Effects of cervical traction, infrared therapy, and selected biomarkers on neck disability indexes among people with cervical spondylosis: A sequential clinical trial
Authors/Creators
- 1. Department of Physiotherapy, National Orthopaedic Hospital, Enugu, Nigeria
- 2. Department of Medical Rehabilitation, Faculty of Health Sciences & Technology, College of Medicine, University of Nigeria, Nsukka
- 3. Department of Physiotherapy, Faculty of Health Sciences, Bayelsa Medical University, Yenagoa, Bayelsa, Nigeria
- 4. Department of Orthopaedic Surgery, National Orthopaedic Hospital, Enugu, Nigeria
- 5. Department of Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Nsukka, Enugu, Nigeria
- 6. Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Health Sciences, Nnamdi Azikiwe University, Awka, Anambra, Nigeria
- 7. Department of Health Management and Administration, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Nsukka, Enugu, Nigeria
- 8. Department of Physiotherapy, College of Health Sciences, Evangel University, Akaeze, Ebonyi, Nigeria
- 9. Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Nsukka, Enugu, Nigeria
Contributors
Supervisor:
- 1. Department of Medical Rehabilitation, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Nsukka, Enugu, Nigeria
Description
Background
Background
Cervical traction (CT) is among the adjunct physiotherapy technique for conservative management of cervical spondylosis CS. The mechanism of action of traction involves vertebral joint distraction which loses adhesions within the dural sleeves, reduces axial forces on intervertebral discs and intervertebral foramen, reduces nerve root irritation, inflammatory pain responses, and muscle spasm, and improve circulation within the epidural space. Furthermore, bloodborne biomarker of inflammation (interleukin-6 [IL-6], and osteoprotegerin [OPG]), hormones (estradiol [E2], and testosterone [TES]), and biochemical mediators of bone metabolism such as calcium (Ca2), and magnesium (Mg) may play a significant role in CS.
Objectives
To investigate (a) the effects of six-week alternate CT and infrared therapy (IRT) on neck pain and neck disability index (NDI), (b) and the influence of serum levels of IL-6, OPG, E2, TES, Ca2, Mg, and Ca2/Mg ratio on the reported levels of pain intensity (PI) and NDI among patients with cervical spondylosis, referred for physiotherapy in Enugu, Nigeria.
Dataset/Variables Description
Sex (Male =1, Female =2), Age, Weight, Height, and Pain duration were measure only at baseline.
Systole, Diastole, and Pulse Rate were measured at baseline (labelled as PreSystole, PreDiastole, and PrePR) and after the final intervention (13 weeks) labelled as PostSystole, PostDiastole, and PostPR.
Numeric Pain Rating (NRS), Neck Disability Index (NDI), OPG, IL6, EST(E2), TES, Ca2, and Mg were measured four times:
At baseline labelled with "a" such as NRS_a, NDI_a, OPG_a etc
After first intervention (6 weeks) and labelled with "b" example IL6_b, TES_b
After wash out (1 week rest) labelled as "c"
After the final intervention (6 weeks) labelled as "d"
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Secondary analysis of the data require a written permission from the primary investigator and the Medical Ethics Research Committee of the National Orthopaedic Hospital Enugu, Nigeria. The dataset and the primary publication must be fully cited by authors seeking access to the data set.
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Additional details
Subjects
- Cervical Spondylosis
- http://id.nlm.nih.gov/mesh/D055009