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      Exploring the latest advancements in physical therapy techniques for treating cervical spondylosis patients: A narrative review

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          Abstract

          Cervical spondylosis is a widespread medical condition that significantly impacts patients’ quality of life. Treatment options include surgical and conservative approaches, with conservative treatment often being the preferred choice. Rehabilitation therapy is an essential component of conservative treatment, and advancements in technology have the way to the development of new physical therapy techniques. The effectiveness of treatment largely hinges on the patient’s ability to improve their dysfunction. This study aims to provide valuable insights into the use of new physical therapy techniques, such as sling exercises training, fascia manipulation, muscle energy technique, and proprioceptive neuromuscular facilitation that aid the rehabilitation of cervical spondylosis. By scrutinizing the current research status of these techniques, this study aims to present innovative ideas enhancing the rehabilitation process and outcomes for patients suffering from cervical spondylosis.

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          Manual therapy and exercise for neck pain: a systematic review.

          Jan L Hoving, Stephen Burnie, Jonathan D'Sylva … (2010)
          Manual therapy is often used with exercise to treat neck pain. This cervical overview group systematic review update assesses if manual therapy, including manipulation or mobilisation, combined with exercise improves pain, function/disability, quality of life, global perceived effect, and patient satisfaction for adults with neck pain with or without cervicogenic headache or radiculopathy. Computerized searches were performed to July 2009. Two or more authors independently selected studies, abstracted data, and assessed methodological quality. Pooled relative risk (pRR) and standardized mean differences (pSMD) were calculated. Of 17 randomized controlled trials included, 29% had a low risk of bias. Low quality evidence suggests clinically important long-term improvements in pain (pSMD-0.87(95% CI: -1.69, -0.06)), function/disability, and global perceived effect when manual therapy and exercise are compared to no treatment. High quality evidence suggests greater short-term pain relief [pSMD-0.50(95% CI: -0.76, -0.24)] than exercise alone, but no long-term differences across multiple outcomes for (sub)acute/chronic neck pain with or without cervicogenic headache. Moderate quality evidence supports this treatment combination for pain reduction and improved quality of life over manual therapy alone for chronic neck pain; and suggests greater short-term pain reduction when compared to traditional care for acute whiplash. Evidence regarding radiculopathy was sparse. Specific research recommendations are made.
          Article 0 comments Cited 81 times – based on 0 reviews     Review now
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            Proprioceptive Neuromuscular Facilitation (PNF): Its Mechanisms and Effects on Range of Motion and Muscular Function

            Kayla Hindle, Tyler Whitcomb, Wyatt O. Briggs … (2012)
            Proprioceptive neuromuscular facilitation (PNF) is common practice for increasing range of motion, though little research has been done to evaluate theories behind it. The purpose of this study was to review possible mechanisms, proposed theories, and physiological changes that occur due to proprioceptive neuromuscular facilitation techniques. Four theoretical mechanisms were identified: autogenic inhibition, reciprocal inhibition, stress relaxation, and the gate control theory. The studies suggest that a combination of these four mechanisms enhance range of motion. When completed prior to exercise, proprioceptive neuromuscular facilitation decreases performance in maximal effort exercises. When this stretching technique is performed consistently and post exercise, it increases athletic performance, along with range of motion. Little investigation has been done regarding the theoretical mechanisms of proprioceptive neuromuscular facilitation, though four mechanisms were identified from the literature. As stated, the main goal of proprioceptive neuromuscular facilitation is to increase range of motion and performance. Studies found both of these to be true when completed under the correct conditions. These mechanisms were found to be plausible; however, further investigation needs to be conducted. All four mechanisms behind the stretching technique explain the reasoning behind the increase in range of motion, as well as in strength and athletic performance. Proprioceptive neuromuscular facilitation shows potential benefits if performed correctly and consistently.
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              Cervical Spondylotic Myelopathy: A Guide to Diagnosis and Management.

              Johnathon McCormick, Andrew Sama, Nicholas C Schiller … (2020)
              Cervical spondylotic myelopathy (CSM) is a neurologic condition that develops insidiously over time as degenerative changes of the spine result in compression of the cord and nearby structures. It is the most common form of spinal cord injury in adults; yet, its diagnosis is often delayed. The purpose of this article is to review the pathophysiology, natural history, diagnosis, and management of CSM with a focus on the recommended timeline for physicians suspecting CSM to refer patients to a spine surgeon. Various processes underlie spondylotic changes of the canal and are separated into static and dynamic factors. Not all patients with evidence of cord compression will present with symptoms, and the progression of disease varies by patient. The hallmark symptoms of CSM include decreased hand dexterity and gait instability as well as sensory and motor dysfunction. magnetic resonance imaging is the imaging modality of choice in patients with suspected CSM, but computed tomography myelography may be used in patients with contraindications. Patients with mild CSM may be treated surgically or nonoperatively, whereas those with moderate-severe disease are treated operatively. Due to the long-term disability that may result from a delay in diagnosis and management, prompt referral to a spine surgeon is recommended for any patient suspected of having CSM. This review provides information and guidelines for practitioners to develop an actionable awareness of CSM.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Biomol Biomed
                Journal ID (iso-abbrev): Biomol Biomed
                Title: Biomolecules and Biomedicine
                Publisher: Association of Basic Medical Sciences of Federation of Bosnia and Herzegovina
                ISSN (Print): 2831-0896
                ISSN (Electronic): 2831-090X
                Publication date (Print): 1 October 2023
                Publication date (Electronic): 1 October 2023
                Volume: 23
                Issue: 5
                Pages: 752-759
                Affiliations
                [1 ]Department of Physical Education and Health, Guangxi Normal University, Guilin, China
                Author notes
                [* ]Correspondence to Shuna Zhang: shuna0@ 123456163.com
                Author information
                https://orcid.org/0009-0002-6663-0892
                https://orcid.org/0009-0004-8103-2836
                https://orcid.org/0009-0001-2273-8327
                Article
                Publisher ID: BB-23-752
                DOI: 10.17305/bb.2023.9049
                PMC ID: 10494843
                PubMed ID: 37212037
                SO-VID: 9a364f76-d774-4449-8957-19b134fdf25b
                Copyright © © 2023 Chen et al.
                License:

                This article is available under a Creative Commons License (Attribution 4.0 International, as described at https://creativecommons.org/licenses/by/4.0/).

                History
                Date received : 20 March 2023
                Date revision received : 8 May 2023
                Date accepted : 21 May 2023
                Categories
                Subject: Review

                Keywords: cervical spondylosis,exercise therapy,rehabilitation,musculoskeletal manipulations,sports medicine
                Data availability:
                Keywords: cervical spondylosis, exercise therapy, rehabilitation, musculoskeletal manipulations, sports medicine

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