Skip to main content

Advertisement

SpringerLink
Log in

Effects of three different conservative treatments on pain, disability, quality of life, and mood in patients with cervical spondylosis

  • Original Article
  • Published:
Rheumatology International Aims and scope Submit manuscript

Abstract

This aim of this study was to determine the effect of different conservative treatment methods on pain intensity, disability, quality of life, and mood in patients with cervical spondylosis during a 6-month period. The patients were randomized into three groups. The 1st group (n = 20) was treated with active and passive physiotherapy methods, the 2nd group (n = 20) with active treatment methods, and the 3rd group (n = 20) with medication, including nonsteroid anti-inflammatory and muscle relaxing medicines. The 1st and 2nd groups received individual exercise treatment according to their current problems as determined by the assessment. Pain recovery was found to be statistically significant after treatment and long-term follow-up for all three groups (P < 0.05). Disability improvement was significant in all groups after treatment and 3rd months and only in 1st group after 6 months (P < 0.05). Quality of life improvement was significant in all groups after treatment, at 3 months, and in the 1st and 2nd groups at 6 months (P < 0.05). Psychological recovery was significant in all groups after treatment and in the 1st and 2nd groups during long-term follow-up (P < 0.05). It was determined that patient satisfaction did not change in the 1st and 2nd group (P > 0.05), but decreased in the 3rd group (P < 0.05) during long-term follow-up. There was more improvement in the two groups receiving exercise treatment than the group receiving medical treatment. In conclusion, exercise treatment has an important role in achieving long-term recovery of problems occurring with cervical spondylosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Wieser ES, Wang JC (2007) Surgery for neck pain. Neurosurgery 60(Suppl 1):51–56

    Google Scholar 

  2. Pierre C, David CJ, Linda C (1998) The Saskatchewan health and back pain survey: the prevalence of neck pain and related disability in Saskatchewan adults. Spine 23(15):1689–1698

    Article  Google Scholar 

  3. Borenstein DG, Wiesel SW, Boden SD (2004) Low back and neck pain: comprehensive diagnosis and management, 3rd edn. Saunders, Philadelphia

    Google Scholar 

  4. Wang WTJ, Olson SL, Campbell AH, Hanten WP, Gleeson PB (2003) Effectiveness of physical therapy for patients with neck pain an individualized approach using a clinical decision-making algorithm. Am J Phys Med Rehabil 82(3):203–218

    PubMed  Google Scholar 

  5. Abbed KM, Coumans JV (2007) Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation. Neurosurgery (1 Suppl1 1): 28–34 Review. doi:10.1227/01.NEU.0000249223.51871.C2

  6. Hoving JL, Koes BW, de Vet HCW, van der Windt DAWM, Assendelft WJJ, van Mameren H et al (2002) Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial. Ann Intern Med 136(10):713–722

    PubMed  Google Scholar 

  7. Giles LGF, Muller R (2003) Chronic spinal pain: a randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine 28(14):1490–1503

    PubMed  Google Scholar 

  8. Haraldson BG, Gross AR, Myers CD, Ezzo JM, Morien A, Goldsmith C, Peloso PM, Bronfort G (2006) Massage for mechanical neck disorders. Cochrane Database Syst Rev CD004871. doi:10.1002/14651858.CD004871.pub3

  9. Kroeling P, Gross AR, Goldsmith CH (2005) A Cochrane review of electrotherapy for mechanical neck disorders. Spine 30(21):641–648

    Article  Google Scholar 

  10. Bronfort G, Evans R, Nelson B, Aker PD, Goldsmith CH, Vernon H (2001) A randomized clinical trial of exercise and spinal manipulation for patients with chronic neck pain. Spine 26(7):788–799

    Article  PubMed  CAS  Google Scholar 

  11. Chiu TTW, Hui-Chan CWY, Cheing G (2005) A randomized clinical trial of TENS and exercise for patients with chronic neck pain. Clin Rehabil 19:850–860

    Article  PubMed  Google Scholar 

  12. Sarig-Bahat H (2003) Evidence for exercise therapy in mechanical neck disorders. Man Ther 8(1):10–20

    Article  PubMed  CAS  Google Scholar 

  13. Descarreaux M, Normand MC, Laurencelle L, Dugas C (2002) Evaluation of a specific home exercise program for low back pain. J Manipulative Physiol Ther 25:497–503

    Article  PubMed  Google Scholar 

  14. Beebe FA, Barkin RL, Barkin S (2005) A clinical and pharmacologic review of skeletal muscle relaxants for musculoskeletal conditions. Am J Ther 12:151–171

    Article  PubMed  Google Scholar 

  15. van Tulder M, Koes B, Bouter LM (1997) Conservative treatment of acute and chronic nonspecific low back pain: a systematic review of randomized controlled trials of the most common interventions. Spine 22(18):2128–2156

    Article  PubMed  Google Scholar 

  16. Douglass AB, Bope ET (2004) Evaluation and treatment of posterior neck pain in family practice. J Am Board Fam Pract 17:13–22

    Article  Google Scholar 

  17. Peloso P, Gross A, Haines T, Trinh K, Goldsmith CH, Burnie S (2007) Medicinal and injection therapies for mechanical neck disorders. Cochrane Database Syst Rev CD000319. doi:10.1002/14651858.CD000319.pub4

  18. Korthals-de Bos IBC, Hoving JL, van Tulder MW, Rutten-van Mölken MPMH, Adèr HJ, Vet HCW et al (2003) Cost effectiveness of physiotherapy, manual therapy, and general practitioner care for neck pain: economic evaluation alongside a randomized controlled trial. BMJ 326(7395):911

    Article  PubMed  Google Scholar 

  19. Evans R, Bronfort G, Bittell S, Anderson AV (2003) A pilot study for a randomized clinical trial assessing chiropractic care, medical care, and self-care education for acute and subacute neck pain patients. J Manipulative Physiol Ther 26:403–411

    Article  PubMed  Google Scholar 

  20. Birch S, Jamison R (1998) Controlled trial of Japanese acupuncture for chronic myofascial neck pain: Assessment of specific and nonspecific effects of treatment. Clin J Pain 14(3):248–255

    Article  PubMed  CAS  Google Scholar 

  21. Pesco MS, Chosa E, Tajima N (2006) Comparative study of hands-on therapy with active exercises vs education with active exercises for the management of upper back pain. J Manipulative Physiol Ther 29:228–235

    Article  PubMed  Google Scholar 

  22. Jordan A, Bendix T, Nielsen H, Hansen FR, Host D, Winkel A (1998) Intensive training, physiotherapy, or manipulation for patients with chronic neck pain. A Prospective, Single-Blinded, Randomized Clinical Trial. Spine 23(3):311–319

    CAS  Google Scholar 

  23. Chiu TT, Lam TH, Hedley AJ (2005) A randomized controlled trial on the efficacy of exercise for patients with chronic neck pain. Spine 30(1):E1–E7. doi:10.1097/01.brs.0000149082.68262.b1

    Article  PubMed  Google Scholar 

  24. Berg HE, Berggren G, Tesch PA (1994) Dynamic neck strength training effect on pain and function. Arch Phys Med Rehabil 75:661–665

    Article  PubMed  CAS  Google Scholar 

  25. Telci EA, Karaduman A, Yakut Y, Aras B, Simsek IE, Yagli N (2009) The cultural adaptation, reliability, and validity of neck disability index in patients with neck pain: a Turkish version study. Spine 34(16):1732–1735

    Article  PubMed  Google Scholar 

  26. Vernon H, Mior S (1991) The neck disability index: a study of reliability and validity. J Manipulative Physiol Ther 14(7):409–415

    PubMed  CAS  Google Scholar 

  27. Küçükdeveci AA, Mckenna SP, Kutlay S, Gürsel Y, Whalley D, Arasıl T (2000) The development and psychometric assessment of the Turkish version of Nottingham health profile. Int J Rehabil Res 23:31–38

    Article  PubMed  Google Scholar 

  28. Savaşır I, Şahin NH (1997) Bilişsel-davranışçı terapilerde değerlendirme: Sık kullanılan ölçekler. Özyurt Matbaacılık, Ankara

    Google Scholar 

  29. Cherkin D, Wheeler K, Barlow W, Deyo R (1998) Medication use for low back pain in primary care (health services research). Spine 23(5):607–614

    Article  PubMed  CAS  Google Scholar 

  30. Vos C, Verhagen A, Passchier J, Koes B (2007) Management of acute neck pain in general practice: a prospective study. Br J Gen Pract 57(534):23–28

    PubMed  Google Scholar 

  31. Hoiriis KT, Pfleger B, McDuffie FC, Cotsonis G, Elsangak O, Hinson R et al (2004) A randomized clinical trial comparing chiropractic adjustments to muscle relaxants for low back pain. J Manipulative Physiol Ther 27(6):388–398

    Article  PubMed  Google Scholar 

  32. Ketenci A, Özcan E, Karamürsel S (2005) Assessment of efficacy and psychomotor performances of thiocolcicoside and tizanidine in patients with acute low back pain. Int J Clin Pract 59(7):764–770

    Article  PubMed  CAS  Google Scholar 

  33. Koes BW, Scholten RJMP, Mens JMA, Bouter LM (1997) Efficacy of non-steroidal anti-inflammatory drugs for low back pain: a systematic review of randomized clinical trials. Ann Rheum Dis 56:214–223

    Article  PubMed  CAS  Google Scholar 

  34. Coˆte′ P, Cassidy D, Carroll L (2000) The factors associated with neck pain and its related disability in the Saskatchewan population. Spine 25(9):1109–1117

    Article  Google Scholar 

  35. Nikander R, Mälkia E, Parkkari J, Heinonen A, Starck H, Ylinen J (2006) Dose- response relationship of specific training to reduce chronic neck pain and disability. Med Sci Sports Exerc 38(12):2068–2074

    Article  PubMed  Google Scholar 

  36. Viljanen M, Malmivaara A, Uitti J, Rinne M, Palmroos P, Laippala P (2003) Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomized controlled trial. BMJ 327(7413):475

    Article  PubMed  Google Scholar 

  37. Jull G, Trott P, Potter H, Zito G, Manip GD, Niere K et al (2002) A randomized controlled trial of exercises and manipulative therapy for cervicogenic headache. Spine 27(17):1835–1843

    Article  PubMed  Google Scholar 

  38. Pallay RM, Seger W, Adler JL, Ettlinger RE, Quaidoo EA, Lipetz R et al (2004) Etoricoxib reduced pain and disability and improved quality of life in patients with chronic low back pain: a 3 month, randomized, controlled trial. Scand J Rheumatol 33:257–266

    Article  PubMed  CAS  Google Scholar 

  39. Ask T, Strand KI, Skouen JST (2009) The effect of two exercise regimes; motor control versus endurance/strength training for patients with whiplash associated disorders: a randomized controlled pilot study. Clin Rehabil 23:812–823

    Article  PubMed  Google Scholar 

  40. Buchner M, Zahlten-Hinguranage A, Schiltenwolf M, Neubauer E (2006) Therapy outcome after multidisciplinary treatment for chronic neck and chronic low back pain: a prospective clinical study in 365 patients. Scand J Rheumatol 35(5):363–367

    Article  PubMed  CAS  Google Scholar 

  41. Salo PK, Häkkinen AJ, Kautiainen H, Ylinen JJ (2010) Effect of neck strength training on health-related quality of life in females with chronic neck pain: a randomized controlled 1-year follow-up study. Health Qual Life Outcomes 8:48

    Article  PubMed  Google Scholar 

  42. Cunha ACV, Burke TN, França FJR, Marques AP (2008) Effect of global posture reeducation and of static stretching on pain, range of motion, and quality of life in women with chronic neck pain: a randomized clinical trial. Clinics 63(6):763–770

    Article  PubMed  Google Scholar 

  43. Linton SJ (2000) A review of psychological risk factors in back and neck pain. Spine 25(9):1148–1156

    Article  PubMed  CAS  Google Scholar 

  44. Holmberg SAC, Thelin AG (2006) Primary care consultation, hospital admission, sick leave and disability pension owing to neck and low back pain: a 12-year prospective cohort study in a rural population. BMC Musculoskelet Disord 14(7):66

    Article  Google Scholar 

  45. Demyttenaere K, Bruffaerts R, Lee S, Posada-Villa J, Kovess V, Angermeyer MC et al (2007) Mental disorders among persons with chronic back or neck pain: results from the world mental health surveys. Pain 129:332–342. doi:10.1016/j.pain.2007.01.022

    Article  PubMed  Google Scholar 

  46. Blozik E, Lapinskaya D, Herrmann-Lingen C, Schaefer H, Kochen MM, Himmel W, et al. (2009) Depression and anxiety as major determinants of neck pain: a cross-sectional study in general practice. BMC Musculoskelet Disord 26; 10:13

    Google Scholar 

  47. Taimela S, Takala EP, Asklöf T, Seppälä K, Parviainen S (2000) Active treatment of chronic neck pain. A prospective randomized intervention. Spine 25(8):1021–1027

    CAS  Google Scholar 

  48. Hills R, Kitchen S (2007) Satisfaction with outpatient physiotherapy: focus groups to explore the views of patients with acute and chronic musculoskeletal conditions. Physiother Theory Pract 23(1):1–20

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors thank Dr. Erkan Sumer for writing out prescriptions of our patients in medicine group.

Author information

Authors and Affiliations

  1. School of Physical Therapy and Rehabilitation, Pamukkale University, Rektorluk Binasi, B Kati, Kinikli Kampüsü, 20070, Kinikli, Denizli, Turkey

    Emine Aslan Telci

  2. Faculty of Health Sciences, Physical Therapy and Rehabilitation, Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey

    Ayse Karaduman

Authors
  1. Emine Aslan Telci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ayse Karaduman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Emine Aslan Telci.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Aslan Telci, E., Karaduman, A. Effects of three different conservative treatments on pain, disability, quality of life, and mood in patients with cervical spondylosis. Rheumatol Int 32, 1033–1040 (2012). https://doi.org/10.1007/s00296-010-1751-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00296-010-1751-4

Keywords

Search

Navigation