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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The Effects of Shockwave Therapy Combined with Neural Mobilization on Adolescents with Idiopathic Scoliosis

Sallam Ali Shoura Sallam, Amir Mohamed Saleh, Hesham Mohamed Abdel Raheem, Wael M. Wagdy, Ahmed Ebrahim Ahmed Elerian

Sallam Ali Shoura Sallam, Amir Mohamed Saleh, Hesham Mohamed Abdel Raheem, Wael M. Wagdy, Ahmed Ebrahim Ahmed Elerian – The Effects of Shockwave Therapy Combined with Neural Mobilization on Adolescents with Idiopathic Scoliosis. Fizjoterapia Polska 2021; 21(1); 120-125

Abstract
Purpose. To examine the effects of ESWT combined with neural mobilization in Adolescents with Idiopathic Scoliosis (AIS). Study Design. Randomized Controlled Experimental design. Methods. Forty-five patients were assigned randomly into three equal groups; their ages were between 10 to 18 years and Cobb degrees from 15 to 30°. Group (A): received a physiotherapeutic scoliosis-specific exercises (PSSE). Group (B): received PSSE in addition to ESWT. Group (C): received treatment program as in group (B) combined with neural mobilization program. The Cobb angle, Angle of Trunk Rotation and the functional ability were investigated by x- ray, scoliometer device, and the Arabic version of the scoliosis research society-22r (SRS-22r) questionnaire respectively, at the beginning and at the end of the treatment program. Results. there was significant decrease of both ATR and cobb angles at post treatment in compare to pre-treatment in all groups (P-value < 0.001). Also, there was a significant difference of the mean values of the “post” test between (group A versus C only) for both ATR and cobb angle (P = 0.01 & 0.003 respectively) and this significant decrease in favor of group (C) than other groups. However, for SRS-22r scores, there was no significant difference of the mean values of the “post” test among groups (P = 0.85).
Conclusion. Adding ESWT combined with neural mobilization program to PSSE in management of AIS have significant improvements in cobb angle and Angle of Trunk Rotation.
Key words:
scoliosis, shockwave therapy, neural mobilization
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