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Outcome of physiotherapy after surgery for cervical disc disease: a prospective randomised multi-centre trial
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-6075-4432
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-3464-1538
Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden.
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2014 (English)In: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 15, no 34Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Many patients with cervical disc disease require leave from work, due to long-lasting, complex symptoms, including chronic pain and reduced levels of physical and psychological function. Surgery on a few segmental levels might be expected to resolve disc-specific pain and reduce neurological deficits, but not the non-specific neck pain and the frequent illness. No study has investigated whether post-surgery physiotherapy might improve the outcome of surgery. The main purpose of this study was to evaluate whether a well-structured rehabilitation programme might add benefit to the customary post-surgical treatment for cervical disc disease, with respect to function, disability, work capability, and cost effectiveness.

METHODS/DESIGN:

This study was designed as a prospective, randomised, controlled, multi-centre study. An independent, blinded investigator will compare two alternatives of rehabilitation. We will include 200 patients of working age, with cervical disc disease confirmed by clinical findings and symptoms of cervical nerve root compression. After providing informed consent, study participants will be randomised to one of two alternative physiotherapy regimes; (A) customary treatment (information and advice on a specialist clinic); or (B) customary treatment plus active physiotherapy. Physiotherapy will follow a standardised, structured programme of neck-specific exercises combined with a behavioural approach. All patients will be evaluated both clinically and subjectively (with questionnaires) before surgery and at 6 weeks, 3 months, 6 months, 12 months, and 24 months after surgery. The main outcome variable will be neck-specific disability. Cost-effectiveness will also be calculated.

DISCUSSION:

We anticipate that the results of this study will provide evidence to support physiotherapeutic rehabilitation applied after surgery for cervical radiculopathy due to cervical disc disease.

Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 15, no 34
Keyword [en]
Intervertebral disc; Spine; Neck; Rehabilitation; Physical therapy
National Category
Physiotherapy Orthopedics Neurology
Identifiers
URN: urn:nbn:se:liu:diva-105609DOI: 10.1186/1471-2474-15-34ISI: 000334802900002PubMedID: 24502414OAI: oai:DiVA.org:liu-105609DiVA: diva2:708763
Available from: 2014-03-28 Created: 2014-03-28 Last updated: 2017-12-05Bibliographically approved

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Peolsson, AnneliÖberg, BirgittaWibault, JohannaZsigmond, PeterBernfort, LarsKammerlind, Ann-Sofi
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Division of PhysiotherapyFaculty of Health SciencesDivision of NeuroscienceDepartment of NeurosurgeryDivision of Health Care AnalysisAllergy CenterDepartment of Otorhinolaryngology in Linköping
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