Therapeutic effectiveness evaluation algorithm based on KCCA for neck pain caused by different diagnostic sub-types of cervical spondylosis

Abstract Background Chronic neck pain (CNP) is a significant health problem with only a few evidence-based treatment options. There is growing evidence for the effectiveness of kinaesthetic rehabilitation in musculoskeletal disorders. This study aims to assess kinaesthetic exercise programs' efficacy on cervical position sense, pain, and disability in subjects with cervical spondylosis (CS). Methods CNP subjects (>3 months) with a diagnosis of CS were randomly assigned to either a study group (n=125) who received kinesthetic exercises or to a comparative group (n=125) who received isometric neck exercises and deep cervical flexor (DCF) strengthening exercises. Both group subjects participated in the individualized training program for 24 sessions in 6 weeks. The outcome measures were cervical joint position errors (JPE’s) in flexion, extension, rotation left and right, pain intensity, and neck disability. Results All outcomes were improved significantly from baseline to post 24 sessions of intervention. When compared between groups, there was a significant reduction in JPE’s in flexion (mean difference [MD]= 071, CI=0.22–1.20, p=0.001), extension (MD=1.26, CI=0.70–1.81, p< 0.001) and right rotation (MD=1.08, CI=0.58–1.58, p<0.001), pain intensity (MD=1.58, CI=1.09–2.08, p<0.001), and neck disability (MD=10.27, CI=7.42–13.12, p<0.001) after 24 sessions of intervention favoring the study group. Conclusion Study group subjects who received kinesthetic rehabilitation showed more significant improvements in terms of improved proprioception, decreased pain intensity and disability following 24 sessions of interventions compared with the comparative group.

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Alterations in Cortical Thickness and Subcortical Volume are Associated With Neurological Symptoms and Neck Pain in Patients With Cervical Spondylosis

Neurosurgery ◽

10.1093/neuros/nyy066 ◽

2018 ◽

Vol 84 (3) ◽

pp. 588-598 ◽

Cited By ~ 6

Author(s):

Davis C Woodworth ◽

Langston T Holly ◽

Emeran A Mayer ◽

Noriko Salamon ◽

Benjamin M Ellingson

Keyword(s):

Neck Pain ◽

Cortical Thickness ◽

Cervical Spondylosis ◽

Neurological Symptoms ◽

Subcortical Volume

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Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis

BMC Musculoskeletal Disorders ◽

10.1186/s12891-019-2846-z ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 9

Author(s):

Ravi Shankar Reddy ◽

Jaya Shanker Tedla ◽

Snehil Dixit ◽

Mohammed Abohashrh

Keyword(s):

Neck Pain ◽

Pain Intensity ◽

Cervical Spondylosis ◽

Target Position ◽

Absolute Error ◽

Healthy Control Group ◽

Control Group ◽

Cross Sectional ◽

Control Subjects ◽

Healthy Control

Abstract Background Cervical proprioception is critical in the maintenance of posture and movements, so its assessment in different cervical conditions has gained importance in recent clinical practice. Studies reporting this assessment in subjects with cervical spondylosis (CS) have not previously been investigated. The goals of the study are (1) comparison of joint position error (JPE) in subjects with CS to healthy control group. (2) Correlation of neck pain intensity to cervical proprioception in patients with CS. Methods In a Cross-sectional study, 132 subjects with CS and 132 healthy age-matched control subjects were evaluated for cervical JPE with the cervical range of motion device. The subjects were blindfolded and repositioned their heads to a target position, which was determined by the examiner previously and their repositioning accuracy (absolute error in degrees) was measured in the frontal (flexion and extension) and transverse planes (left rotation and right rotation). The CS subjects resting neck pain intensity was assessed using visual analog scale (VAS). Results CS subjects showed statistically significantly larger JPEs compared to healthy control subjects in all the directions tested (flexion - 95% CI = 2.38–3.55, p < 0.001, extension - 95% CI =3.26–4.33, p < 0.001, left rotation - 95% CI = 2.64 - 3.83, p < 0.001, right rotation − 95% CI = 3.77–4.76, p < 0.001). The mean JPE errors in the CS group ranged from 6.27° to 8.28° and in the control group ranged from 2.36° to 4.48°. Pearson’s correlation coefficient showed a significant and positive relationship between neck pain intensity and cervical proprioception (p ≤ 0.001). Conclusions Proprioception is impaired in subjects with CS when compared to healthy control group. Higher pain intensity was associated with greater cervical JPE in patients with CS.

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Motor neurone disease-associated neck pain misdiagnosed as cervical spondylosis: A case report and literature review

Journal of Clinical Neuroscience ◽

10.1016/j.jocn.2018.06.048 ◽

2018 ◽

Vol 55 ◽

pp. 112-115 ◽

Cited By ~ 1

Author(s):

Xiaoyin Lai ◽

Xiaju Gu ◽

Xuelian Yang ◽

Jialan Sun ◽

Mei Jiang ◽

...

Keyword(s):

Case Report ◽

Literature Review ◽

Neck Pain ◽

Cervical Spondylosis ◽

Motor Neurone ◽

Motor Neurone Disease

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Imaging Modalities for Cervical Spondylotic Stenosis and Myelopathy

Advances in Orthopedics ◽

10.1155/2012/908324 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 7

Author(s):

C. Green ◽

J. Butler ◽

S. Eustace ◽

A. Poynton ◽

J. M. O'Byrne

Keyword(s):

Diagnostic Imaging ◽

Neck Pain ◽

Cervical Spondylosis ◽

Preoperative Planning ◽

Imaging Modalities

Cervical spondylosis is a spectrum of pathology presenting as neck pain, radiculopathy, and myelopathy or all in combination. Diagnostic imaging is essential to diagnosis and preoperative planning. We discuss the modalities of imaging in common practice. We examine the use of imaging to differentiate among central, subarticular, and lateral stenosis and in the assessment of myelopathy.

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Cervical Spondylosis Management through the Spactacles of Homoeopathy

International Journal of Advanced Ayurveda Yoga Unani Siddha and Homeopathy ◽

10.23953/cloud.ijaayush.506 ◽

2021 ◽

Vol 10 (1) ◽

pp. 649-655

Author(s):

Shashi Bhushan Singh ◽

◽

Ravi Prakash ◽

Keyword(s):

Risk Factor ◽

Cervical Spine ◽

Soft Tissue ◽

Neck Pain ◽

Intervertebral Disc ◽

Cervical Spondylosis ◽

Soft Tissues ◽

Holistic Approach

Cervical spondylosis is one of the commonly seen diseases nowadays. Neck pain, which usually arises from diseases of the cervical spine & soft tissues of the neck, is common. “SPONDYLO” is a Greek term, meaning “Vertebra” & spondylosis generally mean changes in the vertrbral joint characterized by increasing degeneration of the intervertebral disc with subsequent changes in the bones & soft tissue. The management of cervical spondylosis is very much effective with Homoeopathic medicine. This article stress upon the risk factor, pathophysiology, symptomatology, investigation in concise manner as well as emphasises how homoeopathy can manage in such cases by its holistic approach of treatment.

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Dropped Head Syndrome Treated with Physical Therapy Based on the Concept of Athletic Rehabilitation

Case Reports in Orthopedics ◽

10.1155/2020/8811148 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Toshio Mori ◽

Kentaro Mataki ◽

Yukiyo Shimizu ◽

Kai Matsuba ◽

Kosei Miura ◽

...

Keyword(s):

Physical Therapy ◽

Conservative Treatment ◽

Neck Pain ◽

Daily Living ◽

Cervical Spondylosis ◽

Special Program ◽

Cervical Kyphosis ◽

Dropped Head Syndrome ◽

Extensor Muscles ◽

Chest Deformity

Patients with dropped head syndrome (DHS) show severe cervical kyphosis, i.e., chin-on-chest deformity, and their activities of daily living are impaired considerably. However, the therapeutics for DHS, especially conservative treatment, have not been fully established. A 75-year-old woman suffered from DHS, which she developed from neck pain due to cervical spondylosis. Examinations showed atrophy and dysfunction of her cervical extensor muscles. For this patient, we created a special program of physical therapy based on the concept of athletic rehabilitation and provided her the athletic rehabilitation-based physical therapy (AR-PT). After starting AR-PT, the patient’s neck pain was relieved. She recovered from DHS, and the atrophy of her cervical extensor muscles improved. This study suggests that our program of AR-PT improves cervical extensor muscle insufficiency in patients with DHS and corrects their cervical kyphosis.

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Cervical spondylosis: analysis of clinical and radiological correlation

International Surgery Journal ◽

10.18203/2349-2902.isj20180338 ◽

2018 ◽

Vol 5 (2) ◽

pp. 491 ◽

Cited By ~ 2

Author(s):

RoseBist P. K. ◽

Anil Kumar Peethambaran ◽

Gowri Anil Peethambar

Keyword(s):

Neck Pain ◽

Cervical Spondylosis ◽

Wrist Joint ◽

Tertiary Care ◽

Japanese Orthopaedic Association ◽

Cervical Radiculopathy ◽

Intervertebral Discs ◽

Radiological Findings ◽

Tertiary Care Centre ◽

Male Predominance

Background: Cervical spondylosis is a chronic degenerative lesion of the cervical intervertebral discs causing axial neck pain, cervical radiculopathy and myelopathy. This study was undertaken to study the clinical and radiological correlation in cervical spondylosis with respect to clinical and radiological findings.Methods: A prospective observational study was done on 100 patients with cervical spondylosis treated in a tertiary care centre of South Kerala. The sociodemographic details, clinical and radiological findings were recorded. Nurick’s grading and Modified Japanese orthopaedic association cervical spine myelopathy scoring was done. Data collected was analyzed using Microsoft Excel 2010 and results expressed in proportions.Results: Maximum prevalence was seen in 40-49 years group with male predominance. Majority of the patients had neck pain, sensory numbness and motor weakness. Spurling’s sign and Lhermitt’s sign was positive in 60% and 47% patients respectively. Complete paralysis was seen on both sides in 12% patients at wrist joint and 9% each in elbow and knee joints. Grade II cervical spondylosis was seen in 43%. Modified Japanese orthopaedic association score was less than 18 in all patients. Canal size was reduced in many. The clinical and radiological findings were consistent.Conclusions: Cervical spondylosis is seen in those above 30 years of age with male predominance. Clinical and radiological findings are consistent with each other. Further studies are advised for better correlation.

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