Efficacy of Dynamic Exercise and Multi-angle Isometric Exercise in Cervical Spondylosis

King Saud University52 enrolled

Overview

Exercises are widely regarded as the primary approach for managing cervical spondylosis. Although several studies have examined the effectiveness of multi-angle isometric exercises and dynamic exercises in patients with cervical spondylosis, their findings have been inconsistent. Further research is warranted to determine whether combining dynamic exercises with Kinesio taping can yield superior therapeutic outcomes. Additionally, there is a lack of comparative studies evaluating the relative benefits of multi-angle isometric versus dynamic exercises for individuals with cervical spondylosis. Therefore, this study aims to compare the efficacy of Multi-angle isometric exercise and Dynamic exercise, along with kinesio taping, in improving range of motion in the cervical spine, reducing pain, and improving functional disability in patients with Cervical Spondylosis. Fifty-two participants were randomly assigned to Experimental Group 1 (EG1) and Experimental Group 2 (EG2), with 26 participants in each group. EG1 received Multi-angle isometrics and Kinesio taping along with conventional physiotherapy, while EG2 received Dynamic exercise and Kinesio taping along with conventional physical therapy. Both groups were treated for 9 weeks. Goniometry and the Neck Pain and disability index were used as outcome measures.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cervical Spondylosis

Interventions

Multi-angle isometricsOTHER

Multi angle exercises include cervical flexion training, Cervical extension training, and Cervical lateral flexion training

Kinesio tapingOTHER

Kinesio taping is a therapeutic technique used in rehabilitation to support muscles and joints without restricting movement.

Dynamic exerciseOTHER

The dynamic exercise program included dynamic cervical flexion, dynamic cervical extension, and dynamic lateral flexion.

Conventional PhysiotherapyOTHER

Conventional physiotherapy included transcutaneous electrical nerve stimulation

Eligibility

Sex: ALLMin age: 30 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients diagnosed with Cervical Spondylosis aged between 30 - 50. * Both genders. * Patients with radiological findings of Cervical Spondylosis confirmed by a medical professional. * Patients without any surgical indication. Exclusion Criteria: * Patients with cervical radiculopathy. * Patients with other cervical spine problems such as; a history of fracture or dislocation, ankylosing spondylitis, congenital cervical anomalies, cervical spine stenosis, cervical spondylotic myelopathy, rheumatoid arthritis, bone tumor, and tuberculosis. * Patients with pacemakers. * Patient with psychiatric conditions. * In cases where the Kinesio taping technique is contraindicated, such as thrombosis, wound, intolerability, allergy to tape, or impaired sensation. * Patients receiving any form of medications including steroids, NSAIDs or analgesics. * Patients who do not have good compliance with the intervention or have difficulty in co-operating with the study. * Patients who cannot read or understand English.

Outcomes

Primary Outcomes

Goniometry

Goniometry is the measurement of joint angles using a device called Goniometer. Greater joint angles indicate better treatment outcomes.

Time frame: Pre-intervention values were taken before the intervention, and post-intervention values were taken in week 10 (after 9 weeks of treatment).

Neck Pain and Disability Index

The Neck Disability Index (NDI) is a self-report questionnaire designed to measure how neck pain affects a person's ability to manage daily life. Each section has six statements scored from 0 (no disability) to 5 (maximum disability), with a total possible score of 50. The higher the score, the greater the perceived disability.