Effects of manual continuous home cervical traction in cervical spondylosis (original) (raw)
Related papers
Physiotherapy and Occupational Therapy Journal, 2017
Cervical traction is a variety of practicing methods depending on the pathology being treated. The established effectiveness in cervical spondylosis of these different methods makes it a useful tool for physiotherapy practitioners. However, its role in cervical spondylosis is uncertain. Comparing manual Mulligan traction and intermittent electrical traction would provide information of great importance to the scientific community on the use of cervical traction in patients with cervical spondylosis. The purpose of the present study is to find out and compare the effectiveness of manual Mulligan traction versus intermittent electrical traction on pain, range of motion (ROM) and functional disability in patients with cervical spondylosis. A total of 30 subjects with cervical spondylosis were selected and screened for inclusion and exclusion criteria. Initially, the pain intensity was evaluated using the Numerical Pain Rating scale (NPRS). The active ROM of cervical extension and cervical Lt/Rt rotation was measured with inch tape and functional disability by using the scale of the neck disability index (NDI). Participants were then allocated into two A&B groups. Group A (N=15) was given manual Mulligan traction with interferential therapy (IFT) and isometric neck exercise, and group B (N=15) was given intermittent electrical traction with IFT and isometric neck exercise. Group A showed significant improvements in NPRS (Z=9.77, P=0.002), NDI (t=2.76, P=0.010), ROM of cervical extension (t=7.26, P=0.026) and cervical left rotation (t=2.31, P=0.029) when compared to group B, but the level of improvement in cervical right rotation was insignificant (t=1.89, P=0.07). Hence it is concluded that manual Mulligan traction and intermittent electrical traction are effective in reducing pain, improving cervical ROM and functional performance in cervical spondylosis. However the subject who received the manual Mulligan traction with IFT and isometric neck exercise showed better improvement in reducing pain, improving cervical ROM and functional performance than subject who received the intermittent electrical traction.
Asian Journal of Pharmaceutical Research and Health Care
Cervical traction is a variety of practicing methods depending on the pathology being treated. The established effectiveness in cervical spondylosis of these different methods makes it a useful tool for physiotherapy practitioners. However, its role in cervical spondylosis is uncertain. Comparing manual Mulligan traction and intermittent electrical traction would provide information of great importance to the scientific community on the use of cervical traction in patients with cervical spondylosis. The purpose of the present study is to find out and compare the effectiveness of manual Mulligan traction versus intermittent electrical traction on pain, range of motion (ROM) and functional disability in patients with cervical spondylosis. A total of 30 subjects with cervical spondylosis were selected and screened for inclusion and exclusion criteria. Initially, the pain intensity was evaluated using the Numerical Pain Rating scale (NPRS). The active ROM of cervical extension and cervical Lt/Rt rotation was measured with inch tape and functional disability by using the scale of the neck disability index (NDI). Participants were then allocated into two A&B groups. Group A (N=15) was given manual Mulligan traction with interferential therapy (IFT) and isometric neck exercise, and group B (N=15) was given intermittent electrical traction with IFT and isometric neck exercise. Group A showed significant improvements in NPRS (Z=9.77, P=0.002), NDI (t=2.76, P=0.010), ROM of cervical extension (t=7.26, P=0.026) and cervical left rotation (t=2.31, P=0.029) when compared to group B, but the level of improvement in cervical right rotation was insignificant (t=1.89, P=0.07). Hence it is concluded that manual Mulligan traction and intermittent electrical traction are effective in reducing pain, improving cervical ROM and functional performance in cervical spondylosis. However the subject who received the manual Mulligan traction with IFT and isometric neck exercise showed better improvement in reducing pain, improving cervical ROM and functional performance than subject who received the intermittent electrical traction.
Effectiveness of Manual Therapy in Cervical Spondylitis: A Systematic Review
Background: Cervical spondylitis (CS) is a significant contributor to worldwide disability and poses a considerable financial burden to its stakeholders. Prognosis for chronic neck pain is generally poor, and the associated disability seems to be more persistent than low back pain. 66% of the population will suffer from neck pain at some point during their lifetime. More than one-third of people affected still have low grade symptoms or recurrences more than one year after treatment, often leading to chronic pain. More than one-third of those affected also show signs of mild pain or recurrence after 12 months of management, usually contributing to chronic pain. Different manual therapy methods and strategies exist; a common aspect is the use of hands during therapy which involves both manipulation and mobilization. Aim: To determine the recent research evidences for the effectiveness of manual therapy in cervical spondylitis patients. Method: This review includes randomized controlled trails (RCTs). Searching done by Google Scholar, PubMed and Pedro from 2010 to 2019. We used terms like-Neck pain, mobilization, manipulation, exercise, cervical spondylitis and physiotherapy management. Result: Present outcomes shows that manual therapy treatment is effective technique in reducing pain and increasing Range of motion (ROM) in CS patients without adverse effects. The search resulted in 100 articles but only 10 articles were selected for the study based on criteria. Conclusion: Manual therapy program designed for neck pain treatment can be more effective at increasing neck ROM and reducing pain.
Cervical spondylosis is a very common and painful condition affecting many people. The mainstay of treatment of this painful condition has been analgesics which have not proved effective in addition to their untoward complications. Biomechanical studies have shown the potential of neck Igwe et al.; BJMMR, 16(7): 1-7, 2016; Article no.BJMMR.26951 2 distraction by traction to be very promising in pain relief and an assessment of high weight cervical traction was done to evaluate its efficacy. Fifty patients including thirty (30) males and twenty females (mean age: 50.46±8.31 years, mean weight: 87.17±14.30 kg, mean height: 1.66±0.12 meters) were available for study on the usefulness of infrared radiation only and a combination of infrared radiation and cervical traction in a cross-over research design at the National Orthopaedic Hospital Enugu. Infrared radiation were applied three times a week for six weeks before a washout period of seven days and then application of cervical traction combined with infrared radiation were done three times a week for six weeks. Pain rating scores were used to evaluate pain relief before, during and after treatment sessions and finally after six weeks. The results of the study showed that cervical traction in combination with infrared radiation was superior (p < 0.05) to infrared radiation alone in the management of cervical spondylosis as there was prolonged relief of pain in those that had cervical traction. It is recommended that high weight cervical traction should always be used in the management of cervical spondylosis.
A Review on Advanced Physiotherapy Treatment for Cervical Spondylosis
https://www.ijhsr.org/IJHSR\_Vol.13\_Issue.3\_March2023/IJHSR-Abstract12.html, 2023
INTRODUCTION: Cervical Spondylosis (CS) is a clinical condition frequently encountered in the physical therapy clinic. Cervical spondylosis is a result of space occupying lesions in the cervical spine: either cervical disc herniations, spondylosis, or osteophytosis. Little is known about the appropriate role of nonoperative treatment in the management of cervical spondylosis. There is low to intermediate quality proof that different forms of interventions can alleviate pain and improving function for cervical spondylosis. The present study aims to review the effectiveness of different advanced physiotherapy treatment on cervical spondylosis. MATERIAL AND METHODS: The literature review was searched for the advanced physiotherapy treatment, 50 articles were searched and out of which 13 articles were taken as per the inclusion criteria. Various advances in physiotherapy and their effect on cervical spondylosis were sorted out and evaluated. CONCLUSION: The study hereby concluded that cervical traction, asanas, virtual reality training, manual therapy, cranio-sacral therapy, acupuncture with seven acupoints, percutaneous neuromuscular electrical stimulation, thunder-fire moxibustion, deep cervical flexors training, ergonomic latex pillow, dynamic exercise, Saunders traction device and high intensity laser therapy were found to be effective in reducing pain and improving cervical range of motion in case of cervical spondylosis.
Fizjoterapia Polska
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 functi...
Rheumatology International, 2012
This aim of this study was to determine the effect of different conservative treatment methods on pain intensity, disability, quality of life, and mood in patients with cervical spondylosis during a 6-month period. The patients were randomized into three groups. The 1st group (n = 20) was treated with active and passive physiotherapy methods, the 2nd group (n = 20) with active treatment methods, and the 3rd group (n = 20) with medication, including nonsteroid anti-inflammatory and muscle relaxing medicines. The 1st and 2nd groups received individual exercise treatment according to their current problems as determined by the assessment. Pain recovery was found to be statistically significant after treatment and long-term follow-up for all three groups (P \ 0.05). Disability improvement was significant in all groups after treatment and 3rd months and only in 1st group after 6 months (P \ 0.05). Quality of life improvement was significant in all groups after treatment, at 3 months, and in the 1st and 2nd groups at 6 months (P \ 0.05). Psychological recovery was significant in all groups after treatment and in the 1st and 2nd groups during long-term follow-up (P \ 0.05). It was determined that patient satisfaction did not change in the 1st and 2nd group (P [ 0.05), but decreased in the 3rd group (P \ 0.05) during long-term follow-up. There was more improvement in the two groups receiving exercise treatment than the group receiving medical treatment. In conclusion, exercise treatment has an important role in achieving long-term recovery of problems occurring with cervical spondylosis.
CERVICAL SPONDYLOSIS -CAUSES AND REMEDIAL MEASURES
Day by day the number of people with the ailment of cervical spondylosis otherwise known as cervical osteoarthritis which is a disorder of abnormal wear and tear on the cartilage and bones called cervical vertebrae of the neck has been increasing alarmingly. More or less, less than 25 % of people below 40 years of age are facing Cervical Spondylosis [1] and about 60 % or above the age of 40 are affected by this disease. Although the role of genetics is yet to be confirmed, people with above 50 years of age who experience the condition, are more likely prone to normal or mild conditions of Cervical Spondylosis. At the age of 50, 50 % out of them suffering from cervical spondylosis and at the age of 75, 70 % out of them are the suffers with neck pain and stiffness. At the age of 60, most women and men are getting signs and symptoms of cervical spondylosis. A close examination of X-ray findings evidently show that 90 % of men older than 50 years and 90 % of women older than 60 years are getting degenerative changes in the cervical spine which causes cervical spondolysis. It also evidently shows that the condition is existing in more than 90 percent of the people over the age of 65. Cervical spondylotic myelopathy is the most common cause of nontraumatic spastic paraparesis and quadriparesis and as per reports that 23.6 % of patients suffering with myelopathic symptoms. Around 1 in 10 people develop long-lasting chronic pain. Out of the people suffering from neck pain nearly 75 % with radiculopathy and 50 % with myelopathy get relief by way of therapy alone. For the remaining people suffering from radiculopathy and or myelopathy 70 to 80 percent of patients get relief with surgery. Physical exercise, meditation and yoga and less fat and vegetarian diet plays prominent role in decreasing the cervical spondylosis and to keep up bones and joints in a healthy condition and can prevent the advancement of neck and shoulder pain and the demineralization of bones. Please cite this article in press as P. Ravisankar et al. Cervical Spondylosis-Causes And Remedial Measures. Indo American Journal of Pharm Research.2015:5(08).
Cervical Spondylosis; An Inevitable But Preventable Catastrophe
Journal of Bahria University Medical and Dental College, 2019
Cervical spondylosis is a chronic degenerative disease which is prevalent in middle and aging population. Its cause is multifactorial attributing to stress, anxiety, trauma, sports, occupational factors or use of handheld devices. It is easily missed and neglected as it has an insidious onset, early subtle features, and resemblance with musculoskeletal problems. It is essential to investigate and intervene because it places a significant impact on health care of individuals and can adversely affect lifestyle by causing depression, dysphagia, and cervicogenic headache along with chronic neck pain, which is ranked as the disabling cause of adjustable life years (DALY). It is responsible for causing minor symptoms like chronic neck pain, numbness in hands as well as even quadriparesis or spastic gait. It needs to be diagnosed and treated earlier. The state of art strategy adopted by health practitioners can be a promising future for the next generation. The objective of this article is...