Anneli Peolsson1, Maria Landén Ludvigsson2, Johanna Wibault3, Åsa Dedering4, Gunnel Peterson5. 1. Guest Researcher, NHMRC CCRE (Spinal Pain, Injury and Health), The University of Queensland, Brisbane, Australia; Associate Professor, Department of Medical and Health Sciences, Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden. Electronic address: Anneli.Peolsson@liu.se. 2. PhD Student, Department Medical and Health Sciences, Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Physical Therapist, Rehab Väst, County Council of Östergötland, Motala, Sweden. 3. PhD Student, Department Medical and Health Sciences, Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden. 4. Doctor, Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden; Head, Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden. 5. PhD Student, Department Medical and Health Sciences, Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden; Physical Therapist, Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.
Abstract
OBJECTIVE: The purposes of this study were to examine whether any differences in function and health exist between patients with cervical radiculopathy (CR) due to disk disease scheduled for surgery and patients with chronic whiplash-associated disorders (WADs) and to compare measures of patients' physical function with those obtained from healthy volunteers. METHODS: This is a cross-sectional study of patients with CR (n = 198) and patients with chronic WAD (n = 215). Patient data were compared with raw data previously obtained from healthy people. Physical measures included cervical active range of motion, neck muscle endurance, and hand grip strength. Self-rated measures included pain intensity (visual analog scale), neck disability (Neck Disability Index), self-efficacy (Self-Efficacy Scale), and health-related quality of life (EuroQol 5-dimensional self-classifier). RESULTS: Patient groups exhibited significantly lower performance than the healthy group in all physical measures (P < .0005) except for neck muscle endurance in flexion for women (P > .09). There was a general trend toward worse results in the CR group than the WAD group, with significant differences in neck active range of motion, left hand strength for women, pain intensity, Neck Disability Index, EuroQol 5-dimensional self-classifier, and Self-Efficacy Scale (P < .0001). CONCLUSIONS: Patients had worse values than healthy individuals in almost all physical measures. There was a trend toward worse results for CR than WAD patients.
OBJECTIVE: The purposes of this study were to examine whether any differences in function and health exist between patients with cervical radiculopathy (CR) due to disk disease scheduled for surgery and patients with chronic whiplash-associated disorders (WADs) and to compare measures of patients' physical function with those obtained from healthy volunteers. METHODS: This is a cross-sectional study of patients with CR (n = 198) and patients with chronic WAD (n = 215). Patient data were compared with raw data previously obtained from healthy people. Physical measures included cervical active range of motion, neck muscle endurance, and hand grip strength. Self-rated measures included pain intensity (visual analog scale), neck disability (Neck Disability Index), self-efficacy (Self-Efficacy Scale), and health-related quality of life (EuroQol 5-dimensional self-classifier). RESULTS:Patient groups exhibited significantly lower performance than the healthy group in all physical measures (P < .0005) except for neck muscle endurance in flexion for women (P > .09). There was a general trend toward worse results in the CR group than the WAD group, with significant differences in neck active range of motion, left hand strength for women, pain intensity, Neck Disability Index, EuroQol 5-dimensional self-classifier, and Self-Efficacy Scale (P < .0001). CONCLUSIONS:Patients had worse values than healthy individuals in almost all physical measures. There was a trend toward worse results for CR than WADpatients.
Authors: Marie Halvorsen; Marie Kierkegaard; Karin Harms-Ringdahl; Anneli Peolsson; Åsa Dedering Journal: Medicine (Baltimore) Date: 2015-06 Impact factor: 1.889
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