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Titre : | Addition of a Sagittal Cervical Posture Corrective Orthotic Device to a Multimodal Rehabilitation Program Improves Short- and Long-Term Outcomes in Patients With Discogenic Cervical Radiculopathy (2016) |
Auteurs : | Ibrahim M. Moustafa ; Aliaa A. Diab ; Shimaa Taha |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/12, 2016) |
Article en page(s) : | pp. 20342044 |
Note générale : | https://doi.org/10.1016/j.apmr.2016.07.022 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Rééducation et réadaptation ; Traction |
Mots-clés: | Lordosis ; Lordose ; Radiculopathy ; Radiculopathie ; Randomized controlled trial ; Essai contrôlé randomisé |
Résumé : |
Objective To investigate the immediate and 1-year effects of a multimodal program, with cervical lordosis and anterior head translation (AHT) rehabilitation, on the intensity of pain, disability, and peripheral and central nervous system function in patients with discogenic cervical radiculopathy (CR). Design A randomized controlled trial with 1-year and 10-week follow-up. Setting University research laboratory. Participants Patients (N=60; 27 men) with chronic discogenic CR, a defined hypolordotic cervical spine, and AHT posture were randomly assigned to a control group (n=30; mean age, 43.9+6.2y) or an intervention group (n=30; mean age, 41.5+3.7y). Interventions Both groups received the multimodal program; in addition, the intervention group received the Denneroll cervical traction device. Main Outcome Measures AHT distance, cervical lordosis, arm pain intensity, neck pain intensity, and disability (Neck Disability Index [NDI]), dermatomal somatosensory evoked potentials (DSSEPs), and central somatosensory conduction time (N13N20). Measures were assessed at 3 time intervals: baseline, 10 weeks, and 1-year follow-up. Results After 10 weeks of treatment, between-group analysis showed equal improvement in arm pain intensity (P=.40), neck pain intensity (P=.60), and latency of DSSEPs (P=.60) in both intervention and control groups. However, also at 10 weeks, there were significant differences between groups, favoring the intervention group for cervical lordosis (P<.0005 aht distance amplitude of dsseps n13 to n20 conduction time and ndi although at follow-up between-group analysis identified a regression back baseline values for the control group. thus all variables were significantly different favoring intervention group follow-up: cervical lordosis latency intensity neck arm pain> Conclusions The addition of the Denneroll cervical orthotic device to a multimodal program positively affected discogenic CR outcomes at long-term follow-up. We speculate that improved cervical lordosis and reduced AHT contributed to our findings. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931630898X |