Effects of the Real-time Un-tact Cervical Stabilization Exercise and Active Stretching on the Cranial Vertebral Angle, Range Of Motion, Neck Disability Index and Numerical Rating Scale in Chronic Cervical Pain of Office Women: Post COVID-19 Exercise Program

Purpose: We introduce the novel treatment technique, scalene injection, and study its clinical efficacy for diagnosis, treatment, and pain control for patients with thoracic outlet syndrome.Methods: Between November 2001 and October 2018, 266 patients were studied retrospectively. To evaluate the efficacy and sustainability, we checked the numerical rating scale (NRS) for pain relief and neck disability index (NDI) for functional improvements, prior to and 1, 12 weeks after the injection. The safety was evaluated by examining side effects for at least 24 hours from the point of injection.Results: NRS was improved from 7.12 to 3.11 at 1 week, and to 3.05 at 12 weeks (p<0.05). NDI was improved from 15.87 to 6.15 at 1 week, and to 6.19 at 12 weeks (p<0.05). There were two cases of convulsion immediately after the injection and were treated with prompt oxygen supply and sedatives. Transient side effects included two cases of dyspnea and one case of nausea and were resolved within 1 hour after. All five cases showed symptoms of side effects on the day of injection and were resolved within a day. A total of 242 patients (91.0%) experienced immediate declines in NRS and 161 patients experienced persistent declines for more than 12 weeks. However, 24 patients (9.0%) showed no improvement and 20 patients (7.5%) experienced increases in NRS.Conclusion: Scalene injection is also effective as a therapeutic method. However, this study suggests that it must be done with monitoring of vital signs in an operating room for any possible complications and side effects.

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Consumptive Disease and Chronic Fatigue Improved by Nokyonggunbi-tang and Other Korean Medical Treatments: A Case Report

The Journal of Internal Korean Medicine ◽

10.22246/jikm.2021.42.5.738 ◽

2021 ◽

Vol 42 (5) ◽

pp. 738-745

Author(s):

Mu-jin Park ◽

So-ri Jin ◽

Eun-jae Oh ◽

Woo-sub Song ◽

Hyun-seok Lee ◽

...

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Neck Disability Index ◽

Chronic Fatigue ◽

Medical Treatments ◽

Five Dimensions ◽

Numerical Rating ◽

Fatigue Severity ◽

Neck Disability

Objective: This study investigated the efficacy of using Nokyonggunbi-tang and other Korean medical treatments for a patient with consumptive disease and chronic fatigue.Methods: A 59-year-old female patient with fatigue, headache, dizziness, and neck pain due to consumptive disease and chronic fatigue was treated with herbal medicine (Nokyonggunbi-tang), together with acupuncture, pharmacopuncture, cupping, and chuna manual therapy, for 22 days. The treatment effects on the pain were evaluated using the scores for the Fatigue Severity Scale (FSS), European Quality of Life Five Dimensions (EQ-5d) Scale, Neck Disability Index (NDI), and Numerical Rating Scale (NRS).Results: Following treatment, the patient showed a decrease in the FSS, NDI, and NRS scores and an improvement in the EQ-5d score.Conclusions: Nokyonggunbi-tang and Korean medical treatment significantly improved fatigue symptoms in a patient with no substrate disease.

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Minimal Clinically Important Change of the Neck Disability Index and the Numerical Rating Scale for Patients With Neck Pain

Spine ◽

10.1097/brs.0b013e31815cf75b ◽

2007 ◽

Vol 32 (26) ◽

pp. 3047-3051 ◽

Cited By ~ 209

Author(s):

Jan J. M. Pool ◽

Raymond W. J. G. Ostelo ◽

Jan L. Hoving ◽

Lex M. Bouter ◽

Henrica C. W. de Vet

Keyword(s):

Neck Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Neck Disability Index ◽

Important Change ◽

Numerical Rating ◽

Neck Disability ◽

Clinically Important Change

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Impact of Myelopathy Severity and Degree of Deformity on Postoperative Outcomes in Cervical Spinal Deformity Patients

Neurospine ◽

10.14245/ns.2040456.228 ◽

2021 ◽

Vol 18 (3) ◽

pp. 628-634

Author(s):

Peter G. Passias ◽

Katherine E. Pierce ◽

Nicholas Kummer ◽

Oscar Krol ◽

Lara Passfall ◽

...

Keyword(s):

Rating Scale ◽

Numerical Rating Scale ◽

Japanese Orthopaedic Association ◽

Neck Disability Index ◽

Cord Compression ◽

Patient Reported ◽

Numerical Rating ◽

Euroqol 5D ◽

Group 2 ◽

Neck Disability

Objective: Malalignment of the cervical spine can result in cord compression, leading to a myelopathy diagnosis. Whether deformity or myelopathy severity is stronger predictors of surgical outcomes is understudied.Methods: Surgical cervical deformity (CD) patients with baseline (BL) and up to 1-year data were included. Modified Japanese Orthopaedic Association (mJOA) score categorized BL myelopathy (mJOA = 18 excluded), with moderate myelopathy mJOA being 12 to 17 and severe myelopathy being less than 12. BL deformity severity was categorized using the mismatch between T1 slope and cervical lordosis (TS-CL), with CL being the angle between the lower endplates of C2 and C7. Moderate deformity was TS-CL less than or equal to 25° and severe deformity was greater than 25°. Categorizations were combined into 4 groups: group 1 (G1), severe myelopathy and severe deformity; group 2 (G2), severe myelopathy and moderate deformity; group 3 (G3), moderate myelopathy and moderate deformity; group 4 (G4), moderate myelopathy and severe deformity. Univariate analyses determined whether myelopathy or deformity had greater impact on outcomes.Results: One hundred twenty-eight CD patients were included (mean age, 56.5 years; 46% female; body mass index, 30.4 kg/m2) with a BL mJOA score of 12.8 ± 2.7 and mean TS-CL of 25.9° ± 16.1°. G1 consisted of 11.1% of our CD population, with 21% in G2, 34.6% in G3, and 33.3% in G4. At BL, Neck Disability Index (NDI) was greatest in G2 (p = 0.011). G4 had the lowest EuroQol-5D (EQ-5D) (p < 0.001). Neurologic exam factors were greater in severe myelopathy (p < 0.050). At 1-year, severe deformity met minimum clinically important differences (MCIDs) for NDI more than moderate deformity (p = 0.002). G2 had significantly worse outcomes compared to G4 by 1-year NDI (p = 0.004), EQ-5D (p = 0.028), Numerical Rating Scale neck (p = 0.046), and MCID for NDI (p = 0.001).Conclusion: Addressing severe deformity had increased clinical weight in improving patient-reported outcomes compared to addressing severe myelopathy.

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Case Report on Headache (Suspected CPSP) Treated with Korean Medicine in a Hospitalized Patient with a History of Cerebral Infarction

The Journal of Internal Korean Medicine ◽

10.22246/jikm.2021.42.5.893 ◽

2021 ◽

Vol 42 (5) ◽

pp. 893-903

Author(s):

Jin-hun Park ◽

Geon-sik Kong ◽

Jin-young Song ◽

So-won Kim ◽

Yen-min Wang ◽

...

Keyword(s):

Cerebral Infarction ◽

Rating Scale ◽

Numerical Rating Scale ◽

Neck Disability Index ◽

Herbal Medicines ◽

Korean Medicine ◽

Five Dimensions ◽

Numerical Rating ◽

History Of ◽

Neck Disability

Objectives: This study investigated the efficacy of Korean medical treatment for a headache (suspected CPSP) patient with a history of cerebral infarction.Methods: We treated the patient using Korean medical treatments (herbal medicines-Kamiseokyong-tang, acupuncture, pharmacopuncture, and chuna). The treatments were measured using the Numerical Rating Scale (NRS) and the Neck Disability Index (NDI) for headache and post neck pain. General health status was evaluated using the European Quality of Life Five Dimensions (EQ-5d) Scale.Results: We observed improvements in the NRS, NDI, and EQ-5d scores after the treatments.Conclusions: This study suggests that Korean medicine may effectively treat headaches (suspected CPSP) with accompanying cerebral infarction.

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Validation of the Nepali versions of the Neck Disability Index (NDI) and the Numerical Rating Scale (NRS) for Neck Pain

Spine ◽

10.1097/brs.0000000000003810 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Dipak Shrestha ◽

Rohit Shrestha ◽

Margreth Grotle ◽

Øystein P. Nygaard ◽

Tore K. Solberg

Keyword(s):

Neck Pain ◽

Rating Scale ◽

Numerical Rating Scale ◽

Neck Disability Index ◽

Numerical Rating ◽

Neck Disability

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Effectiveness of Progressive Resisted Exercise along with Conventional Exercise and Conventional Exercise Program alone in Subjects with Text Neck Syndrome

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i59b34412 ◽

2021 ◽

pp. 536-542

Author(s):

Divya Jain ◽

Swapna Jawade ◽

Neha Chitale

Keyword(s):

Neck Pain ◽

Pain Intensity ◽

Conventional Therapy ◽

Rating Scale ◽

Neck Disability Index ◽

Exercise Program ◽

Pain Rating ◽

Numerical Pain Rating Scale ◽

Neck Disability ◽

Pain Rating Scale

Background: "Text neck" is a term coined to describe the posture created by leaning forward for lengthy periods of time, such as when reading and texting on a cellphone which has been linked to stress injuries. Neck pain, upper back discomfort, shoulder pain, frequent headaches, and greater curvature of the spine are all dangerous indications of text neck. According to a survey, 35% of smartphone users suffer from text neck syndrome. People between the ages of 15 and 18 are more likely to have neck pain. This protocol has been created that describes the design of comparative study to evaluate effectiveness of progressive resisted exercise along with conventional exercise and conventional exercise program alone in text neck syndrome. Methods: The participants (n=80) will be recruited in the study suffering from text neck syndrome and meeting the inclusion criteria. Two groups will be formed such that patients in group A will be treated with conventional therapy and group B will be treated with progressive resisted exercise (PRE) along with conventional therapy. The protocol will cover 4 weeks of treatment. In the rehabilitation period, we will evaluate the pain intensity, strength of neck muscles and functional activity. Our outcome measures will be- Numerical pain rating scale (NPRS) and Neck disability index (NDI). Discussion: Efficacy of the intervention will be evaluated by analyzing the pain intensity by using Numerical pain rating scale (NPRS) and level of functional disability by using Neck disability index (NDI). The result of the study will significantly provide affirmation on either using combination therapy of PRE with conventional exercise or conventional exercise alone.

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Effectiveness of Neural Mobilization on Pain, Range of motion, and Disability in Cervical Radiculopathy: a Randomized Controlled Trial

10.21203/rs.3.rs-223383/v1 ◽

2021 ◽

Author(s):

Shazia Rafiq ◽

Hamayun Zafar ◽

Prof. Dr. Syed Amir Gillani ◽

Muhammad Sharif Waqas ◽

Amna Zia ◽

...

Keyword(s):

Conservative Treatment ◽

Pain Intensity ◽

Range Of Motion ◽

Conventional Treatment ◽

Rating Scale ◽

Controlled Trial ◽

Neck Disability Index ◽

Sampling Technique ◽

Cervical Radiculopathy ◽

Neck Disability

Abstract Background: Cervical Radiculopathy (CR) is a disorder of the spinal nerve roots that is largely caused by space occupying lesion which can lead to nerve root inflammation and patient usually presents with radiating pain in his/her upper extremity known as cervical radiculopathy. The objective of the study was to compare the effectiveness of neural mobilization technique with conservative treatment on pain intensity, range of motion and disability.Methods: It was a double blinded randomized clinical trial; data was collected from Mayo Hospital, Lahore through convenience sampling technique. After taking consent from the patients, the patients fulfilling the inclusion and exclusion criteria were selected and randomized blindly and assigned through computer generated random number into two groups i.e. group 1 (neural mobilization), group 2 (conventional treatment). Pain intensity was measured on Numeric pain rating scale, range of motion measured with inclinometer and functional status with neck disability index (NDI). Data was analyzed using SPSS and difference in improvement before, after 02 and 04 weeks was noted and compared. Results: There was significant improvement in pain relief, neck disability and cervical ranges after the treatment in both groups compared to the pre-treatment status (p < 0.00) and when neural mobilization was compared , it was more effective technique than conventional treatment in reducing pain and neck disability (p < 0.00). But there was not statistical difference in mean score of cervical range of motion (p>0.05)Conclusions: The present study concluded that both neural mobilization and conservative treatment were effective as an exercise program for patient with cervical radiculopathy, however neural mobilization was more effective in reducing pain and neck disability in cervical radiculopathy.Trial registration: RCT20190325043109N1

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Effect of Cervical Mobilization, Transcutaneous Electrical Stimulation and Suboccipital Release in Cervicogenic Headache: A Case Report

International Journal of Health Sciences and Research ◽

10.52403/ijhsr.20210812 ◽

2021 ◽

Vol 11 (8) ◽

pp. 81-85

Author(s):

Darshana Fursule ◽

Kapil Garg

Keyword(s):

Case Report ◽

Cervical Spine ◽

Range Of Motion ◽

Rating Scale ◽

Neck Disability Index ◽

Cervicogenic Headache ◽

Pain Rating ◽

Numerical Pain Rating Scale ◽

Neck Disability ◽

Pain Rating Scale

Background: Cervicogenic headaches are one of the common musculoskeletal disorders that originates in the neck and are radiates from neck to head. Cervicogenic headache is usually treated with a comprehensive strategy that includes pharmacologic, nonpharmacologic, manipulative, anesthetic, surgical procedures and physiotherapy. Physiotherapy includes spinal manipulation, mobilization, myofascial release, exercises and electrotherapeutic modalities. Purpose: This case report aims to evaluate the effects of combination of cervical spine mobilization, TENS, Suboccipital release on cervicogenic headache in maintaining long-term benefits. Methods: This a case report of 31-year-old male having cervicogenic headache from 4-5 years. He reported symptoms like pain in right side neck which radiates into head till forehead and stiffness in neck. Physiotherapy treatment like cervical spine mobilization, TENS and Suboccipital release was given for 5 sessions (alternate days) for 10 days. Outcome Measures: Numerical pain rating scale, Neck disability Index and Cervical range of motion was used as outcome measures. Results: There was marked decrease in pain intensity from 8 on NPRS to 1 on NPRS. Also there was increase in cervical range of motion specially flexion, lateral flexion and rotation and decrease in neck disability index from 28 to 10. Conclusion: Physical therapy with TENS, Cervical spine mobilization & sub occipital release can be used as an effective intervention protocol for reducing pain and stiffness and increasing range of motion in patients with Cervicogenic Headache. Key words: Transcutaneous electrical nerve stimulation, Cervical Spine mobilization, Suboccipital release, Cervicogenic Headache, Numerical Pain Rating Scale, Neck Disability Index.

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Acute Cervical Radiculopathy Outcomes: Soft Disc Herniations vs Osteophytes

Pain Medicine ◽

10.1093/pm/pnaa341 ◽

2020 ◽

Author(s):

William Jeremy Beckworth ◽

Benjamin A Abramoff ◽

Iain M Bailey ◽

Sook Yoon ◽

Monica Umpierrez ◽

...

Keyword(s):

Pain Score ◽

Rating Scale ◽

Numerical Rating Scale ◽

Neck Disability Index ◽

Cervical Radiculopathy ◽

Pain Scores ◽

Plain Films ◽

Numerical Rating ◽

Disc Herniations

Abstract Objective Prospectively evaluate the clinical outcomes of acute cervical radiculopathy with respect to soft disc herniations vs osteophytes. Methods Sixty consecutive patients who had had cervical radiculopathy for ≤1 month were enrolled in the study. Inclusion criteria were radicular pain greater than axial pain and a pain score ≥4 out of 10 on a numerical rating scale. Patients had at least one positive clinical finding: motor, sensory, or reflex changes. Plain films and magnetic resonance imaging were ordered. Follow-up was at 6 weeks and 3, 6, and 12 months. Outcomes included pain scores (neck and upper limb), neck disability index, medication use, opioid use, and need for surgery. Two attending musculoskeletal radiologists reviewed imaging findings for osteophytes vs soft disc herniations at the symptomatic level. Results More than 75% reduction in pain was seen in 77% of patients with soft disc herniations and 66% of patients with osteophytes (P > 0.05) at 12 months. A pain score ≤2 out of 10 within 6 to 12 months was seen in 86% of patients with soft disc herniations and 81% of patients with osteophytes (P > 0.05). Moderate or marked improvement at 12 months was seen in 85% of patients with soft discs and 77% of patients with osteophytes (P > 0.05). Baseline–to–12-month numerical rating scale pain scores of patients with soft discs vs osteophytes had overlapping confidence intervals at each follow-up. At 12 months, very few had undergone surgery (7% of patients with soft discs, 11% of patients with osteophytes; P > 0.05) or were on opioids (7% of patients with soft discs, 9% of patients with osteophytes; P > 0.05). Conclusions The majority of patients, but not all patients, with acute radiculopathies improved with time. This was seen with both soft disc herniations and osteophytes.

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