IJPR.2020.162

Type of Article:  Original Research

Volume 8; Issue 5 (October 2020)

Page No.: 3620-3627

DOI: https://dx.doi.org/10.16965/ijpr.2020.162

EFFECTIVENESS OF MOTOR CONTROL THERAPEUTIC EXERCISE VS. PROPRIOCEPTIVE NEUROMUSCULAR FACILITATION IN SUBJECTS WITH CERVICAL SPONDYLOSIS ON PAIN AND FUNCTIONAL DISABILITY

Raghav Bansal ¹, Maman Paul *².

¹ MPT-Orthopedics, Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, India.

^*2 Assistant Professor, Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab, India.

Corresponding author: Dr. Maman Paul PhD. (Assistant Professor), Department of Physiotherapy, Guru Nanak Dev University, Amritsar, Punjab- 143005, India. Contact no. +91 9815459353 E-Mail: mamanpaul@gmail.com

ABSTRACT

Background: Cervical spondylosis is the degeneration of the structures in the cervical region of the spin often associated and advances with the age, commence earlier in males, owing to osteophytes or bone spurs on vertebra. Earlier Motor Control Therapeutic Exercise and Proprioceptive Neuromuscular Facilitation have been studied to improve the condition of subjects with cervical spondylosis. Present study is aimed to investigate and compare the effectiveness of MCTE and PNF on pain and functional disability of subjects with cervical spondylosis.

Methodology: Sample of 60 subjects with cervical spondylosis was randomly divided into two groups (Group A consists of 30 subjects who were given exercise according to MCTE and Group B consists of 30 subjects who were given exercise according to PNF protocol). Cervical spine assessed according to physical assessment protocol, subject’s pain and functional disability were measured with VAS and NDI.

Result: Intra-group significant differences were obtained between pre-post and post -follow-up interventions for all evaluated variables (P˂0.01) in both groups. Intergroup significant differences only in muscular strength were found after 4 weeks of intervention (P˂0.01). PNF showed significantly more improvement at follow-up.

Conclusion: The study indicates both interventions are effective in improving the pain and functional status of patients and PNF shows improvement at follow up.

KEY WORDS: Cervical Spondylosis, Motor Control Therapeutic Exercise, Proprioceptive Neuromuscular Facilitation, Cervical Pain, Cervical Spine Disability.

REFERENCES

[1]. Ravisankar P. Cervical spondylosis – cause and remedial measures. Indo American Journal of pharma research 2015; 5(08).
[2]. Fees F, Turner J W. natural history and prognosis of cervical spondylosis. British medical journal; 1963.
https://doi.org/10.1136/bmj.2.5373.1607
PMid:14066179 PMCid:PMC1873933
[3]. Binder AI. Cervical spondylosis and neck pain. Bmj 2007; (7592):527-531.
https://doi.org/10.1136/bmj.39127.608299.80
PMid:17347239 PMCid:PMC1819511
[4]. Fejer, R, Kyvik, K.O, Hartvigsen, J. The prevalence of neck pain in the world population: a systematic critical review of the literature. Eur Spine J 2006;15:834-848.
https://doi.org/10.1007/s00586-004-0864-4
PMid:15999284 PMCid:PMC3489448
[5]. Navitainuck D, Meyer C, Alt KW. Degenerative alterations of the spine in an Early Mediaeval population from Mannheim-Seckenheim, Germany. Homo: international Zeitschrift fur die vergleichende Forschung am Menschen.2013; 64(3):179-189.
https://doi.org/10.1016/j.jchb.2013.03.007
PMid:23618703
[6]. Hogg-Johnson S, Carroll LJ. The burden and determinants of neck pain in the general population. Task Force on Neck Pain and Its Associated Disorders. Spine (Philadelphia 1976). 2008. 39-51.
https://doi.org/10.1097/BRS.0b013e31816454c8
PMid:18204398
[7]. Armstrong B, McNair P, Taylor D. Head and neck position sense. Sports medicine (Auckland, N.Z.); 2008.38(2):101-117.
https://doi.org/10.2165/00007256-200838020-00002
PMid:18201114
[8]. Heikkila HV, Wenngren BI. Cervicocephalic kinesthetic sensibility, active range of cervical motion, and oculomotor function in patients with whiplash injury. Arch PhysMed Rehabilitation; 1998; 79(9):1089-1094.
https://doi.org/10.1016/S0003-9993(98)90176-9
[9]. Ask T, Strand LI, Skouen JS. The effect of two exercise regimes; motor control versus endurance/ strength training for patients with whiplash- associated disorder: a randomized controlled pilot study. Clinical rehabilitation. 2009; 23:812-823.
https://doi.org/10.1177/0269215509335639
PMid:19656815
[10]. Maicki T, Bilski J, Szczygiel E. PNF and manual therapy treatment result of patient with cervical spine osteoarthritis. Journal of back and musculoskeletal rehabilitation. 2011; 30(17); 1095-1101.
https://doi.org/10.3233/BMR-169718
PMid:28946528 PMCid:PMC5814664
[11]. Perez A, Gracia A, Carnero J, Touché R. Effectiveness of a motor control exercise program combination with motor imaginary on the sensorimotor function of the cervical spine: a randomized control trial. The international journal of sports physical therapy. 2015; 10(6); 877.
[12]. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S240-S252.
https://doi.org/10.1002/acr.20543
PMid:22588748
[13]. Cleland, J. A., Fritz, J. M., Whitman, J. M., & Palmer, J. A. The Reliability and Construct Validity of the Neck Disability Index and Patient Specific Functional Scale in Patients with Cervical Radiculopathy. Spine, 2006;31(5):59602.
https://doi.org/10.1097/01.brs.0000201241.90914.22
PMid:16508559
[14]. Daniels, Worthingham, editors. Muscle testing: techniques of manual examination. eighth ed.Saunders; 2007
[15]. Farooq M, Khan G. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons. Pakistan journal of medical science. 2016; 32(2); 457-461.
https://doi.org/10.12669/pjms.322.8747
PMid:27182261 PMCid:PMC4859044
[16]. Jung-Ho Lee et al. The Effect of Proprioceptive Neuromuscular Facilitation Therapy on Pain and Function. J. Phys. Ther. 2013; Sci. 25: 713-716.
https://doi.org/10.1589/jpts.25.713
PMid:24259836 PMCid:PMC3804994
[17]. Rezasotltani A, Kahleghifer M. The effect of Proprioceptive Neuromuscular facilitation program to increase neck muscle strength in patient with chronic non specific neck pain. World journal of sports science. 2010; 3 (1); 59-63.

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