liu.seSök publikationer i DiVA
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
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
Linköpings universitet, Institutionen för medicin och hälsa, Sjukgymnastik. Linköpings universitet, Hälsouniversitetet.ORCID-id: 0000-0002-6075-4432
Mälardalen University, Västerås, Sweden.
Ryhov Hospital, Jönköping, Sweden.
University of Gothenburg, Sweden.
Visa övriga samt affilieringar
2013 (Engelska)Ingår i: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 38, nr 4, s. 300-307Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

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.

Ort, förlag, år, upplaga, sidor
Lippincott Williams & Wilkins, 2013. Vol. 38, nr 4, s. 300-307
Nyckelord [en]
cervical spine, disc, radiculopathy, surgery, physiotherapy
Nationell ämneskategori
Medicin och hälsovetenskap
Identifikatorer
URN: urn:nbn:se:liu:diva-90087DOI: 10.1097/BRS.0b013e31826d2cbbISI: 000315029600013OAI: oai:DiVA.org:liu-90087DiVA, id: diva2:612401
Anmärkning

Funding Agencies|Medical Research Council of Southeast Sweden (FORSS)||

Tillgänglig från: 2013-03-21 Skapad: 2013-03-19 Senast uppdaterad: 2017-12-06Bibliografiskt granskad

Open Access i DiVA

fulltext(482 kB)1037 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 482 kBChecksumma SHA-512
0f389a2e8aaafbf9a3508de6cb43c3b9e9f2fe8e8b884f231620051e946326d2bc09219de73fe68e377355b33af68be651d81feed8ab24319a8ee45125363f0d
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltext

Personposter BETA

Peolsson, AnneliLöfgren, HåkanVavruch, LudekÖberg, Birgitta

Sök vidare i DiVA

Av författaren/redaktören
Peolsson, AnneliLöfgren, HåkanVavruch, LudekÖberg, Birgitta
Av organisationen
SjukgymnastikHälsouniversitetet
I samma tidskrift
Spine
Medicin och hälsovetenskap

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 1037 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
urn-nbn

Altmetricpoäng

doi
urn-nbn
Totalt: 308 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf