title: Cervical syndrome - the effectiveness of physical therapy interventions.
abstract: BACKGROUND
  The cervical syndrome refers to a set of disorders caused by the changes in the cervical spine and the soft-tissue surrounding it, with pain as the predominant symptom. Sore neck has been a common problem among a large section of today`s population. The factors contributing to this issue include the modern lifestyle, prolonged sitting and incorrect, fixed or constrained working postures. The root of these difficulties is found in the mechanical disorders of the cervical spine structures, poor body posture and jerky body movements. In the Scandinavian countries neck pain is considered to be a public health problem.
  
  
  METHODS
  The study evaluated 25 patients with an established diagnosis of cervical syndrome. The research was conducted at the PI Institute of Occupational and Sports Medicine of Zenica-Doboj Canton. Each patient received twenty physical therapy treatment sessions.
  
  
  CONCLUSIONS
  The study included 25 patients suffering from the cervical syndrome. The statistical analysis of gender distribution indicated that 36% of the patients were male, while 64% were female. The mean age of study participants was 46.76±4,23. The patients ranged in age from 39 to 54 years, with no statistically significant difference in the mean age of male and female patients, p=0.691. Analysing the types of occupational activities performed by the patients, the study found a positive relation between neck pain and prolonged sitting at work. The patients who performed office work made up 76% of the total number. Each method of physical therapy applied in the treatment of neck pain patients proved useful. However, the combination of electrotherapy, kinesiotherapy and manual massage proved to be most effective.
  
  
  CONCLUSIONS
  The cervical syndrome is a common medical condition primarily affecting adult population, with prevalence being higher among women and office workers. The condition places a considerable socioeconomic burden on the afflicted. Cervical pain ranges greatly in severity - from moderate to unbearable, thus leading to high levels of work absence as well as to a decrease in the quality of life. Proper physical therapy program can help the patients with neck pain return to their normal everyday activities, improve their quality of life, as well as reduce the absence from work.
authors.affiliation: PI Institute of Occupational and Sports Medicine of Zenica-Doboj Canton, Zenica, Bosnia and Herzegovina.
authors.forename: Mersija
authors.initials: M
authors.lastname: Kasumovic
authors.affiliation: Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Emir
authors.initials: E
authors.lastname: Gorcevic
authors.affiliation: Medical Faculty of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Semir
authors.initials: S
authors.lastname: Gorcevic
authors.affiliation: Medical Faculty of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors.forename: Jasna
authors.initials: J
authors.lastname: Osmanovic
mesh_terms: D000328:Adult; D017522:Bosnia and Herzegovina; D005260:Female; D006801:Humans; D018953:Kinesiology, Applied; D008297:Male; D008349:Manipulation, Orthopedic; D008405:Massage; D008875:Middle Aged; D019547:Neck Pain / Q000209:etiology / Q000503:physiopathology / Q000534:rehabilitation*; D009784:Occupational Diseases / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D011187:Posture; D011634:Public Health; D011788:Quality of Life; D013122:Spinal Diseases / Q000150:complications / Q000503:physiopathology / Q000534:rehabilitation*; D004561:Transcutaneous Electric Nerve Stimulation; D016896:Treatment Outcome
keywords: cervical syndrome; neck pain (NP); physical therapy