Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial
A randomized controlled study with a six-month follow-up was conducted to investigate the effects of sagittal head posture correction on 3D spinal posture parameters, back and leg pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral radiculopathy (CDLR). Parti...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/19/5768 |
| _version_ | 1797478656244711424 |
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| author | Ibrahim Moustafa Moustafa Aliaa Attiah Mohamed Diab Deed Eric Harrison |
| author_facet | Ibrahim Moustafa Moustafa Aliaa Attiah Mohamed Diab Deed Eric Harrison |
| author_sort | Ibrahim Moustafa Moustafa |
| collection | DOAJ |
| description | A randomized controlled study with a six-month follow-up was conducted to investigate the effects of sagittal head posture correction on 3D spinal posture parameters, back and leg pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral radiculopathy (CDLR). Participants included 80 (35 female) patients between 40 and 55 years experiencing CDLR with a definite hypolordotic cervical spine and forward head posture (FHP) and were randomly assigned a comparative treatment control group and a study group. Both groups received TENS therapy and hot packs, additionally, the study group received the Denneroll cervical traction orthotic. Interventions were applied at a frequency of 3 x per week for 10 weeks and groups were followed for an additional 6-months. Radiographic measures included cervical lordosis (CL) from C2–C7 and FHP; postural measurements included: lumbar lordosis, thoracic kyphosis, trunk inclination, lateral deviation, trunk imbalance, surface rotation, and pelvic inclination. Leg and back pain scores, Oswestry Disability Index (ODI), and H-reflex latency and amplitude were measured. Statistically significant differences between the groups at 10 weeks were found: for all postural measures, CL (<i>p</i> = 0.001), AHT (<i>p</i> = 0.002), H-reflex amplitude (<i>p</i> = 0.007) and latency (<i>p</i> = 0.001). No significant difference for back pain (<i>p</i> = 0.2), leg pain (<i>p</i> = 0.1) and ODI (<i>p</i> = 0.6) at 10 weeks were identified. Only the study group’s improvements were maintained at the 6-month follow up while the control groups values regressed back to baseline. At the 6-month follow-up, it was identified in the study group that improved cervical lordosis and reduction of FHP were found to have a positive impact on 3D posture parameters, leg and back pain scores, ODI, and H-reflex latency and amplitude. |
| first_indexed | 2024-03-09T21:34:49Z |
| format | Article |
| id | doaj.art-efb3d0b9ef81485096026e3391d4b47c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T21:34:49Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-efb3d0b9ef81485096026e3391d4b47c2023-11-23T20:48:26ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011119576810.3390/jcm11195768Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled TrialIbrahim Moustafa Moustafa0Aliaa Attiah Mohamed Diab1Deed Eric Harrison2Department of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab EmiratesDepartment of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah P.O. Box 27272, United Arab EmiratesPrivate Practice and CBP Non-Profit, Inc., Eagle, ID 83616, USAA randomized controlled study with a six-month follow-up was conducted to investigate the effects of sagittal head posture correction on 3D spinal posture parameters, back and leg pain, disability, and S1 nerve root function in patients with chronic discogenic lumbosacral radiculopathy (CDLR). Participants included 80 (35 female) patients between 40 and 55 years experiencing CDLR with a definite hypolordotic cervical spine and forward head posture (FHP) and were randomly assigned a comparative treatment control group and a study group. Both groups received TENS therapy and hot packs, additionally, the study group received the Denneroll cervical traction orthotic. Interventions were applied at a frequency of 3 x per week for 10 weeks and groups were followed for an additional 6-months. Radiographic measures included cervical lordosis (CL) from C2–C7 and FHP; postural measurements included: lumbar lordosis, thoracic kyphosis, trunk inclination, lateral deviation, trunk imbalance, surface rotation, and pelvic inclination. Leg and back pain scores, Oswestry Disability Index (ODI), and H-reflex latency and amplitude were measured. Statistically significant differences between the groups at 10 weeks were found: for all postural measures, CL (<i>p</i> = 0.001), AHT (<i>p</i> = 0.002), H-reflex amplitude (<i>p</i> = 0.007) and latency (<i>p</i> = 0.001). No significant difference for back pain (<i>p</i> = 0.2), leg pain (<i>p</i> = 0.1) and ODI (<i>p</i> = 0.6) at 10 weeks were identified. Only the study group’s improvements were maintained at the 6-month follow up while the control groups values regressed back to baseline. At the 6-month follow-up, it was identified in the study group that improved cervical lordosis and reduction of FHP were found to have a positive impact on 3D posture parameters, leg and back pain scores, ODI, and H-reflex latency and amplitude.https://www.mdpi.com/2077-0383/11/19/5768randomized controlled trialtractiondisc herniationcervical lordosislumbosacral radiculopathy |
| spellingShingle | Ibrahim Moustafa Moustafa Aliaa Attiah Mohamed Diab Deed Eric Harrison Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial Journal of Clinical Medicine randomized controlled trial traction disc herniation cervical lordosis lumbosacral radiculopathy |
| title | Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial |
| title_full | Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial |
| title_fullStr | Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial |
| title_full_unstemmed | Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial |
| title_short | Does Improvement towards a Normal Cervical Sagittal Configuration Aid in the Management of Lumbosacral Radiculopathy: A Randomized Controlled Trial |
| title_sort | does improvement towards a normal cervical sagittal configuration aid in the management of lumbosacral radiculopathy a randomized controlled trial |
| topic | randomized controlled trial traction disc herniation cervical lordosis lumbosacral radiculopathy |
| url | https://www.mdpi.com/2077-0383/11/19/5768 |
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