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Satisfaction With the Outcome of Physical Therapist–Prescribed Exercise in Chronic Whiplash–Associated Disorders: Secondary Analysis of a Randomized Clinical Trial / Clare Ardern in Journal of Orthopaedic & Sports Physical Therapy, vol. 46, 8 (Aout 2016)
[article]
in Journal of Orthopaedic & Sports Physical Therapy > vol. 46, 8 (Aout 2016) . - 640-649
Titre : Satisfaction With the Outcome of Physical Therapist–Prescribed Exercise in Chronic Whiplash–Associated Disorders: Secondary Analysis of a Randomized Clinical Trial Type de document : article de périodique Auteurs : Clare Ardern ; Gunnel Peterson ; Maria-Landen Ludvigsson ; Anneli Peolsson, Auteur Année de publication : 2016 Article en page(s) : 640-649 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cou:Cou / anatomopathologie
[Thésaurus Mesh]Traumatismes cervicaux en coup de fouetRésumé : Study Design Secondary analysis of a randomized clinical trial.
Background
Patient perception of the benefits gained from treatment is important, yet satisfaction with the outcome of treatment for chronic whiplash-associated disorders (WADs) has not been investigated.
Objectives
To investigate whether satisfaction with the outcome of treatment for chronic WAD changed over time, and whether there were group differences.
Methods
Two hundred sixteen people with chronic WAD (66% women; mean age, 40.4 years) participated in a 3-month program of physical therapist-led neck-specific exercises with or without a behavioral approach, or received a prescription of general physical activity. The main outcome was satisfaction with the outcome of treatment, assessed at baseline and 3, 6, and 12 months later. Additional outcomes were enablement and expectation fulfillment.
Results
Satisfaction improved over time in the 3 groups (odds ratio = 1.15; 95% confidence interval: 1.10, 1.20; P<.001). There was a significant group-by-time interaction (P<.001), with increased odds of being satisfied in the groups receiving neck-specific exercises compared to general physical activity. Enablement increased after completion of the intervention in all groups (P<.001). People who received neck-specific exercises reported greater enablement and expectation fulfillment than people prescribed general physical activity (P<.01).
Conclusion
Exercise interventions for chronic WAD led to increased satisfaction for 12 months following treatment that was unrelated to the type of exercise intervention received.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
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