cervical spondylosis. arthrosis or osteoarthritis of spine degeneration of facet joints
Conditions
Interventions
Intervention 1: Intervention group: physiotherapy + ergonomic latex pillow.
Patients in this group sleep on ergonomic latex pillow for 4 weeks and will receive physiotherapy 3 sessions a week (12 sess
Lifestyle
Rehabilitation
Intervention group: physiotherapy + ergonomic latex pillow.
Patients in this group sleep on ergonomic latex pillow for 4 weeks and will receive physiotherapy 3 sessions a week (12 sessions) for 30-45
Control group: physiotherapy + his/her usual pillow.
Patients in this group sleep on their usual pillow for 4 weeks and will receive physiotherapy 3 sessions a week (12 sessions) for 30-45 minutes.
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
30 Years to 60 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: people at the age of 30 to 60 year; Reporting a chronic and/or dull pain in the neck, with or without a radicular pain through the upper limbs; Grade 2 and 3 cervical spondylosis with at least two out of four of the following radiographic changes in the cervical region: Intervertebral disc space narrowing; Sclerosis of subchondral bone; Osteophyt formation between adjacent vertebral bodies or articular facets; The narrowing of the space between articular processes (facet joints); Positive compression and distraction test; Score = 2 of 10 in Numerical Pasin Rating Scale (NPRS); Score = 20% in Neck Disability Index (NDI) questionnaire. Exclusion criteria: Other non-specific neck pain lesions, acute neck strain, postural neck ache, or whiplash; Metabolic diseases, Paget’s disease, osteoporosis, gout, or pseudo-gout; Inflammatory disease—rheumatoid arthritis, ankylosing spondylitis, or polymyalgia rheumatic; Infections—osteomyelitis or tuberculosis; tumors; Fibromyalgia and psychogenic neck pain; Temporomandibular joint surgery or disorder; Trauma or disease affecting the cervical and cervicothoracic spine in the preceding year or a history of cervical surgery; Spinal cord canal stenosis; Congenital anomalies involving the spine (cervical, thoracic, lumbar and scoliosis); Pregnancy or breast-feeding; Persistent respiratory difficulties over the last 5 years that have necessitated absence from work, have required long-term medication, or have interfered with daily activities; Recurrent middle ear infections over the last 5 years or any hearing impairment requiring the use of a hearing aid; Any change (increase or decrease) in head and neck support or people who use more than one pillow; Patients who don’t complete a 12-sessions therapeutic period, or follow up evaluation; Subjects normally using no pillow or anything other than a conventional pillow (which is common in Iranian culture like feather or cotton pillow) or if they have a history of using a cervical ruff or pillow (medical pillow); Subjects who received physiotherapy or manipulation because of the neck pain during last three months; Wearing collar.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Range of motion. Timepoint: preintervention and post intervention. Method of measurement: inclinometer.;The amount of craniovertebral angle. Timepoint: Preintervention and post intervention. Method of measurement: Photo will be taken from patient and then the photo will be entered into the Adobe Acrobat Professional and craniovertebral angle will be calculated.;The amount of cervical short flexor muscles endurance. Timepoint: preintervention and post intervention. Method of measurement: the subject lying supine on bed then he/she gets his/her head up meanwhile retracting chin. The time of maintaining of this position is calculated by stop watch.;Pain. Timepoint: Before intervention, 1, 2 and 3 weeks later when intervention was applied and finally post intervention when treatment was done. Method of measurement: Numerical Pain Rating Scale (The patient scores).;The amount of disability caused by neck pain. Timepoint: Before intervention, 1, 2 and 3 weeks later when intervention was applied and finally post intervention when treatment was done. Method of measurement: Persian translation of Neck Disability Index questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| The amount of cervical extensor muscles endurance. Timepoint: preintervention and post intervention. Method of measurement: The subject lying prone on bed with their head and neck initially supported over the end while a 105 gr wheight suspended from his/her head then he/she extends his/her neck. The time of maintaining of this position is calculated by stop watch.;The amount of satisfaction from ergonomic latex pillow. Timepoint: post intervention. Method of measurement: self-made questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactBehshid Farahmand
Iran University of Medical Sciences
Outcome results
None listed