Author: Persson LCG1, Lansinger B2, Carlsson J2, Gard G3
1Division of Physiotherapy, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden. Electronic address: Liselott.Persson@med.lu.se.
2Institute of Neuroscience and Physiology/Physiotherapy, Gothenburg University, Gothenburg, Sweden.
3Division of Physiotherapy, Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden.
Conference/Journal: J Manipulative Physiol Ther.
Date published: 2017 Nov - Dec
Other: Volume ID: 40 , Issue ID: 9 , Pages: 676-684 , Special Notes: doi: 10.1016/j.jmpt.2017.07.009. , Word Count: 258
OBJECTIVE: The aim of the present study was to study differences in treatment expectations after participating in qigong and exercise therapy among participants with long-term neck pain, the impact of total group expectations on treatment outcomes, and the relationship between these treatment expectations and pain and disability.
METHOD: Reliable questionnaires were used. Differences between qigong and exercise was studied in a randomized, controlled, multicenter trial (n = 122). The impact of total group expectations on treatment outcomes and the association between these treatment expectations and pain and disability were studied with nonparametric statistical analysis and Spearman's correlation coefficient.
RESULTS: The exercise group had higher expectations than the qigong group before the intervention on how logical treatment seemed to be and after the intervention on treatment credibility (ie, that the treatment would reduce/eliminate neck pain). The exercise group was also more confident that the treatment could reduce neck pain and significantly increased their expectations of reduced neck pain over the 3-month intervention period. Both treatment groups had high expectations of the assigned treatment. Those with high expectations had better treatment outcomes in pain and disability. The relationship between treatment expectations and credibility, pain, and disability was weak.
CONCLUSIONS: The current findings support the role of assessment of expectation/credibility for positive treatment results. An understanding of each patient's treatment expectations may be helpful in guiding patients with respect to appropriate interventions and as an indication of risk of poor outcome.
Copyright © 2017. Published by Elsevier Inc.
KEYWORDS: Exercise Therapy; Neck Pain; Physical Therapy Modalities; Qigong; Treatment Outcome
PMID: 29229058 DOI: 10.1016/j.jmpt.2017.07.009