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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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Text neck vs. neck pain

Wojciech Błachnio

W. Błachnio – Text neck vs. neck pain. Fizjoterapia Polska 2020; 20(5); 114-121

Abstract

Neck pain is one of the main causes of disability for modern men. Text neck results from abnormalities in the posture of the upper body. It arises as a result of non-ergonomic positions in which man uses modern information technology devices. The most severe consequence of this poor posture is pain in the neck and upper back. The widespread use of these in particular mobile multimedia devices poses a risk of neck pain, especially among younger generations. This article tries to answer two questions: 1. What factors contribute to the appearance of pain in “text neck syndrome”? 2. How to measure postural distortion in “text neck syndrome”?

Key words:
text neck, neck pain
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Text Neck – a contemporary problem

Wojciech Błachnio

W. Błachnio – Text Neck – a contemporary problem. Fizjoterapia Polska 2020; 20(4); 160-166

Abstract

It is difficult to imagine the modern world without information technology, and people without computers, laptops or smartphones. The threats posed by modern technologies are largely related to posture disorders. In the article, on the basis of the collected English-language literature, I consider the most typical of these threats, which is “text neck”, a disease little-known in Poland – text neck syndrome. This article tries to answer the question what “text neck” is.

 

Key words:

text neck, neck pain

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Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly

Ali Essawy Ali Mostafa, Abdul Aleem A. Atteya, Hoda Zakaria, Moataz Mohamed Talaat El Semary, Sherief Al Shazly – Influence of selected designed paradigm in cervical radiculopathy: A randomized controlled trial. Fizjoterapia Polska 2020; 20(4); 138-142

Abstract

Purpose. To evaluate the effect of neural mobilization with or without mechanical intermittent traction on neck and arm pain, as well as functional disability in patients with unilateral cervical radiculopathy. Materials and methods. Thirty patients suffering from unilateral cervical radiculopathy were randomly assigned into two equal groups. Group (A) received only neural mobilization for 4 weeks (n = 15), while group (B) received neural mobilization plus mechanical intermittent traction for 4 weeks (n = 15). All patients in both groups were evaluated pre- and post-treatment with visual analogue scale (VAS) to assess neck and arm pain intensities, and neck disability index to assess functional disability. Results. Comparing both groups post-treatment showed that there was a_statistically significant reduction in neck and arm pain intensities, as well as functional disability (p < 0.05) in favor of group (B). Conclusions. Neural mobilization plus mechanical intermittent traction yield greater reduction in neck and arm pain intensities, as well as functional disability than neural mobilization alone in cervical radiculopathy patients.

 

Key words:

cervical radiculopathy, neural mobilization, intermittent cervical traction, neck pain, arm pain, functional disability

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