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Predictive and discriminative value of shoulder proprioception tests for patients with whiplash-associated disorders [Elektronisk resurs]

Sandlund, Jonas (författare)
Djupsjöbacka, Mats (författare)
Ryhed, Bengt (författare)
Hamberg, Jern (författare)
Björklund, Martin 1961- (författare)
Umeå universitet Medicinska fakulteten (utgivare)
Alternativt namn: Umeå universitet. Medicinsk-odontologiska fakulteten
Alternativt namn: Medicinska fakulteten vid Umeå universitet
Taylor & Francis 2006
Engelska.
Ingår i: Journal of Rehabilitation Medicine. - 1650-1977. ; 38:1, 44-49
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  • Objective: To evaluate whether patients suffering from whiplash-associated disorders have impaired shoulder proprioception and whether the acuity of shoulder proprioception is reflected in the patients’ symptoms and self-rated function. Design: A comparative group design, including a correlation design for the patient group. Subjects: Patients with chronic whiplash-associated disorders (n/37) and healthy subjects (n/41). The groups were matched for age and gender. Methods: All subjects underwent a shoulder proprioception test involving active ipsilateral arm position-matching. Group difference was evaluated by multiple analysis of variance and analysis of variance. The patient group completed questionnaires addressing functioning and health and performed pain ratings. Associations between proprioceptive acuity and selfrated functioning and symptoms were studied by correlation and regression analyses. Results: The patient group showed significantly lower acuity of shoulder proprioception. Moderate correlations were found between proprioceptive acuity and questionnaire scores representing physical functioning, so that low proprioceptive acuity was associated with low self-rated physical functioning. Scores representing pain-intensity did not correlate with proprioceptive acuity. Conclusion: The results show that, at the group level, patients with whiplash-associated disorders have impaired shoulder proprioception. The clinical relevance of this finding is strongly supported by the association between shoulder proprioceptive acuity and self-rated functioning in the patient group. 

Ämnesord

Medical and Health Sciences  (hsv)
Health Sciences  (hsv)
Physiotherapy  (hsv)
Medicin och hälsovetenskap  (hsv)
Hälsovetenskaper  (hsv)
Sjukgymnastik  (hsv)

Indexterm och SAB-rubrik

Adult
Female
Humans
Male
Neck Pain/diagnosis/physiopathology/rehabilitation
Pain Measurement
Posture
Predictive Value of Tests
Prognosis
Proprioception/*physiology
Questionnaires
Range of Motion; Articular/physiology
Recovery of Function
Shoulder Joint/*physiopathology
Whiplash Injuries/diagnosis/*physiopathology/rehabilitation
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