scholarly journals The value of intermittent cervical traction in recent cervical radiculopathy

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

scholarly journals Effect Of Cupping Massage and Modified Spinal Decompression Therapy With Exercise Therapy in Neck Radiculopathy Syndrome

2021 ◽  
Vol 12 (7) ◽  
pp. 340-348
Author(s):  
Al-Jazzazi, Saleem. Abdulmageed, Et. al.
Keyword(s):  
Disc Herniation ◽  
Lumbar Disc ◽  
Cervical Radiculopathy ◽  
New Method ◽  
Treatment Modalities ◽  
Cervical Disc ◽  
Spinal Decompression ◽  
Significant Difference ◽  
Cervical Traction ◽  
Lumbar Traction

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.

scholarly journals Effect of an intensive cervical traction protocol on mid-term disability and pain in patients with cervical radiculopathy: An exploratory, prospective, observational pilot study

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255998
Author(s):  
Thomas Rulleau ◽  
Sophie Abeille ◽  
Lydie Pastor ◽  
Lucie Planche ◽  
Pascale Allary ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Primary Outcome ◽  
Neck Disability Index ◽  
Neck Region ◽  
Minimum Clinically Important Difference ◽  
Cervical Radiculopathy ◽  
Clinically Important Difference ◽  
Medication Consumption ◽  
Cervical Traction ◽  
Neck Disability

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.

scholarly journals COMPARING THE EFFECTS OF CERVICAL TRACTION AND CERVICAL MOBILIZATION IN THE TREATMENT OF CERVICOGENIC HEADACHE

2015 ◽  
Vol 4 (2) ◽  
pp. 21-25
Author(s):  
Ali Farhad ◽  
Zainab Abdul Razzaq ◽  
Bibi Sobia ◽  
Saad Saleem ◽  
Fareeda Shaheen
Keyword(s):  
Tertiary Care ◽  
Neck Disability Index ◽  
Cervical Radiculopathy ◽  
Cervicogenic Headache ◽  
Keywords Cervical Spine ◽  
Consecutive Period ◽  
Cervical Traction ◽  
Outpatient Departments ◽  
Neck Disability ◽  
Tertiary Care Hospitals

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

scholarly journals H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Mohammed M. Hegazy ◽  
Ebtessam F. Gomaa ◽  
Salwa F. Abd El Mageed ◽  
Hala R. El Habashy
Keyword(s):  
Median Nerve ◽  
Cervical Radiculopathy ◽  
H Reflex ◽  
Post Treatment ◽  
Cervical Nerve Root ◽  
Simultaneous Application ◽  
Combined Application ◽  
Reflex Latency ◽  
Cervical Traction ◽  
Cervical Disk Herniation

Abstract Background Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability. Objectives This study was conducted to show the effect of the combined application of intermittent cervical traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design. Methods Fifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR H-reflex latency was measured pre- and post-treatment. Results Statistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in comparison to pretreatment (t = 5.447, p value = 0.0001*). Conclusion Simultaneous application of intermittent cervical traction and median nerve mobilization are effective in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.

scholarly journals Results of halter cervical traction for the treatment of cervical radiculopathy: retrospective review of 81 patients

2002 ◽  
Vol 12 (2) ◽  
pp. 1-4 ◽  
Author(s):  
William C. Olivero ◽  
Scott C. Dulebohn
Keyword(s):  
Conservative Treatment ◽  
Initial Response ◽  
Cervical Radiculopathy ◽  
Cervical Collar ◽  
Foraminal Stenosis ◽  
Duration Of Symptoms ◽  
Arm Pain ◽  
Home Based ◽  
Cervical Traction ◽  
The Mean

Object The percentage of patients responding to conservative treatment for cervical radiculopathy secondary to nerve root compression is not well quantified. To clarify this question, the authors retrospectively reviewed the records obtained over a 4-year period in patients with cervical radiculopathy to determine their response to conservative measures (cervical collar therapy and halter cervical traction). Methods Cervical radiculopathy was diagnosed in patients if they suffered from radiating arm pain made worse by neck movement and at least one of the following: reflex loss, dermatomal numbness, and/or myotomal weakness. Patients with neck pain alone or arm pain without neurological deficit were excluded from analysis. Those patients without excruciating pain, severe weakness, or evidence of myelopathy were offered a course of halter traction before surgery was to be considered. Ninety-six patients met the inclusion criteria; there were 61 males and 35 females, and the mean age was 47 years. Fifty-five patients presented with C-7, 37 with C-6, two with C-5, and two with C-8 radiculopathy. Eighty-one patients underwent a trial of traction that consisted of wearing a cervical collar and home-based halter cervical traction: 8 to 12 pounds, applied for 15 minutes, three times a day for 3 to 6 weeks The mean duration of symptoms prior to neurosurgical evaluation was 43 days ± 8.3 days (standard deviation). Sixty-three (78%) of 81 patients responded to therapeutic traction, experiencing significant or total pain relief, three could not tolerate the traction, and traction failed in 15 patients. Of the 81 patients in whom traction was undertaken, 78 underwent magnetic resonance imaging prior to being seen, which revealed herniated discs at the corresponding levels in 71 and foraminal stenosis in seven. Three of the 63 patients in whom an initial response to traction was noted suffered recurrence of symptoms and required surgery. It would appear that in patients in whom symptoms of cervical radiculopathy were present for approximately 6 weeks that 75% will respond to further conservative treatment (halter traction and cervical collar) over the next 6 weeks.

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