Tag: spondyloza szyjna

Effect of cervical stability exercises on neck pain and disability in patients with cervical spondylosis: A randomized controlled study

Amir Mohamed Saleh, Wael Osama Aly Abd El-khalek, Shaimaa Mohamed Metawee, Amr Saadeldeen Mohamed Shalaby

Amir Mohamed Saleh, Wael Osama Aly Abd El-khalek, Shaimaa Mohamed Metawee, Amr Saadeldeen Mohamed Shalaby – Effect of cervical stability exercises on neck pain and disability in patients with cervical spondylosis: A randomized controlled study. Fizjoterapia Polska 2021; 21(5); 104-111

DOI: https://doi.org/10.56984/8ZG2091C4

Abstract
Purpose. To investigate the effect of cervical stability exercises (CSE) on neck pain and neck functional disability in patients with cervical spondylosis.
Methods. Randomized controlled trial. Overall, 40 patients of both genders with age ranged from 40-65 years with mild to moderate cervical spondylosis were recruited randomly and divided into two equal groups; Group (A) (control group), received traditional treatment of cervical spondylosis for 4 weeks, Group (B) (experimental group), received the same traditional treatment plus CSE for 4 weeks. Pre- and post-treatment assessment using Visual analogue scale (VAS) and neck disability index (NDI) were done for all patients.
Results. The comparison between both groups post-treatment revealed statistically significant reductions in VAS, as well as NDI total score and NDI subscores (p < 0.05) in favour of experimental group (B).
Conclusion. Cervical stability exercises have a significant effect on reducing pain and improving function in patients with cervical spondylosis.
Key words:
Cervical spondylosis, Cervical stability exercises, Neck pain, Neck disability index
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Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy

Nagwa Ibrahim Rehab, Marwa Shafiek Mustafa Saleh, Shaima M. Abdelmageed, Noura Elkafrawy – Effect of different therapeutic modalities on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis: A randomized controlled trial. Fizjoterapia Polska 2021; 21(3); 170-177

Abstract
Background. Dizziness is a common symptom following cervical spondylosis which is due to disturbed sensory input from the neck proprioceptors. Both manual therapy and deep neck flexors training improve cervical joint position sense but yet there is no evidence about the most effective method for improving cervical joint position sense and dizziness in patients with cervical spondylosis. Purpose. To investigate and compare the effect of Mulligan sustained natural apophyseal glides (SNAGs), Maitland mobilization and deep cervical flexors (DCFs) training on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Methods. 56 patients with cervical spondylosis of both sexes aging from 40 to 55 years contributed in this study. Patients were chosen from Out-Patient Clinic, Faculty of Physical Therapy, Cairo University. They were randomly assigned to four groups (one control group and three study groups). Study group I received Mulligan SNAGs mobilization plus conventional physical therapy (Moist hot pack, Transcutaneous nerve stimulation (TENS), deep neck flexors exercises), study group II received Maitland passive mobilization plus conventional physical therapy, study group III received DCFs training plus conventional physical therapy and control group IV received conventional physical therapy only. Primary outcome was cervical joint position sense assessed by Head Repositioning Accuracy (HRA) measurement and secondary measures include assessment of dizziness intensity by dizziness- visual analogue scale (VAS), disability caused by dizziness using dizziness handicap inventory (DHI) and neck pain intensity using Numeric Pain Rating Scale (NPRS), all outcomes measures were assessed for each patient pre and post 6 weeks of treatment program in the four groups (3 sessions ∕week). Results. There was no significant difference in all measured variables (RT HRA, LT HRA, NPRS, Dizziness-VAS and DHI) between group I and II post six weeks of the treatment (p > 0.05). While there was a significant decrease in all measured variables in both group I and II in comparison with that of group III and group IV post treatment (p < 0.05) and in group III in comparison with that of group IV post treatment (p < 0.05).Conclusions. The results showed that both Mulligan SNAGs and Maitland passive mobilization have similar effect on cervical joint position sense, neck pain and dizziness in patients with cervical spondylosis. Each of them was more effective than DCFs in improving these problems.
Key words:
Cervicogenic dizziness; Neck proprioception; Neck pain; Maitland mobilization, Mulligan mobilization; Deep cervical flexors training; Cervical spondylosis
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A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki

Krzysztof Gieremek, Edward Saulicz, Zbigniew Śliwiński, Monika Grygorowicz, Aleksander Socha, Janusz Kubacki – A new type of cervical traction generating mechanical pulsations (vibration) in the comprehensive treatment of patients with cervical spondylosis. Fizjoterapia Polska 2003; 3(2); 99-105

Abstract
Background. The objective of the present study was to evaluate the therapeutic effectiveness of a new type of vibration traction (Glisson type) as compared to traditional cervical traction (Glisson type) in patients diagnosed with degenerative disc disease or spondylarthrosis of the cervical spine. Material and methods. Two groups of ambulatory patients treated for spondylosis of the cervical spine were included in this study. The study group (n=35) and the control group (n=33) were subjected to the standard comprehensive treatment (massage therapy, short wave diathermy, infrared therapy, electrotherapy using Bernard’s current, ultrasound therapy). The cervical traction set used in the study group was additionally equipped with a device generating vibration (frequency 100 Hz, amplitude 0,2 mm), installed just above the cervical loop. Results. The statistical analysis (Chi2 = 9,672, for a = 0,046) revealed considerable correlation between the type of cervical traction used and the results of the treatment, indicating higher effectiveness of vibration traction. Statistical analysis also proved increased range of motion in the cervical spine in the all planes, as well as improved left and right hand grip function. Conclusions. The study proved that the treatment of cervical traction (Glisson type) equipped with additional vibration device was well tolerated by patients. The use of this type of traction resulted in sooner subsidence of existing symptoms such as pain, increased muscle tone and hypersensitivity to touch of cervical spine musculature.

Key words:
Glisson traction, wibration massage, cervical spondylosis

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