• Clinical rehabilitation · Apr 2012

    Randomized Controlled Trial

    The efficacy of forward head correction on nerve root function and pain in cervical spondylotic radiculopathy: a randomized trial.

    • Aliaa A Diab and Ibrahim M Moustafa.
    • Basic Science Department, Faculty of Physical therapy, Cairo University, Egypt.
    • Clin Rehabil. 2012 Apr 1;26(4):351-61.

    ObjectiveTo investigate the effect of forward head posture correction on pain and nerve root function in cases of cervical spondylotic radiculopathy.DesignA randomized controlled study with six months follow-up.SettingUniversity research laboratory.SubjectsNinety-six patients with unilateral lower cervical spondylotic radiculopathy (C5-C6 and C6-C7) and craniovertebral angle measured less than or equal to 50° were randomly assigned to an exercise or a control group.InterventionsThe control group (n = 48) received ultrasound and infrared radiation, whereas the exercise group (n = 48) received a posture corrective exercise programme in addition to ultrasound and infrared radiation.Main Outcome MeasuresThe peak-to-peak amplitude of dermatomal somatosensory evoked potentials, craniovertebral angle, visual analogue scale were measured for all patients at three intervals (before treatment, after 10 weeks of treatment, and at follow-up of six months).ResultsThere was a significant difference between groups adjusted to baseline value of outcome at 10 weeks post-treatment for craniovertebral angle, pain, C6 and C7 peak-to-peak amplitude of dermatomal somatosensory evoked potentials P = 0.000, 0.01, 0.000, 0.001 respectively and at follow-up for all previous variables (P = 0.000).ConclusionForward head posture correction using a posture corrective exercise programme in addition to ultrasound and infrared radiation decreased pain and craniovertebral angle and increased the peak-to-peak amplitude of dermatomal somatosensory evoked potentials for C6 and C7 in cases of lower cervical spondylotic radiculopathy.

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