepub:uu)andholtz (författare)
  • Peolsson, AnneliLinköpings universitet,Avdelningen för sjukgymnastik,Hälsouniversitetet(Swepub:liu)annpe35 (författare)
  • Söderlund, AnneMälardalens högskola,Hälsa och välfärd,Department of Physiotherapy, School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden(Swepub:mdh)asd04 (författare)
  • Vavruch, L.Neuro-Orthopedic Center, Ryhov Hospital, Jönköping, Sweden (författare)
  • Lind, Bengt,1948Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Spine Center Göteborg, Gothenburg, Sweden and Department of Orthopaedics, Institute of Clinical Sciences at Sahlgrenska Academy, University of Gothenburg, Sweden(Swepub:gu)xlbene (författare)
  • Göteborgs universitetInstitutionen för kliniska vetenskaper, Avdelningen för ortopedi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Spine: Lippincott Williams & Wilkins38:20, s. 1715-17220362-24361528-1159

Internetlänk

Hitta via bibliotek

  • Spine (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy