Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy : A Randomized Clinical Trial of Postoperative Physiotherapy
(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.
(Less)
- author
- Wibault, Johanna ; Öberg, Birgitta ; Dedering, Åsa ; Löfgren, Håkan ; Zsigmond, Peter ; Persson, Liselott LU ; Andell, Maria ; R. Jonsson, Margareta and Peolsson, Anneli
- organization
- publishing date
- 2017
- 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-Elsevier
- external identifiers
-
- wos:000404024700003
- pmid:28495026
- scopus:85019119075
- 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
- 2025-01-07 14:35:04
@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 < .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}},
keywords = {{Cervical Radiculopathy; Coping Skills; Physical Therapy Modalities; Postoperative Period; Randomized Clinical Trial}},
language = {{eng}},
number = {{5}},
pages = {{330--339}},
publisher = {{Mosby-Elsevier}},
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}},
doi = {{10.1016/j.jmpt.2017.02.012}},
volume = {{40}},
year = {{2017}},
}