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Neck/shoulder disorders in a general population. Natural course and influence of physical exercise: A 5-year follow-up
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2005 (English)In: Spine, ISSN 0362-2436, E-ISSN 1528-1159, Vol. 30, no 13, E363-E368 p.Article in journal (Refereed) Published
Abstract [en]

Study Design. A 5-year follow-up study was conducted of men and women seeking care for new incidents of neck/shoulder disorders (NSD). Objectives. To study the natural course of pain and disability caused by NSD during a 5-year follow-up and to investigate the possible influence of regular physical exercise on recovery. Summary of Background Data. NSD are a major health problem, but their natural course is not very well studied. Several studies have investigated the role of physical exercise on NSD, with inconsistent results. Methods. At baseline, a total of 439 subjects seeking care for NSD completed a questionnaire, and were interviewed about personal, medical, and occupational history, as well as physical exercise during leisure time. Over 5 years, 4 follow-up assessments were made by postal questionnaire. At all measuring points, pain intensity ratings and disability scores were compared between men and women, and between 3 exercise categories. Results. The highest improvements in pain and disability, both in men and in women, were seen after 3 months. After that, only minor improvements were seen. In some cases, there was deterioration. However, after 5 years, both men and women had significant improvements, men more than women. Only the women were analyzed concerning physical exercise and were pooled into 3 categories according to intensity of exercise. There were no differences in changes in pain intensity and disability scores from baseline between the groups. Conclusions. A gender difference was seen in the change of pain and disability, with men having higher improvement than women over 5 years. Self-reported physical exercise of any intensity was not associated with higher recovery in women.

Place, publisher, year, edition, pages
2005. Vol. 30, no 13, E363-E368 p.
URN: urn:nbn:se:kth:diva-14899ISI: 000230335300023OAI: diva2:332940
QC 20100525Available from: 2010-08-05 Created: 2010-08-05Bibliographically approved

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Wigaeus Tornqvist, Ewa
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