Manual traction for cervical spondylosis

This article may contains scientific references. The numbers in the parentheses 1, 2, 3 are clickable links to peer-reviewed scientific papers. Nonoperative modalities to treat symptomatic cervical spondylosis. Aslan Telci E1, Karaduman A. Rheumatol Int. Electrotherapy for neck pain. Cochrane Database Syst Rev. Maayah M1, Al-Jarrah M. Table 2 Details of included studies. Re-examinations happened at every 5—6 visits.

Fifty participants were categorized as successful. Cervical radicular pain with clinical and radiological findings indicating root compression corresponding to the distribution of pain, but without spinal cord compression. The nerve root compression was caused by spondylotic spurs with or without an additional bulging disc.

Surgery group: performed by different surgeons 1. Pain: Visual Analogue Scale: two different scales were filled out 1 present pain; 2 worst pain the previous week SG: pt were mobilized post op day 1 and sometimes given a cervical collar for 1—2 days 1 Pain Difference control 1—3: Control 2: outcome measurement at 14—16 weeks of treatment.

Note: Wainners CPR was not used to diagnose cervical radiculopathy Physiotherapy group: 25 physiotherapist provided treatment according to their preferences and symptoms.

Sickness Impact Profile PG: 15 sessions over 3 months, one to two per week, each 30—45 minutes long Present pain VAS: Control 3: follow-up measurements 12 months after control 2 Cervical collar group: a shoulder-resting rigid collar used at daytime, and a soft collar at night if participant wanted to.

NDI Each participant was treated 3 times per week for 3 weeks Note: values represent final mean outcomes 1 NDI: Exercise group: Deep neck flexor strengthening, lower and middle trapezius strengthening, serratus anterior strengthening 2. Active cervical rotation 2 NPRS: 4.

Manual therapy, exercise, and sham intermittent cervical traction: Postural education, Manual therapy, Exercise, and Sham traction 2. Quality assessment Table 1 presents the quality scores for the item PEDro scale for the four included studies, as agreed upon by the reviewers. Table 1 PEDro scale of quality for included articles. Note : PEDro Criteria. Item 1: Not scored eligibility criteria specified. Item 5: There was blinding of all subjects. Item 6: There was blinding of all therapists.

Item 7: There was blinding of assessors of outcomes. Item 9: Intention-to-treat analysis was performed. Manual therapy for reduction of pain, improving function, and increasing range of motion The designs of the included studies in this review are described in Table 2.

Comparing the effects of different types of manual therapy Four different types of manual therapy techniques were utilized in the included articles: thrust mobilizations, non-thrust mobilizations, neural dynamic techniques, and muscle energy techniques.

Discussion In the studies which met PEDro score criteria, Ragonese 14 was the only article that utilized manual therapy as a stand-alone intervention for treatment of CR. Limitations This review has several limitations, the first of which was that only one article specifically described performed intervention. Conclusion Although a definitive progression for treating CR has not been developed, a general consensus exists within the literature that using manual therapy techniques in conjunction with therapeutic exercise is effective in regard to increasing function, as well as AROM, while decreasing levels of pain and disability.

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Combined joint mobilisation and specific exercises Results from one study of high methodological quality suggested that, based on the size of the treatment effect on pain and activity limitations, a combination of manual therapy and motor control exercises was more effective at short term follow up 4 and 8 weeks than a wait-and-see policy [ 41 ].

Cervical traction combined with manual therapy and exercises One study of high methodological quality compared the effectiveness of traction or placebo traction added to a regime of cervical mobilisation, thoracic manipulation and exercises. Multimodal intervention with neurodynamic intent One study of high methodological quality s compared the effectiveness of cervical mobilisations with a neurodynamic intent combined with neurodynamic mobilisations using the shoulder and arm, to a wait-and-see policy [ 42 ].

Discussion This study aimed to assess the effectiveness of manual therapy interventions for patients with CR in comparison to other conservative treatments, placebo interventions or a wait-and-see policy.

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