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Transverse oscillatory pressure in management of cervical radiculopathy: a randomised controlled study |
Ojoawo AO, Olabode A, Esan O, Badru A, Odejide S, Arilewola B |
Hong Kong Physiotherapy Journal 2016 Jun;34:19-26 |
clinical trial |
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND: Cervical radiculopathy is an important subgroup of neck disorders causing severe pain and disability. OBJECTIVES: The study assessed the effect of transverse oscillatory pressure (TOP) on pain intensity and functional disability of patients with cervical radiculopathy. METHODS: Twenty-six individuals with unilateral radiating neck pain were randomly allocated into group A (8 males and 5 females) and group B (6 males and 7 females). Participants in the two groups received kneading massage, cryotherapy, and active isometric exercises to the posterior paraspinal muscles, trapezuis, and sternomastoid muscles. TOP was administered to group A, whereas group B served as control. Treatment was applied three times per week for 4 weeks, making 12 treatment sessions for each participant. Visual analogue scale and Neck Disability Index were used to assess pain intensity and neck disability, respectively, at baseline, 2 weeks, and 4 weeks. Data were analysed using repeated-measures analysis of variance. RESULTS: There was a significant improvement in pain intensity and neck functional disability of patients between baseline, 2nd week, and 4th week of treatment sessions in groups A and B (p < 0.05). There was a significant reduction in pain intensity in group A (f = 7.08, p < 0.05) at the 2nd week and 4th week compared with group B. CONCLUSIONS: It can be concluded that TOP reduces pain faster in patients with cervical radiculopathy.
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