Objective The purpose of this study was to compare postoperative rehabilitation with structured physiotherapy to the standard approach in patients with cervical radiculopathy (CR) in a prospective randomized study at 6 months follow-up based on measures of neck-related physical function, self-efficacy, and coping strategies. Methods Patients with persistent CR and scheduled for surgery (N = 202) were randomly assigned to structured postoperative physiotherapy or a standard postoperative approach. Structured postoperative physiotherapy combined neck-specific exercises with a behavioral approach. Baseline, 3-month, and 6-month evaluations included questionnaires and clinical examinations. Neck muscle endurance, active cervical range of motion, self-efficacy, pain catastrophizing (CSQ-CAT), perceived control over pain, and ability to decrease pain were analyzed for between-group differences using complete case and per-protocol approaches. Results No between-group difference was reported at the 6-month follow-up (P =.05-.99), but all outcomes had improved from baseline (P
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Wibault, J., Öberg, B., Dedering, Å., Löfgren, H., Zsigmond, P., Persson, L., … Peolsson, A. (2017). Neck-Related Physical Function, Self-Efficacy, and Coping Strategies in Patients With Cervical Radiculopathy: A Randomized Clinical Trial of Postoperative Physiotherapy. Journal of Manipulative and Physiological Therapeutics, 40(5), 330–339. https://doi.org/10.1016/j.jmpt.2017.02.012
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