A Comparative Study on the Effects of Two Different Positions of Intermittent Cervical Traction in Cervical Radiculopathy

2016 ◽  
Vol 9 (4) ◽  
pp. 153-157
Author(s):  
Anshika Singh ◽  
◽  
Sumit Raghav ◽  
Sanjai Kumar ◽  
◽  
...  
Author(s):  
Al-Jazzazi, Saleem. Abdulmageed, Et. al.

Cervical radiculopathy Syndrome (CRS) is a common neuro-musculo-skeletal disorder causing pain and disability. Manual therapy interventions including cervical traction with other treatment modalities have been advocated to decrease pain and disability caused by cervical radiculopathy (CR). Al-Qudah & AL-Jazzazi (2021) conducted a new method of Spinal Decompression Therapy (SDT) in patients with Chronic Lumbar Disc Herniation (CLDH) which includes Combination of Lumbar Traction With Cervical Traction (CLTCT) as one intervention. Despite of that this new method clinically reduces pain and disability more effectively than the conventional types of Traction, CLTCT method was not previously used in CR patients nor with Cervical Disc Herniation (CDH). The clinical effectiveness of this new method with other treatment modalities in patients with CRS was not approved yet.  OBJECTIVE: The purpose of the presented work is to identify the effectiveness of rehabilitative program on patients with Cervical Radiculopathy, by (15) sessions for (4) Weeks. The suggested Rehabilitative program consisted of: 1.Supine Soft Full Back, Shoulders and Neck Cupping Massage (CM) for (10) minutes, 2.CLTCT: Combined Lumbar Traction with Cervical Traction as one intervention for (20) minutes, 3.Gradual Therapeutic Exercise Package of Neck Stretching and Strengthening Exercise for approximately (15) minutes. METHODS: In this study, Five outdoor male patients had accepted to participate  and were randomly chosen from Al-Karak Governmental Hospital, All subjects applied the proposed rehabilitative program. The results were analyzed using the SPSS system. RESULTS: indicates that there was statistically significant difference between the pre and post measurements in favor of the post measurements in terms of Pain, Disability. CONCLUSIONS: The present study demonstrated that the use of proposed rehabilitative program has a positive effect on patients with Cervical Radiculopathy.


2009 ◽  
Vol 52 (9) ◽  
pp. 638-652 ◽  
Author(s):  
A. Jellad ◽  
Z. Ben Salah ◽  
S. Boudokhane ◽  
H. Migaou ◽  
I. Bahri ◽  
...  

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255998
Author(s):  
Thomas Rulleau ◽  
Sophie Abeille ◽  
Lydie Pastor ◽  
Lucie Planche ◽  
Pascale Allary ◽  
...  

Background Cervical radiculopathy is a relatively common and disabling condition involving local pain in the neck region and pain that radiates into the upper limb. Recent data suggest that cervical traction may effectively reduce disability and pain, with a dose-response relationship. The main aim of this study was therefore to evaluate the mid-term effect of an intensive cervical traction protocol for patients with cervical radiculopathy on disability, and to compare the effects with those reported by non-intensive protocols in the literature. Methods We conducted a prospective open observational study of 36 patients referred by their general practitioner for symptoms suggestive of cervical radiculopathy. All patients underwent the same treatment: a 30-minute cervical traction protocol, twice a day, for five consecutive days. The main objective was the evaluation of disability at 3 months. We evaluated at baseline (D1), the end of the protocol (D5) and at mid-term (M3) disability, cervical pain, radiating pain, pain on motor imagery, presence of neuropathic pain and medication consumption. The primary outcome was the proportion of patients for whom the Neck Disability Index improved by more than the minimum clinically important difference of 7 points by M3. Results Thirty-six patients were included in this study. The Neck Disability Index improved by more than the minimum clinically important difference in 48.3% at M3. Mean Neck Disability Index (p < .001), mean cervical VAS (p < .001), mean radiating VAS (p < .001), and mean VAS for imagined lateral flexion and rotation (p < .002) improved significantly from D1 to D5 and from D1 to M3. Consumption of medication reduced at each time point. The proportion of patients with neuropathic pain reduced from 61.1% at D1 to 33.3% at D5 and 48.3% at M3. Conclusion Disability reduced by more than the minimum clinically important difference in almost half of the participants following the intensive traction protocol. These results are encouraging and suggest that this complex condition can be treated with relatively simple methods.


2015 ◽  
Vol 4 (2) ◽  
pp. 21-25
Author(s):  
Ali Farhad ◽  
Zainab Abdul Razzaq ◽  
Bibi Sobia ◽  
Saad Saleem ◽  
Fareeda Shaheen

OBJECTIVES The purpose of this study is to ferret out the immediate results of traction or mobilization in neck pain patients and to determine which one is more effective. STUDY DESIGN An Experimental study. STUDY SETTINGS & PARTICIPANTS The study was conducted in outpatient departments of tertiary care hospitals and clinics having well developed physiotherapy center. The participants include individuals having upper extremity pain and numbness and have three out of four cervical nerve compression test positive. INTERVENTIONS Treatment was given for three days in a week for a consecutive period of two weeks which includes traction and cervical mobilization techniques of Mulligan. OUTCOME MEASURES The outcome was measure using VAS and Neck Disability index scale. The data was analyzed by using SPSS version 20 RESULTS Patients (N=50) were screened out of which 30 were found eligible. The effect of traction and mobilization in the treatment of cervical radiculopathy patient was same. Both the interventions were found to be equally effective in reducing the disability and pain of the patient. CONCLUSIONS This study has concluded that the effects of traction and mobilization in the treatment of cervical radiculopathy patient were same. Both the interventions were found to be equally effective in reducing the disability and pain of the patient. Keywords: Cervical Spine, Neck Disability Index, NDI, Visual Analog Scale, Natural Apophyseal Glides, NAGS, Sustained Natural Epiphyseal, Manual Traction


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