Effects of Multi-modal Therapeutic Approach in Cervical Radiculopathy
DOI:
https://doi.org/10.51253/pafmj.v73i6.6545Keywords:
Isometric neck exercises, Laser therapy, Mechanical Traction, Numeric pain rating scaleAbstract
Objective: To determine the effect of Mechanical cervical traction and Laser therapy along with isometric neck exercises in
cervical radiculopathy patients.
Study Design: Quasi-experimental study.
Place and Duration of Study: Kannan Physiotherapy and Spine Clinic, Lahore Pakistan, from Jul to Dec 2020.
Methodology: The study included cervical radiculopathy patients with symptoms for over two weeks. The diagnosis was
confirmed by the orthopaedic department. The subjects were allocated to two equal groups by lottery method. Group-A
Received Laser therapy with isometric neck exercises, and Group-B received mechanical traction with isometric neck
exercises. The neck disability index, numeric pain rating scale and patient-specific function scale were used to collect data,
which was analyzed using SPSS-22.
Results: Out of the 128 patients, 64(50%) were in each of the two groups. The overall mean age was 41.95±36.50years, and
76(59.4%) participants were male. After three weeks of treatment sessions, statistically significant improvement was found in decreasing pain within group B having mechanical traction along isometric neck exercises (p<0.05).
Conclusion: Our study concluded that both treatment techniques, Laser therapy with isometric neck exercises and mechanical traction with isometric neck exercises, effectively decreased pain; however, mechanical traction with isometric neck exercises was superior.
Downloads
Metrics
References
Oakley PA, Harrison DE. Lumbar extension traction alleviates
symptoms and facilitates healing of disc herniation/
sequestration in 6-weeks, following failed treatment from three
previous chiropractors: a CBP® case report with an 8 year
follow-up. J Phys Ther Sci 2017; 29(11): 2051-2057.
https://doi.org/10.1589/jpts.29.2051.
Sparks CL, Liu WC, Cleland JA, Kelly JP, Dyer SJ, Szetela KM, et
al. Functional Magnetic Resonance Imaging of Cerebral
Hemodynamic Responses to Pain Following Thoracic Thrust
Manipulation in Individuals With Neck Pain: A Randomized
Trial. J Manipulative Physiol Ther 2017; 40(9): 625-634.
https://doi.org/10.1016/j.jmpt.2017.07.010.
Sarig Bahat H, Feigelson E, Vulfsons S. The Potential Effect of
Cervical Taping on Pain, Disability and Kinematics in Patients
with Chronic Neck Pain-A Quasi-Experimental Study. Yoga
Phys Ther Rehabil: YPTR-148 DOI. 2018; 10(1): 10-15.
https://doi.org/ 10.29011/YPTR-148. 000048.
Aquaroli RS, Camacho ES, Marchi L, Pimenta LJ. Manual
therapy and segmental stabilization in the treatment of cervical
radiculopathy. Fisioter Mov 2016; 29(1): 45-52.
http://doi.org/10.1590/0103-5150.029.001.AO04.
Coulter ID, Crawford C, Vernon H, Hurwitz EL, Khorsan R,
Booth MS, et al. Manipulation and mobilization for treating
chronic nonspecific neck pain: a systematic review and metaanalysis for an appropriateness panel. Pain Physician 2019; 22(2):
E55-E70
Moustafa IM, Diab AA, Taha S, Harrison DE. Addition of a
sagittal cervical posture corrective orthotic device to a
multimodal rehabilitation program improves short-and longterm outcomes in patients with discogenic cervical radiculopathy. Physiother Theory Pract 2016; 97(12): 2034-2044.
https://doi.org/10.1016/j.apmr.2016.07.022.
Dunning J, Mourad F, Zingoni A, Iorio R, Perreault T, Zacharko
N, et al. Cavitation Sounds During Cervicothoracic Spinal
Manipulation. Int J Sports Phys Ther 2017; 12(4): 642.
Kim HJ, Nemani VM, Piyaskulkaew C, Vargas SR, Riew KD.
Cervical radiculopathy: incidence and treatment of 1,420
consecutive cases. Asian Spine J 2016; 10(2): 231-237.
https://doi.org/10.4184/asj.2016.10.2.231.
Salemi G, Savettieri G, Meneghini F, Di Benedetto M, Ragonese
P, Morgante L, et al. Prevalence of cervical spondylotic
radiculopathy: a door‐to‐door survey in a Sicilian municipality.
Acta Neurol Scand 1996; 93(2‐3): 184-188.
https://doi.org/10.1111/j.1600-0404.1996.tb00196.x.
Carette S, Fehlings MG. Cervical radiculopathy. N Engl J Med.
; 353(4): 392-399. https://doi.org/10.1056/nejmcp043887.
Thoomes EJ. Effectiveness of manual therapy for cervical
radiculopathy, a review. Chiropr Man Therap 2016; 24(1): 1-11.
https://doi.org/10.1186/s12998-016-0126-7.
Bukhari SRI, Shakil-ur-Rehman S, Ahmad S, Naeem A.
Comparison between effectiveness of Mechanical and Manual
Traction combined with mobilization and exercise therapy in
Patients with Cervical Radiculopathy. Pak J Med Sci Q 2016;
(1): 31. https://doi.org/10.12669%2Fpjms.321.8923.
Woods BI, Hilibrand AS. Cervical radiculopathy. J Spinal Disord
Tech 2015; 28(5): E251-E9.
https://doi.org/10.1097/bsd.0000000000000284.
Schniepp R, Wuehr M, Schlick C, Huth S, Pradhan C, Dieterich
M, et al. Increased gait variability is associated with the history
of falls in patients with cerebellar ataxia. J Neurol 2014; 261(1):
-223. https://doi.org/10.1007/s00415-013-7189-3.
Brunner M, Schwarz T, Zeman F, König M, Grifka J, Benditz A,
et al. Efficiency and predictive parameters of outcome of a
multimodal pain management concept with spinal injections in
patients with low back pain: a retrospective study of 445
patients. Arch Orthop Trauma Surg 2018; 138(7): 901-909.
https://doi.org/10.1007/s00402-018-2916-y.
Abdallah GA, Mohamed RA, Sharaf MA. Effect of Snags
Mulligan Technique Versus Low Level Laser Therapy on
Patients with Unilateral Cervical Radiculopathy. Int J Physiother
Res 2017; 5(4): 2240-2248. http://doi.org/10.16965/ijpr.2017.180.
Roy R, Rajeeva A, Veena J, Jayaram B. Effectiveness of cold laser
therapy with exercises and intermittent cervical traction with
exercises in cervical radiculopathy: A comparative study. Int J
Phys Educ Sports Health 2018; 5(1): 230-236.
Romeo A, Vanti C, Boldrini V, Ruggeri M, Guccione AA,
Pillastrini P, et al. Cervical radiculopathy: effectiveness of adding
traction to physical therapy—a systematic review and metaanalysis of randomized controlled trials. Phys Ther 2018; 98(4):
Downloads
Published
How to Cite
Issue
Section
