Function in patients with cervical radiculopathy or chronic whiplash-associated disorders compared with healthy volunteers

Peolsson, Anneli, Ludvigsson, Maria Landen, Wibault, Johanna, Dedering, Asa and Peterson, Gunnel (2014) Function in patients with cervical radiculopathy or chronic whiplash-associated disorders compared with healthy volunteers. Journal of Manipulative and Physiological Therapeutics, 37 4: 211-218. doi:10.1016/j.jmpt.2014.01.003


Author Peolsson, Anneli
Ludvigsson, Maria Landen
Wibault, Johanna
Dedering, Asa
Peterson, Gunnel
Title Function in patients with cervical radiculopathy or chronic whiplash-associated disorders compared with healthy volunteers
Journal name Journal of Manipulative and Physiological Therapeutics   Check publisher's open access policy
ISSN 1532-6586
0161-4754
Publication date 2014-05-01
Year available 2014
Sub-type Article (original research)
DOI 10.1016/j.jmpt.2014.01.003
Volume 37
Issue 4
Start page 211
End page 218
Total pages 8
Place of publication Philadelphia PA, United States
Publisher Mosby Inc.
Collection year 2015
Language eng
Formatted 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.
Keyword Cervical vertebrae
Neck pain
Radiculopathy
Whiplash injuries
Outcome measures
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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