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Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study
The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917686/ https://www.ncbi.nlm.nih.gov/pubmed/36769651 http://dx.doi.org/10.3390/jcm12031004 |
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author | Missmann, Martin Grote, Vincent Riedl, David Grenier, Jean-Pascal Fischer, Michael J. |
author_facet | Missmann, Martin Grote, Vincent Riedl, David Grenier, Jean-Pascal Fischer, Michael J. |
author_sort | Missmann, Martin |
collection | PubMed |
description | The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-specific (NDI) and generic (NPRS, EQ-5D-5L, HAQ) patient reported outcome measures (PROMs) before and after rehabilitation. In addition, the range of motion (ROM) in the transversal plane of the cervical spine was measured. Changes and correlations between PROMs and ROM values during rehabilitation were assessed. The influence of moderating factors on NDI outcomes was examined. Significant improvements with large effect sizes were found in PROMs and ROM (all p < 0.001). The conservatively treated patients showed significantly greater NDI improvements than operated patients (p = 0.050), but a greater proportion of poor performance in ROM (p = 0.035). Baseline NDI (β = 0.66), HAQ (β = 0.14), and ROM scores (β = −0.17) explained 63.7% of the variance in NDI after rehabilitation. Both patient groups showed different outcomes. The findings of this study indicate that the unique needs of patients may require different therapeutic interventions and highlight the importance of using multidimensional outcome measures when implementing a multimodal rehabilitation approach. |
format | Online Article Text |
id | pubmed-9917686 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99176862023-02-11 Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study Missmann, Martin Grote, Vincent Riedl, David Grenier, Jean-Pascal Fischer, Michael J. J Clin Med Article The present study aimed to compare changes during inpatient rehabilitation between conservatively and surgically treated patients. A total of n = 162 patients with cervical spine complaints were included in the study (n = 107 conservatively treated, n = 55 after surgery). Patients completed disease-specific (NDI) and generic (NPRS, EQ-5D-5L, HAQ) patient reported outcome measures (PROMs) before and after rehabilitation. In addition, the range of motion (ROM) in the transversal plane of the cervical spine was measured. Changes and correlations between PROMs and ROM values during rehabilitation were assessed. The influence of moderating factors on NDI outcomes was examined. Significant improvements with large effect sizes were found in PROMs and ROM (all p < 0.001). The conservatively treated patients showed significantly greater NDI improvements than operated patients (p = 0.050), but a greater proportion of poor performance in ROM (p = 0.035). Baseline NDI (β = 0.66), HAQ (β = 0.14), and ROM scores (β = −0.17) explained 63.7% of the variance in NDI after rehabilitation. Both patient groups showed different outcomes. The findings of this study indicate that the unique needs of patients may require different therapeutic interventions and highlight the importance of using multidimensional outcome measures when implementing a multimodal rehabilitation approach. MDPI 2023-01-28 /pmc/articles/PMC9917686/ /pubmed/36769651 http://dx.doi.org/10.3390/jcm12031004 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Missmann, Martin Grote, Vincent Riedl, David Grenier, Jean-Pascal Fischer, Michael J. Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title | Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title_full | Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title_fullStr | Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title_full_unstemmed | Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title_short | Controversial Outcomes in Neck Rehabilitation between Surgically and Conservatively Treated Patients—Results of an Observational Study |
title_sort | controversial outcomes in neck rehabilitation between surgically and conservatively treated patients—results of an observational study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9917686/ https://www.ncbi.nlm.nih.gov/pubmed/36769651 http://dx.doi.org/10.3390/jcm12031004 |
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