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Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3464-1538
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.
Karolinska Institute, Sweden; Karolinska University Hospital, Sweden.
Ryhov Hospital, Sweden.
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2017 (English)In: Journal of Manipulative and Physiological Therapeutics, ISSN 0161-4754, E-ISSN 1532-6586, Vol. 40, no 5, 330-339 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of this study was to compare postoperative rehabilitation with structured physiotherapy to the standard approach in patients with cervical radiculopathy (CR) in a prospective randomized study at 6 months follow-up based on measures of neck-related physical function, self-efficacy, and coping strategies. Methods: Patients with persistent CR and scheduled for surgery (N - 202) were randomly assigned to structured postoperative physiotherapy or a standard postoperative approach. Structured postoperative physiotherapy combined neck-specific exercises with a behavioral approach. Baseline, 3-month, and 6-month evaluations included questionnaires and clinical examinations. Neck muscle endurance, active cervical range of motion, self-efficacy, pain catastrophizing (CSQ-CAT), perceived control over pain, and ability to decrease pain were analyzed for between-group differences using complete case and per-protocol approaches. Results: No between-group difference was reported at the 6-month follow-up (P = .05-.99), but all outcomes had improved from baseline (P amp;lt; .001). Patients undergoing structured postoperative physiotherapy with amp;gt;= 50% attendance at treatment sessions had larger improvements in CSQ-CAT (P = .04) during the rehabilitation period from 3 to 6 months after surgery compared with the patients who received standard postoperative approach. Conclusions: No between-group difference was found at 6 months after surgery based on measures of neck-related physical function, self-efficacy, and coping strategies. However, the results confirm that neck-specific exercises are tolerated by patients with CR after surgery and may suggest a benefit from combining surgery with structured postoperative physiotherapy for patients with CR.

Place, publisher, year, edition, pages
MOSBY-ELSEVIER , 2017. Vol. 40, no 5, 330-339 p.
Keyword [en]
Cervical Radiculopathy; Postoperative Period; Physical Therapy Modalities; Randomized Clinical Trial; Coping Skills
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-139289DOI: 10.1016/j.jmpt.2017.02.012ISI: 000404024700003PubMedID: 28495026OAI: oai:DiVA.org:liu-139289DiVA: diva2:1120969
Note

Funding Agencies|Swedish Research Council; Swedish Society of Medicine; Medical Research Council of Southeast Sweden; Region Ostergotland; Lions; Futurum (Academy of Health and Care, Region Jonkoping County)

Available from: 2017-07-07 Created: 2017-07-07 Last updated: 2017-07-07

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Wibault, JohannaÖberg, BirgittaZsigmond, PeterPeolsson, Anneli
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Division of PhysiotherapyFaculty of Medicine and Health SciencesDivision of Neuro and Inflammation ScienceDepartment of Neurosurgery
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