Evidence map›Paper›PMID 24502414›Full record

Trial reportBMC musculoskeletal disorders2014

Outcome of physiotherapy after surgery for cervical disc disease: a prospective randomised multi-centre trial.

Anneli Peolsson, Birgitta Öberg, Johanna Wibault, Åsa Dedering, Peter Zsigmond, Lars Bernfort, Ann-Sofi Kammerlind, Liselott C G Persson, Håkan Löfgren

Registry-linked trialOpen access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01547611 (Outcome of Physiotherapy After Surgery for Cervical Disc Disease), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01547611 nacompletednot on this map

Outcome of Physiotherapy After Surgery for Cervical Disc Disease: a Prospective Randomised Multi-Centre Trial

TypeinterventionalSponsorLinkoeping UniversityRan2009 to 2014Enrolled202ConditionsRadiculopathyArmsCustomary treatment, Structured behavioural medicine program
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. The effectiveness of physiotherapy and rehabilitation after cervical spinal surgery: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Anneli PeolssonDepartment of Medical and Health Sciences, Physiotherapy, Faculty of Health Sciences, Linköping University, SE-58183 Linköping, Sweden. Anneli.Peolsson@liu.se.
Birgitta Öberg
Johanna Wibault
Åsa Dedering
Peter Zsigmond
Lars Bernfort
Ann-Sofi Kammerlind
Liselott C G Persson
Håkan Löfgren
Linköping University · SEKarolinska Institutet · SELinköping University Hospital · SELund University · SERyhov Hospital Jönköping · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany patients with cervical disc disease require leave from work, due to long-lasting, complex symptoms, including chronic pain and reduced levels of physical and psychological function. Surgery on a few segmental levels might be expected to resolve disc-specific pain and reduce neurological deficits, but not the non-specific neck pain and the frequent illness. No study has investigated whether post-surgery physiotherapy might improve the outcome of surgery. The main purpose of this study was to evaluate whether a well-structured rehabilitation programme might add benefit to the customary post-surgical treatment for cervical disc disease, with respect to function, disability, work capability, and cost effectiveness. METHODS/

designThis study was designed as a prospective, randomised, controlled, multi-centre study. An independent, blinded investigator will compare two alternatives of rehabilitation. We will include 200 patients of working age, with cervical disc disease confirmed by clinical findings and symptoms of cervical nerve root compression. After providing informed consent, study participants will be randomised to one of two alternative physiotherapy regimes; (A) customary treatment (information and advice on a specialist clinic); or (B) customary treatment plus active physiotherapy. Physiotherapy will follow a standardised, structured programme of neck-specific exercises combined with a behavioural approach. All patients will be evaluated both clinically and subjectively (with questionnaires) before surgery and at 6 weeks, 3 months, 6 months, 12 months, and 24 months after surgery. The main outcome variable will be neck-specific disability. Cost-effectiveness will also be calculated. DISCUSSION: We anticipate that the results of this study will provide evidence to support physiotherapeutic rehabilitation applied after surgery for cervical radiculopathy due to cervical disc disease.

trial registrationClinicalTrials.gov identifier: NCT01547611.

Indexed as

Physical Therapy ModalitiesResearch DesignBiomechanical PhenomenaCervical VertebraeClinical ProtocolsCost-Benefit AnalysisDecompression, SurgicalFemaleHealth Care CostsHumansIntervertebral DiscIntervertebral Disc DisplacementMaleOrthopedic ProceduresProspective StudiesRadiculopathy

Identifiers

PMID24502414
PMCPMC3923245
OpenAlexW2159631977

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.