Background: Cervical spondylosis (CS) is a degenerative
disorder starting in the intervertebral disc and progressing with age to
involve more than one disc. Cervical spondylosis commonly affects the C5-C6 and
C6-C7 levels of the cervical spine and can also result in high cervical spine
lesions in some patients. According to the location and degree of spinal
injury, the symptoms may vary in severity. The incidence rate of neck pain has
been reported to wide, ranging from 0.4% to 86.8%. Those who have a higher risk
of having neck pain are more likely to develop this condition. The sign and
symptoms of CS include pain which may radiate or locate in the neck, limited
movements in the neck, postural abnormalities, headache, paresthesia, and
symptoms of vertebrobasilar insufficiency. In Cervical spondylosis there was
reduction of joint space. So, traction directly helps in increasing the space
which reduces the pain and increases range of motion effectively. There is less
evidence available on self-traction for cervical spondylosis. So, this study
was design to provide significant findings regarding erect neck pose and pain
in patients with cervical spondylosis.
Methodology: A Randomized clinical trial was conducted for
patients with cervical spondylosis. Purposive Sampling was done. Sample size
was 54. Patients were randomly divided in to 2 groups. In group A conventional
exercise along with static erect neck pose was given. In group B only
conventional exercises were given. In group A patients were instructed to do
static erect neck pose 4 times a day. Pain was assessed by NPRS before
treatment, after 1st week of treatment, after 2nd week of
treatment and after 4th week of treatment.
Result:
Statistical analysis was done by using Jamovi
version 2.3.28. Normality was tested first by Shapiro wilk test. Level of
significance was kept 95% (p value was <0.05). So, further analysis was done
by using non-parametric repeated measures ANOVA(Friedman)test. It shows there
was difference in NPRS at 1st week,2nd week and 4th
week. But according to mean of both the groups, in group A more improvement was
obtained at 1st week,2nd week and 4th week.
Discussion: As traction results in increased joint space
as well stretching of surrounding joint muscles, it should be included as a
treatment along with conventional exercise. Mechanical traction can be given as
treatment in clinical set up, along with that if patient performs selftraction
by performing static erect neck pose better and clinical results can be obtain
within less time duration compare to only conventional exercise.
Conclusion:
Satatic erect neck pose can be given as
adjacent treatment to conventional treatment as well as a home regime for early
pain reduction in patients with cervical spondylosis.
Limitation and
Recommendations: Only pain was assessed in this study. Other
outcomes for e.g., Range of Motion, Neck Disability Index (NDI) can be assessed
in further studies.
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