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THE EFFECT OF 3 DIFFERENT EXERCISE APPROACHES ON NECK MUSCLE ENDURANCE, KINESIOPHOBIA, EXERCISE COMPLIANCE, AND PATIENT SATISFACTION IN CHRONIC WHIPLASH
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.;Linkoping Univ, Dept Med & Hlth Sci, Div Physiotherapy, Fac Hlth Sci, Linkoping, Sweden..
Linkoping Univ, Dept Med & Hlth Sci, Div Physiotherapy, Fac Hlth Sci, Linkoping, Sweden.;Cty Council Ostergotland, Rehab Vast, Ostergotland, Sweden..
Univ Queensland, NHMRC CCRE Spinal Pain Injury & Hlth, Brisbane, Qld, Australia.;Queensland Hlth, Physiotherapy Dept, Royal Brisbane & Womens Hosp, Brisbane, Qld, Australia..
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Div Physiotherapy, S-10401 Stockholm, Sweden.;Karolinska Univ Hosp, Dept Phys Therapy, Stockholm, Sweden..
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2015 (English)In: Journal of Manipulative and Physiological Therapeutics, ISSN 0161-4754, E-ISSN 1532-6586, Vol. 38, no 7, 465-476 p.Article in journal (Refereed) Published
Abstract [en]

Objective: The purpose of this study was to compare the effects of 3 different exercise approaches on neck muscle endurance (NME), kinesiophobia, exercise compliance, and patient satisfaction in patients with chronic whiplash. Methods: This prospective randomized clinical trial included 216 individuals with chronic whiplash. Participants were randomized to 1 of 3 exercise interventions: neck-specific exercise (NSE), NSE combined with a behavioral approach (NSEB), or prescribed physical activity (PPA). Measures of ventral and dorsal NME (endurance time in seconds), perceived pain after NME testing, kinesiophobia, exercise compliance, and patient satisfaction were recorded at baseline and at the 3- and 6-month follow-ups. Results: Compared with individuals in the prescribed physical activity group, participants in the NSE and NSEB groups exhibited greater gains in dorsal NME (P = .003), greater reductions in pain after NME testing (P = .03), and more satisfaction with treatment (P < .001). Kinesiophobia and exercise compliance did not significantly differ between groups (P > .07). Conclusion: Among patients with chronic whiplash, a neck-specific exercise intervention (with or without a behavioral approach) appears to improve NME. Participants were more satisfied with intervention including neck-specific exercises than with the prescription of general exercise.

Place, publisher, year, edition, pages
2015. Vol. 38, no 7, 465-476 p.
Keyword [en]
Exercise Therapy, Neck Pain, Whiplash Injuries, Rehabilitation
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:uu:diva-265593DOI: 10.1016/j.jmpt.2015.06.011ISI: 000362450700003PubMedID: 26387858OAI: oai:DiVA.org:uu-265593DiVA: diva2:866499
Funder
Swedish Research CouncilWenner-Gren Foundations
Available from: 2015-11-03 Created: 2015-11-02 Last updated: 2017-12-01

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