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| A randomized controlled trial of intermittent cervical traction in sitting versus supine position for the management of cervical radiculopathy |
| Khan RR, Awan WA, Rashid S, Masood T |
| Pakistan Journal of Medical Sciences 2017 Nov-Dec;33(6):1333-1338 |
| clinical trial |
| 5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; 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* |
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OBJECTIVE: To compare the effectiveness of intermittent cervical traction in sitting versus supine position for the management of cervical radiculopathy. METHODS: A randomized clinical trial was done to compare pain and disability modification of cervical radiculopathy patients by using cervical traction in sitting and supine positions. Forty patients (males and females aged between 18 to 60 years with chronic cervical radiculopathy) were recruited for the trial. Participants were randomized into two homogeneous groups by dice method. The group-A (n = 20) received 3-weeks of intermittent cervical traction in sitting position along with transcutaneous electric nerve stimulation (TENS) and hot pack. The group-B (n = 20) received the same treatment except the intermittent cervical traction that was applied in supine position. Participants were assessed two times: at baseline (week 0) and at the termination of rehabilitation (week 3). Neck disability index was used to collect the data before and after the treatment. RESULTS: The mean age of the patients was 43.15 +/- 8.99 versus 48.80 +/- 6.89 years in group-A versus group-B respectively. Mean (+/- SD) weight of the patients was 74.75 +/- 12.11 versus 74.60 +/- 11.24 kg in group-A versus group-B respectively. Mean Neck Disability Index score at start of treatment was 30.30 +/- 7.46 versus 30.75 +/- 7.85 in group-A and group-B respectively. There was a significant difference in group-A and group-B regarding aggregate NDI score at the end of treatment (19.45 +/- 7.12 versus 11.05 +/- 4.40; p < 0.0001). CONCLUSION: Supine position is better choice for applying cervical traction as compared to sitting position for the management of cervical radiculopathy comparing post interventional NDI score.
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