Neck-related function and its connection with disability in chronic whiplash-associated disorders: secondary analysis of a randomized controlled study
Autor: | Gunnel Peterson, Maria Landén Ludvigsson, Anneli Peolsson |
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Rok vydání: | 2021 |
Předmět: |
Adult
Male endocrine system medicine.medical_specialty medicine.medical_treatment Population Physical Therapy Sports Therapy and Rehabilitation law.invention Grip strength Disability Evaluation Randomized controlled trial law Neck Muscles Whiplash medicine Humans Disabled Persons Muscle Strength Exercise physiology Range of Motion Articular education Exercise Whiplash Injuries Pain Measurement Neck pain education.field_of_study Rehabilitation Cognitive Behavioral Therapy business.industry Middle Aged medicine.disease Combined Modality Therapy Exercise Therapy Chronic Disease Physical therapy Female medicine.symptom Range of motion business |
Zdroj: | European journal of physical and rehabilitation medicine. 57(4) |
ISSN: | 1973-9095 |
Popis: | BACKGROUND More than 40% of individuals with whiplash injury experience persistent neck pain and disability years later, called whiplash-associated disorders (WAD). A randomized controlled trial evaluated three exercise interventions in WAD and found that neck-specific exercise (NSE) and NSE with a behavioral approach (NSEB) significantly improve disability compared to prescribed physical activity (PPA). However, the relationship between neck-related function and disability is inconclusive and needs to be further investigated. AIM The present study compares the effect of NSE, NSEB, and PPA on neck muscle endurance (NME), active cervical range of motion (AROM), grip strength, and pain intensity immediately before and after the physical tests, and neck disability in individuals who are below or above the cut-off for normative reference values regarding NME, AROM, and grip strength. DESIGN Follow-up to a multicenter randomized clinical trial. SETTING Primary healthcare centers and hospital outpatient services. POPULATION The selected population of this study included 216 patients with persistent WAD grades II and III. METHODS This is a secondary analysis including 12 months' follow-up. NME, AROM, grip strength, pain, and self-reported disability were recorded at baseline, 3, 6, and 12 months. Linear mixed models were used, and sub-group analyses evaluated by non-parametric tests. RESULTS NSE and NSEB resulted in greater improvements compared to PPA (P |
Databáze: | OpenAIRE |
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