Tag: Neck disability index

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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Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy

Haidy S. Roshdy, Maher A. Elkeblawy, Soheir S. Rezkallah, Mohmed M. Elkeblawy – Muscle Energy Technique versus Static Stretch on Forward Head Posture in patients with Mechanical Neck pain: Randomized controlled trial. Fizjoterapia Polska 2020; 20(5); 208-214

Abstract
Background. Mechanical neck pain (MNP) is one of the most common disorders that originates from poor postural habits and bad ergonomics. Forward head posture (FHP) was highly correlated to MNP. Muscle energy technique (MET) and stretching are easy widespread therapeutic techniques that are known for their effects in improving tissue extensibility, relieving pain and promoting function.
Objective. A randomized controlled trial was designed to compare the effect of MET versus static stretching in terms of FHP, pain and disability in patients with MNP.
Methods. Thirty participants (3 males and 27 females, 18-30 years old) were randomly allocated into one of 3 groups: group (A) received MET+ hydrocollator pack+ postural education, group (B) received stretching and strengthening exercises+ hydrocollator pack+ postural education, group (C) control group received hydrocollator pack+ postural education, 3 sessions /week for 4 weeks. Evaluation was done pre-treatment, post-treatment and after 6-weeks of follow-up. Results: There were significant improvement (p<0.05) in all tested variables in all groups post-treatment except disability in control group. There was significant improvement of pain in all groups, disability in experimental groups and FHP in stretching group only at the follow-up. There were no significant differences between groups in all measured variables.
Conclusion. MET has equal effect to that of static stretching regarding pain and function even after 6-weeks of follow-up. Stretching showed better improvement in FHP correction that persists. Postural education is effective in pain management and seems to have a role in preserving long-term outcome.
Key words:
Forward Head Posture, Mechanical Neck Pain, Muscle Energy Technique, Static stretching, Visual Analogue Scale, Neck Disability Index, Craniovertebral angle
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Prone Versus Supine Traction in Treatment of Cervical Disc Bulge: A Randomized Controlled Trial

Ahmed Aboulfotouh Elsayed Abdallah, Wadida Hassan Abdelkader, Rania Nagy Karkousha, Hatem M. El Azizi

Ahmed Aboulfotouh Elsayed Abdallah, Wadida Hassan Abdelkader, Rania Nagy Karkousha, Hatem M. El Azizi – Prone Versus Supine Traction in Treatment of Cervical Disc Bulge: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 158-163

Abstract
Background. Disc bulge could lead to compression on adjacent nerve root causing neurological deficits. The purpose of this study is to compare between the effect of prone traction versus supine traction on the neck function and on the size of disc bulge in patients with cervical disc bulge.
Methods. Randomized controlled clinical trial design, 45 patients diagnosed with cervical disc bulge at C5-C6 and /or C6-C7 levels, their ages ranged from 40 to 50 years and were randomly distributed into three equal groups (A, B and C), the three groups received conventional physical therapy for cervical disc bulge, for (group B) traction from prone position was added and for (group C) traction from supine position was added. All participants received 3 sessions per week for one month. The assessment done before and after one month of treatment using neck disability index for neck function disability while size of disc bulge was assessed by using magnetic resonance image.
Results. A statistical significant decrease in the neck disability index scores of the three groups post treatment in comparison with that of pretreatment with high statistical significant decrease in the scores of group B and C post treatment in comparison with that of group A, while there was no statistical significant difference between group B and C in post treatment scores. There were no statistical significant differences between the post treatment measures in comparison with that of the pretreatment for the three groups regarding disc bulge size.
Conclusions. Adding cervical traction to the conventional physical therapy program for cervical disc bulge at C5-6 and /or C6-7 levels can yield more increase in the neck function compared with conventional physical therapy only, while the position of the patient during traction has no effect on the outcome measures.
Key words:
Traction, Cervical disc, Neck disability index
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