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Thangamani Ramalingam, A.
- The Effectiveness of Mechanical Cervical Traction on Patients with Unilateral Mechanical Neck Pain
Authors
1 Sarvajanik College of Physiotherapy, Rampura, Surat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 97-103Abstract
Background: Mechanical neck pain [MNP] is the most common type of cervical spine pain encountered. A multitude of physiotherapy interventions has been proposed to be effective in the management of MNP, including mechanical cervical traction, manipulation, therapeutic exercises and modalities. The aim of the study is to find out the effectiveness of cervical traction in the management of MNP.
Study Design: A randomized two group parallel controlled clinical trial.
Materials and Method: Subjects were assigned randomly to one of two groups, each group consisting of 20 subjects. Group-A received conventional therapy plus Mechanical cervical traction [MCT] and Group-B received only conventional therapy. Pre- post- assessment was done by using Neck Disability Index [NDI], Cervical ROM and Numerical Pain Rating Scale [NPRS].
Results: The pre-test evaluation showed that there is no significant difference (p>0.05) between the two groups for all the variables measured. The post-test evaluation of both the groups showed a significant difference (p<0.05) within group for all the outcome measurements. A post-test comparison of measured variables between groups demonstrated that the Group A has given statistically significant (p<0.05) reduction in NPRS and NDI score; and increase in cervical ROM at week 1 and week 2.
Conclusion: The authors concluded that, even though conventional therapy is effective, the addition of intermittent cervical traction gives even better result in the management of MNP and therefore, MCT is recommended.
Keywords
Mechanical Neck Pain, Intermittent Cervical Traction, Conventional Thera
- Effects of Scapula Focused Exercise Program on Shoulder Pain in Paraplegic Patients Using Wheelchair
Authors
1 Sarvajanik College of Physiotherapy, Opp. Lokhat Hospital, Badatwadi, Chhada-Ole, Surat, Gujarat, IN
Source
Indian Journal of Physiotherapy & Occupational Therapy-An International Journal, Vol 8, No 3 (2014), Pagination: 119-123Abstract
Background: Spinal Cord Injury (SCI) is a low incidence, high cost disability requiring tremendous changes in an individual lifestyle1. SCI shifts the demands of daily function and community mobility from the lower extremities to the upper extremities. As a consequence of the increased demand on the upper extremities, there is a high prevalence of shoulder pain with increased age and time since SCI.
Objectives: To determine the effectiveness of scapula focused exercise program on shoulder pain in paraplegic patients using wheelchair
Materials and Method: Study included 30 paraplegic subjects 20 males and 10 females who have shoulder pain and using wheelchair since 6 months. The patients were treated for a period of 8 weeks, 6 days a week, one session daily and the outcome was measured pre and post treatment by WUSPI (Wheelchair User Shoulder Pain Index).
Results: Wilcoxon signed-rank test showed significant difference between pre and post WUSPI score (z=-4.785, P<O.05). And the non parametric spearman rho correlation analysis showed age and duration have positive relationship with pre and post treatment WUSPI score (P<.05).
Conclusion: Scapula focused exercise program resulted in significant reductions in shoulder pain in wheelchair users with spinal injuries and shoulder pain.