title: Rehabilitation results in patients with cervical spine problems.
abstract: The aim of the study is the effectiveness of a multi-week inpatient rehabilitation treatment with holistic complex conservative therapy for cervical present complaints using the Lawlis scores. A major part of the conservative treatment is represented by physical, physical therapy and sports therapy exercise programs. 77 patients with cervical spine disorders were treated 01-10-2006 to 30-09-2009 in rehabilitation clinic with a complex conservative treatment measures. The analysis was performed using a questionnaire, a clinical investigation, and a radiological examination of the cervical spine. At the beginning and end of the intervention subjective scores for symptoms complaints NRS scale and assessment of treatment results by the doctor after a 4-point rating scale were collected. The average age was 53.7 years at the time of treatment. Of these, 43 patients (56%) females and 34 (44%) were male. Of 77 patients 27 (35%) patients were the results excellent, 31 (40%) patients good, 8 (11%) patients satisfactory, 11 (14%) patients bad. Of 77 patients 66 (85.7%) patients were satisfied with rehabilitation treatment, 11 (14.3%) patients dissatisfied. The subjective assessment of the complaints numerical rating scale (NRS scale) improved significantly (p<0.001) from 8.5 to 2.4 points after treatment. An objective evaluation by the attending physician based on various clinical parameters was assessed in 75% of the cases as good or very good. Conservative treatment of cervical disorders included a variety of treatments available. A major part of the conservative treatment is represented by physical, physical therapy and sports therapy exercise programs. The primary goal of treatment is to eliminate pain or pain reduction. This can be achieved inter alia through Root detumescence and promotion of the venous flow. The success of each treatment varies from patient to patient. The study shows that the complex described here, conservative therapy, is a very good method for the treatment of cervical spine disorders in post-traumatic, degenerative and disc-related spinal disorders. The primary goal of treatment is to achieve freedom from pain was achieved as easily as the subjective assessment of the complaints proved using the NRS scale. Also the high patient satisfaction (86%) suggests that the complex conservative therapy can be a satisfactory choice as a treatment method.
authors.affiliation: Clinic for Orthopaedics and Traumatology, Hospital Bethlehem Stolberg, Germany.
authors.forename: R
authors.initials: R
authors.lastname: Aliyev
mesh_terms: D002574:Cervical Vertebrae / Q000473:pathology*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement / Q000145:classification*; D026741:Physical Therapy Modalities; D013122:Spinal Diseases / Q000503:physiopathology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014965:X-Rays