- Title
- Factors associated with work ability following exercise interventions for people with chronic whiplash-associated disorders: Secondary analysis of a randomized controlled trial
- Creator
- Lo, Hiu Kwan; Johnston, Venerina; Landén Ludvigsson, Maria; Peterson, Gunnel; Overmeer, Thomas; David, Michael; Peolsson, Anneli
- Relation
- Journal of Rehabilitation Medicine Vol. 50, Issue 9, p. 828-836
- Publisher Link
- http://dx.doi.org/10.2340/16501977-2374
- Publisher
- Foundation for Rehabilitation Information
- Resource Type
- journal article
- Date
- 2018
- Description
- Objective: To investigate the efficacy of exercise interventions and factors associated with changes in work ability for people with chronic whiplash-associated disorders. Design: Secondary analysis of a single-blind, randomized multi-centre controlled trial. Setting: Interventions were conducted in Swedish primary care settings. Patients: A total of 165 individuals with chronic whiplash- associated disorders grade II-III. Methods: Participants were randomly allocated to neck-specific exercise, neck-specific exercise with a behavioural approach, or prescribed physical activity interventions. Work ability was evaluated with the Work Ability Index at baseline, 3, 6 and 12 months. Results: The neck-specific exercise with a behavioural approach intervention significantly improved work ability compared with the prescribed physical activity intervention (3 months, p = 0.03; 6 months, p = 0.01; 12 months, p = 0.01), and neck-specific exercise at 12 months (p = 0.01). Neck-specific exercise was better than the prescribed physical activity intervention at 6 months (p = 0.05). An increase in work ability from baseline to one year for the neckspecific exercise with a behavioural approach group (p < 0.01) was the only significant within-group difference. Higher self-rated physical demands at work, greater disability, greater depression and poorer financial situation were associated with poorer work ability (p < 0.01). Conclusion: This study found that neck-specific exercise with a behavioural approach intervention was better at improving self-reported work ability than neck-specific exercise or prescribed physical activity. Improvement in work ability is associated with a variety of factors.
- Subject
- employment; whiplash injuries; exercise; persistent neck pain
- Identifier
- http://hdl.handle.net/1959.13/1392570
- Identifier
- uon:33419
- Identifier
- ISSN:1650-1977
- Rights
- This is an open access article under the CC BY-NC license.
- Language
- eng
- Full Text
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