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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

Wibault, Johanna; Öberg, Birgitta; Dedering, Åsa; Löfgren, Håkan; Zsigmond, Peter; Persson, Liselott LU ; Andell, Maria; R. Jonsson, Margareta and Peolsson, Anneli (2017) In Journal of Manipulative and Physiological Therapeutics 40(5). p.330-339
Abstract

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... (More)

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 < .001). Patients undergoing structured postoperative physiotherapy with ≥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.

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author
organization
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type
Contribution to journal
publication status
published
subject
keywords
Cervical Radiculopathy, Coping Skills, Physical Therapy Modalities, Postoperative Period, Randomized Clinical Trial
in
Journal of Manipulative and Physiological Therapeutics
volume
40
issue
5
pages
330 - 339
publisher
Mosby Inc.
external identifiers
  • scopus:85019119075
  • wos:000404024700003
ISSN
0161-4754
DOI
10.1016/j.jmpt.2017.02.012
language
English
LU publication?
yes
id
fdeb78ab-55a1-40c2-8c2f-ef17528aaaed
date added to LUP
2017-06-01 14:55:57
date last changed
2018-05-12 03:00:08
@article{fdeb78ab-55a1-40c2-8c2f-ef17528aaaed,
  abstract     = {<p>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 &lt; .001). Patients undergoing structured postoperative physiotherapy with ≥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.</p>},
  author       = {Wibault, Johanna and Öberg, Birgitta and Dedering, Åsa and Löfgren, Håkan and Zsigmond, Peter and Persson, Liselott and Andell, Maria and R. Jonsson, Margareta and Peolsson, Anneli},
  issn         = {0161-4754},
  keyword      = {Cervical Radiculopathy,Coping Skills,Physical Therapy Modalities,Postoperative Period,Randomized Clinical Trial},
  language     = {eng},
  number       = {5},
  pages        = {330--339},
  publisher    = {Mosby Inc.},
  series       = {Journal of Manipulative and Physiological Therapeutics},
  title        = {Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy : A Randomized Clinical Trial of Postoperative Physiotherapy},
  url          = {http://dx.doi.org/10.1016/j.jmpt.2017.02.012},
  volume       = {40},
  year         = {2017},
}