Dizziness and balance outcomes after two different postoperative rehabilitation approaches following neck surgery: analyses of a multicenter randomized controlled trial
Dizziness and balance problems are common symptoms in patients with cervical radiculopathy. To evaluate the effect of neck surgery postoperatively combined with either structured rehabilitation or standard approach in patients with cervical radiculopathy and dizziness and/or balance problems, and in...
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| Veröffentlicht in: | Physiotherapy theory and practice 2023, Vol.39 (4), p.750-760 |
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| creator | Hermansen, Anna Kammerlind, Ann-Sofi Wibault, Johanna Löfgren, Håkan Zsigmond, Peter Dedering, Åsa Öberg, Birgitta Peolsson, Anneli |
| description | Dizziness and balance problems are common symptoms in patients with cervical radiculopathy.
To evaluate the effect of neck surgery postoperatively combined with either structured rehabilitation or standard approach in patients with cervical radiculopathy and dizziness and/or balance problems, and investigate factors influencing dizziness and balance at 6-month follow-up.
Individuals (n = 149) with cervical radiculopathy and dizziness and/or balance problems were randomized preoperatively to structured postoperative rehabilitation or standard postoperative approach. Outcomes were intensity of dizziness and subjective balance, and clinical measures of balance.
Self-reported measures improved at three months (p ˂ 0.001 to p = .007) and the standing balance at six months (p = .008). No between-group differences. Baseline values, neck pain, and physical activity level explained 23-39% of the variance in 6-month outcomes for self-reported measures. Baseline values and physical activity level explained 71% of the variance in walking balance, and lower baseline scores were significantly associated with standing balance impairments (OR 0.876).
Patients improved significantly in dizziness and subjective balance intensity shortly after surgery, and in standing balance at 6 months, independent of postoperative rehabilitation. Neck pain, physical activity, and neck muscle function influenced dizziness and balance, although preoperative values and neck pain were of most importance for 6-month outcomes. |
| doi_str_mv | 10.1080/09593985.2022.2029654 |
| format | Article |
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To evaluate the effect of neck surgery postoperatively combined with either structured rehabilitation or standard approach in patients with cervical radiculopathy and dizziness and/or balance problems, and investigate factors influencing dizziness and balance at 6-month follow-up.
Individuals (n = 149) with cervical radiculopathy and dizziness and/or balance problems were randomized preoperatively to structured postoperative rehabilitation or standard postoperative approach. Outcomes were intensity of dizziness and subjective balance, and clinical measures of balance.
Self-reported measures improved at three months (p ˂ 0.001 to p = .007) and the standing balance at six months (p = .008). No between-group differences. Baseline values, neck pain, and physical activity level explained 23-39% of the variance in 6-month outcomes for self-reported measures. Baseline values and physical activity level explained 71% of the variance in walking balance, and lower baseline scores were significantly associated with standing balance impairments (OR 0.876).
Patients improved significantly in dizziness and subjective balance intensity shortly after surgery, and in standing balance at 6 months, independent of postoperative rehabilitation. Neck pain, physical activity, and neck muscle function influenced dizziness and balance, although preoperative values and neck pain were of most importance for 6-month outcomes.</description><identifier>ISSN: 0959-3985</identifier><identifier>ISSN: 1532-5040</identifier><identifier>EISSN: 1532-5040</identifier><identifier>DOI: 10.1080/09593985.2022.2029654</identifier><identifier>PMID: 35156511</identifier><language>eng</language><publisher>England: Taylor & Francis Ltd</publisher><subject>Activity level ; Adolescent ; Adult ; Aged ; Cervical Vertebrae ; Clinical trials ; Dizziness ; Dizziness - etiology ; Female ; Humans ; Male ; Medicin och hälsovetenskap ; Middle Aged ; Neck - surgery ; Neck pain ; Neck Pain - rehabilitation ; Perioperative care ; Physical activity ; Postoperative Care ; Radiculopathy - rehabilitation ; Rehabilitation ; Surgery ; Treatment Outcome ; Values ; Walking</subject><ispartof>Physiotherapy theory and practice, 2023, Vol.39 (4), p.750-760</ispartof><rights>2022 The Author(s). Published with license by Taylor & Francis Group, LLC. This work is licensed under the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c458t-946500dedcc72096a9f0cbab311b81febf0192adf6ded3d0fd3489370d57e4013</cites><orcidid>0000-0002-6317-0694</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,552,780,885,30998</link.rule.ids><linktorsrc>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-183418$$EView_record_in_Swedish_Publication_Index_(SWEPUB)$$FView_record_in_$$GSwedish_Publication_Index_(SWEPUB)$$Hfree_for_read</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35156511$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-183418$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:148836724$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hermansen, Anna</creatorcontrib><creatorcontrib>Kammerlind, Ann-Sofi</creatorcontrib><creatorcontrib>Wibault, Johanna</creatorcontrib><creatorcontrib>Löfgren, Håkan</creatorcontrib><creatorcontrib>Zsigmond, Peter</creatorcontrib><creatorcontrib>Dedering, Åsa</creatorcontrib><creatorcontrib>Öberg, Birgitta</creatorcontrib><creatorcontrib>Peolsson, Anneli</creatorcontrib><title>Dizziness and balance outcomes after two different postoperative rehabilitation approaches following neck surgery: analyses of a multicenter randomized controlled trial</title><title>Physiotherapy theory and practice</title><addtitle>Physiother Theory Pract</addtitle><description>Dizziness and balance problems are common symptoms in patients with cervical radiculopathy.
To evaluate the effect of neck surgery postoperatively combined with either structured rehabilitation or standard approach in patients with cervical radiculopathy and dizziness and/or balance problems, and investigate factors influencing dizziness and balance at 6-month follow-up.
Individuals (n = 149) with cervical radiculopathy and dizziness and/or balance problems were randomized preoperatively to structured postoperative rehabilitation or standard postoperative approach. Outcomes were intensity of dizziness and subjective balance, and clinical measures of balance.
Self-reported measures improved at three months (p ˂ 0.001 to p = .007) and the standing balance at six months (p = .008). No between-group differences. Baseline values, neck pain, and physical activity level explained 23-39% of the variance in 6-month outcomes for self-reported measures. Baseline values and physical activity level explained 71% of the variance in walking balance, and lower baseline scores were significantly associated with standing balance impairments (OR 0.876).
Patients improved significantly in dizziness and subjective balance intensity shortly after surgery, and in standing balance at 6 months, independent of postoperative rehabilitation. Neck pain, physical activity, and neck muscle function influenced dizziness and balance, although preoperative values and neck pain were of most importance for 6-month outcomes.</description><subject>Activity level</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Cervical Vertebrae</subject><subject>Clinical trials</subject><subject>Dizziness</subject><subject>Dizziness - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>Middle Aged</subject><subject>Neck - surgery</subject><subject>Neck pain</subject><subject>Neck Pain - rehabilitation</subject><subject>Perioperative care</subject><subject>Physical activity</subject><subject>Postoperative Care</subject><subject>Radiculopathy - rehabilitation</subject><subject>Rehabilitation</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Values</subject><subject>Walking</subject><issn>0959-3985</issn><issn>1532-5040</issn><issn>1532-5040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>D8T</sourceid><recordid>eNp9ks1u1DAUhSMEosPAI4AssWGTYsdxErOrWgpIldgAW8txrqdukzjYDqOZJ-Ixe6OZKRISLPyr75zrn5Nlrxk9Z7Sh76kUkstGnBe0KJZOVqJ8kq2Y4EUuaEmfZquFyRfoLHsR4x2liIrieXbGBROVYGyV_b5y-70bIUaix460utejAeLnZPwAuGkTBJK2nnTOWggwJjL5mPwEQSf3C0iAW9263iVc-pHoaQpem1vUWt_3fuvGDRnB3JM4hw2E3QcspPtdRMBboskw98kZ9MU6Ac_gB7eHjhg_poAGOE3B6f5l9szqPsKr47jOvl9__Hb5Ob_5-unL5cVNbkrRpFyWlaC0g86YuqCy0tJS0-qWM9Y2zEJrKZOF7myFDO-o7XjZSF7TTtRQUsbXWX7wjVuY5lZNwQ067JTXTh237nEGqhRCsBJ5-U8eX6L7IzoJWdk0vKqL8r-1rtyPC-XDRvVuVqzhJbZ19u7Ao_HPGWJSg4sGevwz8HNURVU0VYMkRfTtX-idnwM-PFK1pJzVdbFcVhwoE3yMAezjERhVS8zUKWZqiZk6xgx1b47ucztA96g65Yo_AOLJ1Bk</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Hermansen, Anna</creator><creator>Kammerlind, Ann-Sofi</creator><creator>Wibault, Johanna</creator><creator>Löfgren, Håkan</creator><creator>Zsigmond, Peter</creator><creator>Dedering, Åsa</creator><creator>Öberg, Birgitta</creator><creator>Peolsson, Anneli</creator><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TS</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ABXSW</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>DG8</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-6317-0694</orcidid></search><sort><creationdate>2023</creationdate><title>Dizziness and balance outcomes after two different postoperative rehabilitation approaches following neck surgery: analyses of a multicenter randomized controlled trial</title><author>Hermansen, Anna ; Kammerlind, Ann-Sofi ; Wibault, Johanna ; Löfgren, Håkan ; Zsigmond, Peter ; Dedering, Åsa ; Öberg, Birgitta ; Peolsson, Anneli</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c458t-946500dedcc72096a9f0cbab311b81febf0192adf6ded3d0fd3489370d57e4013</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activity level</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Cervical Vertebrae</topic><topic>Clinical trials</topic><topic>Dizziness</topic><topic>Dizziness - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>Middle Aged</topic><topic>Neck - surgery</topic><topic>Neck pain</topic><topic>Neck Pain - rehabilitation</topic><topic>Perioperative care</topic><topic>Physical activity</topic><topic>Postoperative Care</topic><topic>Radiculopathy - rehabilitation</topic><topic>Rehabilitation</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Values</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hermansen, Anna</creatorcontrib><creatorcontrib>Kammerlind, Ann-Sofi</creatorcontrib><creatorcontrib>Wibault, Johanna</creatorcontrib><creatorcontrib>Löfgren, Håkan</creatorcontrib><creatorcontrib>Zsigmond, Peter</creatorcontrib><creatorcontrib>Dedering, Åsa</creatorcontrib><creatorcontrib>Öberg, Birgitta</creatorcontrib><creatorcontrib>Peolsson, Anneli</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>SWEPUB Linköpings universitet full text</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Linköpings universitet</collection><collection>SwePub Articles full text</collection><jtitle>Physiotherapy theory and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Hermansen, Anna</au><au>Kammerlind, Ann-Sofi</au><au>Wibault, Johanna</au><au>Löfgren, Håkan</au><au>Zsigmond, Peter</au><au>Dedering, Åsa</au><au>Öberg, Birgitta</au><au>Peolsson, Anneli</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dizziness and balance outcomes after two different postoperative rehabilitation approaches following neck surgery: analyses of a multicenter randomized controlled trial</atitle><jtitle>Physiotherapy theory and practice</jtitle><addtitle>Physiother Theory Pract</addtitle><date>2023</date><risdate>2023</risdate><volume>39</volume><issue>4</issue><spage>750</spage><epage>760</epage><pages>750-760</pages><issn>0959-3985</issn><issn>1532-5040</issn><eissn>1532-5040</eissn><abstract>Dizziness and balance problems are common symptoms in patients with cervical radiculopathy.
To evaluate the effect of neck surgery postoperatively combined with either structured rehabilitation or standard approach in patients with cervical radiculopathy and dizziness and/or balance problems, and investigate factors influencing dizziness and balance at 6-month follow-up.
Individuals (n = 149) with cervical radiculopathy and dizziness and/or balance problems were randomized preoperatively to structured postoperative rehabilitation or standard postoperative approach. Outcomes were intensity of dizziness and subjective balance, and clinical measures of balance.
Self-reported measures improved at three months (p ˂ 0.001 to p = .007) and the standing balance at six months (p = .008). No between-group differences. Baseline values, neck pain, and physical activity level explained 23-39% of the variance in 6-month outcomes for self-reported measures. Baseline values and physical activity level explained 71% of the variance in walking balance, and lower baseline scores were significantly associated with standing balance impairments (OR 0.876).
Patients improved significantly in dizziness and subjective balance intensity shortly after surgery, and in standing balance at 6 months, independent of postoperative rehabilitation. Neck pain, physical activity, and neck muscle function influenced dizziness and balance, although preoperative values and neck pain were of most importance for 6-month outcomes.</abstract><cop>England</cop><pub>Taylor & Francis Ltd</pub><pmid>35156511</pmid><doi>10.1080/09593985.2022.2029654</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-6317-0694</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Physiotherapy theory and practice, 2023, Vol.39 (4), p.750-760 |
| issn | 0959-3985 1532-5040 1532-5040 |
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| source | SWEPUB Freely available online |
| subjects | Activity level Adolescent Adult Aged Cervical Vertebrae Clinical trials Dizziness Dizziness - etiology Female Humans Male Medicin och hälsovetenskap Middle Aged Neck - surgery Neck pain Neck Pain - rehabilitation Perioperative care Physical activity Postoperative Care Radiculopathy - rehabilitation Rehabilitation Surgery Treatment Outcome Values Walking |
| title | Dizziness and balance outcomes after two different postoperative rehabilitation approaches following neck surgery: analyses of a multicenter randomized controlled trial |
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