The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification
We investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to th...
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| Format: | Article |
| Language: | English |
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Wiley
2015-07-01
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| Series: | Kaohsiung Journal of Medical Sciences |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X15001230 |
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| author | Tz-Yan Lin Jing-Ting Chen Yu-Yu Chen Tien-Wen Chen Chia-Ling Lee Chia-Hsin Chen Mao-Hsiung Huang |
| author_facet | Tz-Yan Lin Jing-Ting Chen Yu-Yu Chen Tien-Wen Chen Chia-Ling Lee Chia-Hsin Chen Mao-Hsiung Huang |
| author_sort | Tz-Yan Lin |
| collection | DOAJ |
| description | We investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to three groups: A, B, and C. Patients in Group A received rehabilitation with 20 minutes of hot packs and underwent 15 minutes of intermittent cervical traction three times/week for 6 weeks. Patients in Group B received the same rehabilitation as those in Group A and ESWT (2000 impulses, 0.27 mJ/mm2) over the calcified NL guided by X-ray image. Patients in Group C received the same treatment as those in Group B, but the ESWT was guided by musculoskeletal sonography. The therapeutic effects were evaluated by: changes in range of motion (ROM) of the cervical spine including flexion, extension, lateral bending, and rotation; visual analog pain scale; and Neck Disability Index before and after treatment and at follow up 3 months later. We found a significant reduction in pain in each treated group after treatment and at follow up. However, patients in Groups B and C showed more improvements in ROM and neck pain relief after treatment and a decrease in Neck Disability Index. Furthermore, patients in Group C showed better cervical ROM at follow up than Group B. ESWT is an adjuvant treatment in the management of cervical spondylosis with calcification of NL and ultrasound-guided ESWT results in more functional improvements. |
| first_indexed | 2024-04-13T09:51:46Z |
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| id | doaj.art-46d2e36ae30844d5a4b52f7cae939997 |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-04-13T09:51:46Z |
| publishDate | 2015-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-46d2e36ae30844d5a4b52f7cae9399972022-12-22T02:51:33ZengWileyKaohsiung Journal of Medical Sciences1607-551X2015-07-0131733734310.1016/j.kjms.2015.05.003The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcificationTz-Yan Lin0Jing-Ting Chen1Yu-Yu Chen2Tien-Wen Chen3Chia-Ling Lee4Chia-Hsin Chen5Mao-Hsiung Huang6Departments of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartments of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartments of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartments of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, TaiwanDepartment of Physical Medicine and Rehabilitation, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, TaiwanDepartments of Physical Medicine and Rehabilitation, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanWe investigated the effects of extracorporeal shockwave therapy (ESWT) on the rehabilitation of cervical spondylosis with nuchal ligament (NL) calcification under X-ray and ultrasound guidance. Sixty patients with cervical spondylosis and calcification of NL were selected and randomly assigned to three groups: A, B, and C. Patients in Group A received rehabilitation with 20 minutes of hot packs and underwent 15 minutes of intermittent cervical traction three times/week for 6 weeks. Patients in Group B received the same rehabilitation as those in Group A and ESWT (2000 impulses, 0.27 mJ/mm2) over the calcified NL guided by X-ray image. Patients in Group C received the same treatment as those in Group B, but the ESWT was guided by musculoskeletal sonography. The therapeutic effects were evaluated by: changes in range of motion (ROM) of the cervical spine including flexion, extension, lateral bending, and rotation; visual analog pain scale; and Neck Disability Index before and after treatment and at follow up 3 months later. We found a significant reduction in pain in each treated group after treatment and at follow up. However, patients in Groups B and C showed more improvements in ROM and neck pain relief after treatment and a decrease in Neck Disability Index. Furthermore, patients in Group C showed better cervical ROM at follow up than Group B. ESWT is an adjuvant treatment in the management of cervical spondylosis with calcification of NL and ultrasound-guided ESWT results in more functional improvements.http://www.sciencedirect.com/science/article/pii/S1607551X15001230Cervical spineExtracorporeal shock wave therapyNuchal ligamentOssification |
| spellingShingle | Tz-Yan Lin Jing-Ting Chen Yu-Yu Chen Tien-Wen Chen Chia-Ling Lee Chia-Hsin Chen Mao-Hsiung Huang The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification Kaohsiung Journal of Medical Sciences Cervical spine Extracorporeal shock wave therapy Nuchal ligament Ossification |
| title | The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| title_full | The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| title_fullStr | The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| title_full_unstemmed | The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| title_short | The efficacy of ultrasound-guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| title_sort | efficacy of ultrasound guided extracorporeal shockwave therapy in patients with cervical spondylosis and nuchal ligament calcification |
| topic | Cervical spine Extracorporeal shock wave therapy Nuchal ligament Ossification |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X15001230 |
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