Neck-Related Physical Function,Self-Efficacy,and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy |
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Authors: | Johanna Wibault Birgitta Öberg Åsa Dedering Håkan Löfgren Peter Zsigmond Liselott Persson Maria Andell Margareta R Jonsson Anneli Peolsson |
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Institution: | 1. Department of Medical and Health Sciences, Division of Physiotherapy, Linköping University, Linköping, Sweden;2. Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden;3. Department of Physical Therapy, Karolinska University Hospital, Stockholm, Sweden;4. Neuro-Orthopedic Center, Ryhov Hospital, Jönköping, Sweden;5. Department of Neurosurgery, Linköping University Hospital, Linköping, Sweden;6. Health Sciences, Division of Physiotherapy, Lund University, Lund, Sweden;7. Norrahammar Primary Health Care, Norrahammar, Sweden |
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Abstract: | ObjectiveThe 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.MethodsPatients 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.ResultsNo 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.ConclusionsNo 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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Keywords: | Cervical Radiculopathy Postoperative Period Physical Therapy Modalities Randomized Clinical Trial Coping Skills |
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