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Neck-specific exercise may reduce radiating pain and signs of neurological deficits in chronic whiplash - Analyses of a randomized clinical trial
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i västra Östergötland, Rehab Väst.ORCID-id: 0000-0002-3259-3133
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten. Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.ORCID-id: 0000-0003-2492-0306
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0002-6075-4432
2018 (engelsk)Inngår i: Scientific Reports, ISSN 2045-2322, E-ISSN 2045-2322, Vol. 8, nr 1, artikkel-id 12409Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Up to 90% of people with neurological deficits following a whiplash injury do not recover and cervical muscle dysfunction is common. The aim of this multicentre, randomized controlled trial was to examine whether two versions of neck-specific exercise or prescription of physical activity (PPA) can improve radiating arm pain and clinical signs that can be associated with neurological deficits in people with chronic whiplash associated disorders (WAD). Participants with chronic WAD, arm symptoms and signs associated with neurological deficits (n = 171) were randomized to: 12 weeks of neck-specific exercise without (NSE) or with a behavioural approach (NSEB), or PPA. Pain/bothersomeness frequency, six measures of arm pain/paraesthesia (VAS scales), and four clinical neurological tests were evaluated after 3 months. The NSE group reported the lowest frequency and lowest levels of arm pain, the highest proportion of participants with at least 50% pain reduction and the highest proportion of normal arm muscle force. The NSEB group reported increased normal tendon reflexes. No improvements were recorded for the PPA group. Neck-specific exercise may improve arm pain and decrease signs of neurological deficits, but the addition of a behavioural approach does not seem to be of additional benefit. © 2018, The Author(s).

sted, utgiver, år, opplag, sider
Nature Publishing Group , 2018. Vol. 8, nr 1, artikkel-id 12409
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URN: urn:nbn:se:liu:diva-150588DOI: 10.1038/s41598-018-30556-wISI: 000441876700112PubMedID: 30120313Scopus ID: 2-s2.0-85051714527OAI: oai:DiVA.org:liu-150588DiVA, id: diva2:1242630
Merknad

Funding agencies: Swedish government through the REHSAM Foundation [RS2010/009]; Swedish Research Council [521-2014-2982]; regional Center for Clinical Research; County Council of Ostergotland [LIO-533041, LIO-439541, LIO-197631, LIO-276151, LIO-354241]; Centre for Clinica

Tilgjengelig fra: 2018-08-28 Laget: 2018-08-28 Sist oppdatert: 2018-09-21

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