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The effect of neck-specific exercise with or without a behavioral approach on psychological factors in chronic whiplash-associated disorders

Overview of attention for article published in Medicine (Wolters Kluwer), August 2016
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (84th percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

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356 Mendeley
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Title
The effect of neck-specific exercise with or without a behavioral approach on psychological factors in chronic whiplash-associated disorders
Published in
Medicine (Wolters Kluwer), August 2016
DOI 10.1097/md.0000000000004430
Pubmed ID
Authors

Thomas Overmeer, Gunnel Peterson, Maria Landén Ludvigsson, Anneli Peolsson

Abstract

To investigate the effect of neck-specific exercise with (NSEB) or without (NSE) a behavioural approach and prescribed physical activity (PPA) on general pain disability and psychological factors in chronic whiplash-associated disorders (WAD), grade 2 and 3, with a 2-year follow-up. A randomized controlled multi-centre study of 3 exercise interventions (NSE, NSEB or PPA) including a 2-year follow-up. A total of 216 volunteers with chronic WAD were recruited and 194 were analyzed, mean age 40.4 (Standard Deviation [SD] 11.4). Measures of general pain disability, pain catastrophizing, anxiety and depression, and kinesiophobia were evaluated at baseline, and 3, 6, 12 and 24 months with linear mixed models. General pain disability decreased by 28% in the NSEB group from baseline to 3 months (P < 0.001) and the improvements in disability were maintained over time (6, 12 and 24 months P < 0.01) compared to the NSE (P > 0.42) and PPA groups (P > 0.43). Pain catastrophizing decreased in the NSE group from baseline to 6 and 12 months (P < 0.01) and in the NSEB group from baseline to 3 and 24 months (P < 0.01) compared to the PPA group (P > 0.82) that showed no change over time. The NSE group improved in kinesiophobia over time from baseline to12 months (P < 0.01) compared to the NSEB (P = 0.052) and the PPA groups (P > 0.74). Anxiety decreased over time from baseline to 12 and 24 months in the NSE group (P > 0.02), but not in the NSEB (P > 0.25) or the PPA (P > 0.50) groups. The PPA had no effect on general disability or any of the measured psychological factors. This randomised controlled trial with a 2-year follow-up shows that physiotherapist-led neck-specific exercise with or without the addition of a behavioural approach had superior outcome on general disability and most psychological factors compared to the mere prescription of physical activity.

X Demographics

X Demographics

The data shown below were collected from the profiles of 18 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 356 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Colombia 1 <1%
Netherlands 1 <1%
Australia 1 <1%
Denmark 1 <1%
Spain 1 <1%
United States 1 <1%
Unknown 350 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 45 13%
Student > Master 42 12%
Student > Ph. D. Student 31 9%
Researcher 28 8%
Student > Postgraduate 23 6%
Other 64 18%
Unknown 123 35%
Readers by discipline Count As %
Nursing and Health Professions 74 21%
Medicine and Dentistry 57 16%
Psychology 26 7%
Sports and Recreations 24 7%
Social Sciences 12 3%
Other 23 6%
Unknown 140 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 11. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 15 July 2017.
All research outputs
#3,243,744
of 25,394,764 outputs
Outputs from Medicine (Wolters Kluwer)
#1,002
of 16,350 outputs
Outputs of similar age
#52,969
of 349,829 outputs
Outputs of similar age from Medicine (Wolters Kluwer)
#55
of 440 outputs
Altmetric has tracked 25,394,764 research outputs across all sources so far. Compared to these this one has done well and is in the 87th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 16,350 research outputs from this source. They receive a mean Attention Score of 4.7. This one has done particularly well, scoring higher than 93% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 349,829 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 84% of its contemporaries.
We're also able to compare this research output to 440 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 87% of its contemporaries.