Research Article
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Year 2018, Volume: 4 Issue: 1, 16 - 25, 04.01.2018
https://doi.org/10.18621/eurj.332251

Abstract

References

  • [1] Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther 2003;8:10-20.
  • [2] Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001;93:317-25.
  • [3] Carroll LJ, Hogg-Johnson S, van der Velde G, Haldeman S, Holm LW, Carragee EJ, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S75-82.
  • [4] Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S39-51.
  • [5] Manchikanti L. Neural blockade in cervical pain syndromes. Pain Physician 1999;2:65-84.
  • [6] Hurwitz EL, Carragee EJ, van der Velde G, Carroll LJ, Nordin M, Guzman J, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S123-52.
  • [7] Chiu TT, Hui-Chan CW, Chein G. A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil 2005;19:850-60.
  • [8] Dziedzic K, Hill J, Lewis M, Sim J, Daniels J, Hay EM. Effectiveness of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders: a pragmatic randomized controlled trial in physical therapy clinics. Arthritis Rheum 2005;53:214-22.
  • [9] Kroeling P, Gross AR, Goldsmith CH; Cervical Overview Group. A Cochrane review of electrotherapy for mechanical neck disorders. Spine (Phila Pa 1976) 2005;30:E641-8.
  • [10] Kroeling P, Gross A, Graham N, Burnie SJ, Szeto G, Goldsmith CH, et al. Electrotherapy for neck pain. Cochrane Database Syst Rev 2013;8:CD004251.
  • [11] Sandler AJ, Dvorak J, Humke T, Grob D, Daniels W. The effectiveness of various cervical orthoses. An in vivo comparison of the mechanical stability provided by several widely used models. Spine (Phila Pa 1976) 1996;21:1624-9.
  • [12] Muzin S, Isaac Z, Walker J, Abd OE, Baima J. When should a cervical collar be used to treat neck pain? Curr Rev Musculoskelet Med 2008;1:114-9.
  • [13] Miller CP, Bible JE, Jegede KA, Whang PG, Grauer JN. The effect of rigid cervical collar height on full, active, and functional range of motion during fifteen activities of daily living. Spine (Phila Pa 1976) 2010;35:E1546-52.
  • [14] Huskisson EC. Measurement of pain. Lancet 1974;2:1127-31.
  • [15] Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14:409-15.
  • [16] McCarthy MJ, Grevitt MP, Silcocks P, Hobbs G. The reliability of the Vernon and Mior neck disability index, and its validity compared with the short form-36 health survey questionnaire. Eur Spine J 2007;16:2111-7.
  • [17] Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil 2004;26:959-62.
  • [18] Ware JE, Kosinski M, Gandek B. SF-36 Health Survey Manual and Interpretation Guide. Lincoln, RI: Quality Metric, Inc., 2005.
  • [19] McHorney CA, Ware JA Jr. Construction and validation of an alternate form general mental health scale for the Medical Outcomes Study Short-Form 36-Item Health Survey. Med Care 1995;33:15-28.
  • [20] Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa form-36 (SF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12:102-106.
  • [21] Thoomes EJ, Scholten-Peeters W, Koes B, Falla D, Verhagen AP. The effectiveness of conservative treatment for patients with cervical radiculopathy: a systematic review. Clin J Pain 2013;29:1073-86.
  • [22] Radhakrishnan K, Litchy WJ, O'Fallon WM, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117( Pt 2):325-35.
  • [23] Gross AR, Kaplan F, Huang S, Khan M, Santaguida PL, Carlesso LC, et al. Psychological care, patient education, orthotics, ergonomics and prevention strategies for neck pain: an systematic overview update as part of the ICON Project. Open Orthop J 2013;7:530-61.
  • [24] Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine (Phila Pa 1976) 1996;21:1877-83.
  • [25] Persson LC, Lilja A. Pain, coping emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar -- a blinded, prospective randomized study. Disabil Rehabil 2001;23:325-35.
  • [26] Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ 2009;339:b3883.
  • [27] Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining ''whiplash'' and its management. Spine (Phila Pa 1976) 1995;20(8 Suppl):1S-73S.
  • [28] Jarvinen MJ, Lehto MU. The effects of early mobilisation and immobilization on the healing process following muscle injuries. Sports Med 1993;15:78-89.
  • [29] Persson LC, Carlsson CA, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, phsysiotherapy or a cervical collar. A prospective, randomized study. Spine (Phila Pa 1976) 1997;22:751-8.

The effectiveness of soft and semi-rigid cervical collars on acute cervical radiculopathy

Year 2018, Volume: 4 Issue: 1, 16 - 25, 04.01.2018
https://doi.org/10.18621/eurj.332251

Abstract

Objectives. Cervical radiculopathy is one of the common causes of
the neck pain. Medical devices in the form of cervical collars are frequently
recommended in acute cervical radiculopathy. We aim to investigate and compare
the effect of soft and semi-rigid cervical collars on neck pain, disability and
daily life activities in the patients with acute cervical radiculopathy. Methods.
We designed a prospective, single-blind, randomized controlled study. This
study was conducted on 101 patients who were diagnosed with clinical features
of radiculopathy and imaging showing cervical disc herniation. Visual Analog
Scale (VAS), Neck Disability Index (NDI) and SF-36 were applied to the
subjects. Evaluation of the patients was done before
the treatment and 2 weeks and 6 weeks after the start of the treatment. Patients
were divided into three groups according to the computer-generated
randomization table: Soft cervical collar, semi-rigid cervical collar and
control group. The patients in collar groups were asked to wear the collars for
8 hours during the day for the first 2 weeks. Results.
Comparison of the soft
cervical collar group with the control group showed significantly better
improvement in the former in VAS and NDI scores at week 2 and 6 (p < 0.05), in SF-36 pain perception
subunit at week 2 (p < 0.05), and
in SF-36 physical component score at week 6 (p < 0.05). Comparison of the semi-rigid cervical collar group
with the control showed significantly better improvement in the former for NDI
scores and SF-36 pain perception subunit at week 2 and 6 (p < 0.05).
Conclusions.
The results of
our study have indicated that the use of soft and semi-rigid cervical collars
was more effective than conservative treatment in treatment of neck pain and
disability in acute cervical radiculopathy in the short term. Soft cervical collars
were also found to be more effective for pain management than semi-rigid cervical
collars. 

References

  • [1] Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther 2003;8:10-20.
  • [2] Croft PR, Lewis M, Papageorgiou AC, Thomas E, Jayson MI, Macfarlane GJ, et al. Risk factors for neck pain: a longitudinal study in the general population. Pain 2001;93:317-25.
  • [3] Carroll LJ, Hogg-Johnson S, van der Velde G, Haldeman S, Holm LW, Carragee EJ, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S75-82.
  • [4] Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S39-51.
  • [5] Manchikanti L. Neural blockade in cervical pain syndromes. Pain Physician 1999;2:65-84.
  • [6] Hurwitz EL, Carragee EJ, van der Velde G, Carroll LJ, Nordin M, Guzman J, et al.; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976) 2008;33(4 Suppl):S123-52.
  • [7] Chiu TT, Hui-Chan CW, Chein G. A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil 2005;19:850-60.
  • [8] Dziedzic K, Hill J, Lewis M, Sim J, Daniels J, Hay EM. Effectiveness of manual therapy or pulsed shortwave diathermy in addition to advice and exercise for neck disorders: a pragmatic randomized controlled trial in physical therapy clinics. Arthritis Rheum 2005;53:214-22.
  • [9] Kroeling P, Gross AR, Goldsmith CH; Cervical Overview Group. A Cochrane review of electrotherapy for mechanical neck disorders. Spine (Phila Pa 1976) 2005;30:E641-8.
  • [10] Kroeling P, Gross A, Graham N, Burnie SJ, Szeto G, Goldsmith CH, et al. Electrotherapy for neck pain. Cochrane Database Syst Rev 2013;8:CD004251.
  • [11] Sandler AJ, Dvorak J, Humke T, Grob D, Daniels W. The effectiveness of various cervical orthoses. An in vivo comparison of the mechanical stability provided by several widely used models. Spine (Phila Pa 1976) 1996;21:1624-9.
  • [12] Muzin S, Isaac Z, Walker J, Abd OE, Baima J. When should a cervical collar be used to treat neck pain? Curr Rev Musculoskelet Med 2008;1:114-9.
  • [13] Miller CP, Bible JE, Jegede KA, Whang PG, Grauer JN. The effect of rigid cervical collar height on full, active, and functional range of motion during fifteen activities of daily living. Spine (Phila Pa 1976) 2010;35:E1546-52.
  • [14] Huskisson EC. Measurement of pain. Lancet 1974;2:1127-31.
  • [15] Vernon H, Mior S. The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther 1991;14:409-15.
  • [16] McCarthy MJ, Grevitt MP, Silcocks P, Hobbs G. The reliability of the Vernon and Mior neck disability index, and its validity compared with the short form-36 health survey questionnaire. Eur Spine J 2007;16:2111-7.
  • [17] Bicer A, Yazici A, Camdeviren H, Erdogan C. Assessment of pain and disability in patients with chronic neck pain: reliability and construct validity of the Turkish version of the neck pain and disability scale. Disabil Rehabil 2004;26:959-62.
  • [18] Ware JE, Kosinski M, Gandek B. SF-36 Health Survey Manual and Interpretation Guide. Lincoln, RI: Quality Metric, Inc., 2005.
  • [19] McHorney CA, Ware JA Jr. Construction and validation of an alternate form general mental health scale for the Medical Outcomes Study Short-Form 36-Item Health Survey. Med Care 1995;33:15-28.
  • [20] Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N, Memiş A. Kısa form-36 (SF-36)’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12:102-106.
  • [21] Thoomes EJ, Scholten-Peeters W, Koes B, Falla D, Verhagen AP. The effectiveness of conservative treatment for patients with cervical radiculopathy: a systematic review. Clin J Pain 2013;29:1073-86.
  • [22] Radhakrishnan K, Litchy WJ, O'Fallon WM, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain 1994;117( Pt 2):325-35.
  • [23] Gross AR, Kaplan F, Huang S, Khan M, Santaguida PL, Carlesso LC, et al. Psychological care, patient education, orthotics, ergonomics and prevention strategies for neck pain: an systematic overview update as part of the ICON Project. Open Orthop J 2013;7:530-61.
  • [24] Saal JS, Saal JA, Yurth EF. Nonoperative management of herniated cervical intervertebral disc with radiculopathy. Spine (Phila Pa 1976) 1996;21:1877-83.
  • [25] Persson LC, Lilja A. Pain, coping emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar -- a blinded, prospective randomized study. Disabil Rehabil 2001;23:325-35.
  • [26] Kuijper B, Tans JT, Beelen A, Nollet F, de Visser M. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ 2009;339:b3883.
  • [27] Spitzer WO, Skovron ML, Salmi LR, Cassidy JD, Duranceau J, Suissa S, et al. Scientific monograph of the Quebec Task Force on Whiplash-Associated Disorders: redefining ''whiplash'' and its management. Spine (Phila Pa 1976) 1995;20(8 Suppl):1S-73S.
  • [28] Jarvinen MJ, Lehto MU. The effects of early mobilisation and immobilization on the healing process following muscle injuries. Sports Med 1993;15:78-89.
  • [29] Persson LC, Carlsson CA, Carlsson JY. Long-lasting cervical radicular pain managed with surgery, phsysiotherapy or a cervical collar. A prospective, randomized study. Spine (Phila Pa 1976) 1997;22:751-8.
There are 29 citations in total.

Details

Subjects Health Care Administration
Journal Section Original Articles
Authors

Meliha Kasapoğlu Aksoy 0000-0003-4688-0464

Lale Altan This is me 0000-0002-6453-8382

Altuğ Güner This is me

Publication Date January 4, 2018
Submission Date August 2, 2017
Acceptance Date September 1, 2017
Published in Issue Year 2018 Volume: 4 Issue: 1

Cite

AMA Kasapoğlu Aksoy M, Altan L, Güner A. The effectiveness of soft and semi-rigid cervical collars on acute cervical radiculopathy. Eur Res J. January 2018;4(1):16-25. doi:10.18621/eurj.332251

e-ISSN: 2149-3189 


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