Effects of three different conservative treatments on pain, disability, quality of life, and mood in patients with cervical spondylosis.
This aim of this study was to determine the effect of different conservative treatment methods on pain intensity, disability, quality of life, and mood in patients with cervical spondylosis during a 6-month period. The patients were randomized into three groups. The 1st group (n = 20) was treated with active and passive physiotherapy methods, the 2nd group (n = 20) with active treatment methods, and the 3rd group (n = 20) with medication, including nonsteroid anti-inflammatory and muscle relaxing medicines. The 1st and 2nd groups received individual exercise treatment according to their current problems as determined by the assessment. Pain recovery was found to be statistically significant after treatment and long-term follow-up for all three groups (P < 0.05). Disability improvement was significant in all groups after treatment and 3rd months and only in 1st group after 6 months (P < 0.05). Quality of life improvement was significant in all groups after treatment, at 3 months, and in the 1st and 2nd groups at 6 months (P < 0.05). Psychological recovery was significant in all groups after treatment and in the 1st and 2nd groups during long-term follow-up (P < 0.05). It was determined that patient satisfaction did not change in the 1st and 2nd group (P > 0.05), but decreased in the 3rd group (P < 0.05) during long-term follow-up. There was more improvement in the two groups receiving exercise treatment than the group receiving medical treatment. In conclusion, exercise treatment has an important role in achieving long-term recovery of problems occurring with cervical spondylosis.
School of Physical Therapy and Rehabilitation, Pamukkale University, Rektorluk Binasi, B Kati, Kinikli Kampüsü, 20070 Kinikli, Denizli, Turkey. fztemine@yahoo.com
Emine
E
Aslan Telci
Ayse
A
Karaduman
D000328:Adult; D000339:Affect; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D002574:Cervical Vertebrae; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000188:drug therapy / Q000209:etiology / Q000523:psychology*; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D011788:Quality of Life / Q000523:psychology*; D055009:Spondylosis / Q000150:complications / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome
D000894:Anti-Inflammatory Agents, Non-Steroidal
Spine (Phila Pa 1976). 1997 Sep 15;22(18):2128-56
9322325
Cochrane Database Syst Rev. 2006 Jul 19;(3):CD004871
16856066
Neurosurgery. 2007 Jan;60(1 Supp1 1):S28-34
17204882
Arch Phys Med Rehabil. 1994 Jun;75(6):661-5
8002765
Ann Rheum Dis. 1997 Apr;56(4):214-23
9165992
Scand J Rheumatol. 2006 Sep-Oct;35(5):363-7
17062436
Br J Gen Pract. 2007 Jan;57(534):23-8
17244420
Clin J Pain. 1998 Sep;14(3):248-55
9758075
BMC Musculoskelet Disord. 2006 Aug 14;7:66
16907991
Man Ther. 2003 Feb;8(1):10-20
12586557
J Manipulative Physiol Ther. 2004 Jul-Aug;27(6):388-98
15319761
Spine (Phila Pa 1976). 2000 May 1;25(9):1148-56
10788861
Med Sci Sports Exerc. 2006 Dec;38(12):2068-74
17146312
Ann Intern Med. 2002 May 21;136(10):713-22
12020139
Spine (Phila Pa 1976). 1998 Mar 1;23(5):607-14
9530793
Spine (Phila Pa 1976). 2001 Apr 1;26(7):788-97; discussion 798-9
11295901
Int J Clin Pract. 2005 Jul;59(7):764-70
15963201
BMJ. 2003 Apr 26;326(7395):911
12714472
BMC Musculoskelet Disord. 2009 Jan 26;10:13
19171034
Am J Phys Med Rehabil. 2003 Mar;82(3):203-18; quiz 219-21
12595773
Clin Rehabil. 2009 Sep;23(9):812-23
19656815
Am J Ther. 2005 Mar-Apr;12(2):151-71
15767833
J Manipulative Physiol Ther. 2006 Mar-Apr;29(3):228-35
16584949
Spine (Phila Pa 1976). 2005 Nov 1;30(21):E641-8
16261102
Spine (Phila Pa 1976). 2009 Jul 15;34(16):1732-5
19770615
Cochrane Database Syst Rev. 2007 Jul 18;(3):CD000319
17636629
Spine (Phila Pa 1976). 2002 Sep 1;27(17):1835-43; discussion 1843
12221344
Physiother Theory Pract. 2007 Jan-Feb;23(1):1-20
17454795
Spine (Phila Pa 1976). 2005 Jan 1;30(1):E1-7
15626966
J Manipulative Physiol Ther. 2002 Oct;25(8):497-503
12381971
Scand J Rheumatol. 2004;33(4):257-66
15370723
Int J Rehabil Res. 2000 Mar;23(1):31-8
10826123
J Manipulative Physiol Ther. 2003 Sep;26(7):403-11
12975626
BMJ. 2003 Aug 30;327(7413):475
12946968
Spine (Phila Pa 1976). 2000 Apr 15;25(8):1021-7
10767816
J Manipulative Physiol Ther. 1991 Sep;14(7):409-15
1834753
J Am Board Fam Pract. 2004 Nov-Dec;17 Suppl:S13-22
15575026
Spine (Phila Pa 1976). 2000 May 1;25(9):1109-17
10788856
Clin Rehabil. 2005 Dec;19(8):850-60
16323384
Health Qual Life Outcomes. 2010 May 14;8:48
20465854
Pain. 2007 Jun;129(3):332-342
17350169
Spine (Phila Pa 1976). 1998 Aug 1;23(15):1689-98
9704377
Spine (Phila Pa 1976). 1998 Feb 1;23(3):311-8; discussion 319
9507618
Spine (Phila Pa 1976). 2003 Jul 15;28(14):1490-502; discussion 1502-3
12865832
Clinics (Sao Paulo). 2008 Dec;63(6):763-70
19060998