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  • Peolsson, AnneliLinköpings universitet,Sjukgymnastik,Hälsouniversitetet (author)

Physical Function Outcome in Cervical Radiculopathy Patients After Physiotherapy Alone Compared With Anterior Surgery Followed by Physiotherapy A Prospective Randomized Study With a 2-Year Follow-up

  • Article/chapterEnglish2013

Publisher, publication year, extent ...

  • Lippincott Williams & Wilkins,2013

Numbers

  • LIBRIS-ID:oai:gup.ub.gu.se/175212
  • https://gup.ub.gu.se/publication/175212URI
  • https://doi.org/10.1097/BRS.0b013e31826d2cbbDOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-197066URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mdh:diva-16159URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-90087URI

Supplementary language notes

  • Language:English

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

Notes

  • Funding Agencies|Medical Research Council of Southeast Sweden (FORSS)||
  • Study Design. Prospective randomized study. Objective. To investigate differences in physical functional outcome in patients with radiculopathy due to cervical disc disease, after structured physiotherapy alone (consisting of neck-specific exercises with a cognitive-behavioral approach) versus after anterior cervical decompression and fusion (ACDF) followed by the same structured physiotherapy program. Summary of Background Data. No earlier studies have evaluated the effectiveness of a structured physiotherapy program or postoperative physical rehabilitation after ACDF for patients with magnetic resonance imaging–verified nerve compression due to cervical disc disease. Methods. Our prospective randomized study included 63 patients with radiculopathy and magnetic resonance imaging–verified nerve root compression, who were randomized to receive either ACDF in combination with physiotherapy or physiotherapy alone. For 49 of these patients, an independent examiner measured functional outcomes, including active range of neck motion, neck muscle endurance, and hand-related functioning before treatment and at 3-, 6-, 12-, and 24-month follow-ups. Results. There were no significant differences between the 2 treatment alternatives in any of the measurements performed (P = 0.17–0.91). Both groups showed improvements over time in neck muscle endurance (P <= 0.01), manual dexterity (P <= 0.03), and right-handgrip strength (P = 0.01). Conclusion. Compared with a structured physiotherapy program alone, ACDF followed by physiotherapy did not result in additional improvements in neck active range of motion, neck muscle endurance, or hand-related function in patients with radiculopathy. We suggest that a structured physiotherapy program should precede a decision for ACDF intervention in patients with radiculopathy, to reduce the need for surgery.

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  • Söderlund, AnneMälardalens högskola,Hälsa och välfärd,Mälardalen University, Västerås, Sweden(Swepub:mdh)asd04 (author)
  • Engquist, MarkusGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska Academy, University of Gothenburg,Ryhov Hospital, Jönköping, Sweden (author)
  • Lind, Bengt,1948Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics,Sahlgrenska Academy, University of Gothenburg,University of Gothenburg, Sweden(Swepub:gu)xlbene (author)
  • Löfgren, HåkanNeuro-Orthopedic Center, Ryhov Hospital, Jönköping,Ryhov Hospital, Jönköping, Sweden(Swepub:liu)haklo96 (author)
  • Vavruch, LudekNeuro-Orthopedic Center, Ryhov Hospital, Jönköping,Ryhov Hospital, Jönköping, Sweden(Swepub:liu)ludva85 (author)
  • Holtz, AndersUppsala universitet,Neurokirurgi,Uppsala University Hospital, Sweden(Swepub:uu)andholtz (author)
  • Winström-Christersson, AnnelieDepartment of Physiotherapy, Ryhov Hospital, Jönköping,Ryhov Hospital, Jönköping, Sweden (author)
  • Isaksson, IngridDepartment of Physiotherapy, Ryhov Hospital, Jönköping,Ryhov Hospital, Jönköping, Sweden (author)
  • Öberg, BirgittaLinköpings universitet,Sjukgymnastik,Hälsouniversitetet(Swepub:liu)birob80 (author)
  • Linköpings universitetSjukgymnastik (creator_code:org_t)

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  • In:Spine: Lippincott Williams & Wilkins38:4, s. 300-3070362-24361528-1159

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