Radiculopathy, Cervical
Conditions
Keywords
cervical radiculopathy conservative treatment
Brief summary
The Westeinde Brachialgia Study (WEB) is a randomized controlled trial to establish the effect of cervical collar or physiotherapy compared to a wait-and-see policy in patients with acute cervical radiculopathy.
Detailed description
Cervical radiculopathy caused by spondylosis or disc protrusion is a common disorder with a usually benign natural course. Often, physiotherapy (exercise programs) and/or cervical collar are prescribed. However, there are no reliable data on the effects of these conservative therapies. In this study, patients with acute cervical radiculopathy, defined by clinical criteria, are randomized for cervical collar, physiotherapy or a wait-and-see policy.
Interventions
OTHERcervical collar
OTHERphysiotherapy
Sponsors
Medical Center Haaglanden
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* Cervical radiculopathy defined by neck pain irradiating to one arm with at least one of the following: provocation by neck movements or sensory changes in one or more adjacent dermatomes or diminished deep tendon reflexes in the affected arm; or muscle weakness in one or more adjacent myotomes.
Exclusion criteria
* Arm pain existing longer than one month * Clinical signs of spinal cord compression * Previously treated with physiotherapy or a cervical collar
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain and disability at 3 and 6 weeks and at 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| time back to work | — |
| persistent signs and symptoms | — |
| surgery | — |
Countries
Netherlands
Outcome results
None listed