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Factors associated with work ability following exercise interventions for people with chronic whiplash-associated disorders: Secondary analysis of a randomized controlled trial.
The University of Queensland, Australia.
The University of Queensland, Australia.
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Närsjukvården i västra Östergötland, Rehab Väst.ORCID-id: 0000-0002-3259-3133
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för fysioterapi. Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0003-2492-0306
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2018 (engelsk)Inngår i: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 50Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To investigate the efficacy of exercise interventions and factors associated with changes in work ability for people with chronic whiplash-associated disorders.

DESIGN: Secondary analysis of a single-blind, randomized multi-centre controlled trial.

SETTING: Interventions were conducted in Swedish primary care settings.

PATIENTS: A total of 165 individuals with chronic whiplash-associated disorders grade II-III.

METHODS: Participants were randomly allocated to neck-specific exercise, neck-specific exercise with a behavioural approach, or prescribed physical activity interventions. Work ability was evaluated with the Work Ability Index at baseline, 3, 6 and 12 months.

RESULTS: The neck-specific exercise with a behavioural approach intervention significantly improved work ability compared with the prescribed physical activity intervention (3 months, p = 0.03; 6 months, p = 0.01; 12 months, p = 0.01), and neck-specific exercise at 12 months (p = 0.01). Neck-specific exercise was better than the prescribed physical activity intervention at 6 months (p = 0.05). An increase in work ability from baseline to one year for the neck-specific exercise with a behavioural approach group (p < 0.01) was the only significant within-group difference. Higher self-rated physical demands at work, greater disability, greater depression and poorer financial situation were associated with poorer work ability (p < 0.01).

CONCLUSION: This study found that neck-specific exercise with a behavioural approach intervention was better at improving self-reported work ability than neck-specific exercise or prescribed physical activity. Improvement in work ability is associated with a variety of factors.

sted, utgiver, år, opplag, sider
FOUNDATION REHABILITATION INFORMATION , 2018. Vol. 50
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Identifikatorer
URN: urn:nbn:se:liu:diva-150587DOI: 10.2340/16501977-2374ISI: 000447771700008PubMedID: 30132011OAI: oai:DiVA.org:liu-150587DiVA, id: diva2:1242622
Merknad

Funding agencies: Swedish government through the Swedish Research Council; Swedish Social Insurance Agency through the REHSAM Foundation Stockholm, Sweden; regional Center for Clinical Research of Ostergotland, Linkoping, Sweden; regional Center for Clinical Research of So

Tilgjengelig fra: 2018-08-28 Laget: 2018-08-28 Sist oppdatert: 2018-11-09

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