International Journal of Medical Research & Health Sciences
  • Year: 2018
  • Volume: 7
  • Issue: 6

Comparative Study between Supervised and Unsupervised Exercise Program for Cervical Spondylosis

  • Author:
  • Ahmed Abdelmoniem Ibrahim1,4,, Ehab Mohamed Kamel2,4, Waleed Salah Eldin Mahmoud3,5, Mohamed Raffat Mohamed Atteya2,4
  • Total Page Count: 10
  • Page Number: 1 to 10

1Department of Physiotherapy, Cairo University Hospitals, Cairo, Egypt

2Department of Physical Therapy, El Helal Hospital, Cairo, Egypt

3Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Cairo, Egypt

4Department of Physical Therapy, College of Applied Medical Sciences, University of Hail, Ha'il, Saudi Arabia

5Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia

*Corresponding e-mail: boodytwo48@gmail.com

Online published on 19 November, 2018.

Abstract

Cervical spondylosis (CS) is a degenerative disease for zygapophysial (facet) joints of the vertebra. Pain, stiffness, and dysfunction are the most common symptoms.

A randomized controlled trial was conducted which included 30 female patients with cervical spondylosis.

Comparing the effect of dynamic and isometric neck exercise under the supervision and without supervision (home-based).

Total 30 female patients with cervical spondylosis were assigned equally into two groups: Group A (n=15) and Group B (n=15). Neck exercises were performed under the supervision of the physiotherapist for Group A and home-based exercises for Group B, respectively. T-test and paired t-test were used for comparison of the outcome measurements which included pain, neck disability index (NDI) and range of motion (ROM).

Patients after 8-weeks of cervical strengthening program (supervised or unsupervised) had a significant reduction in the average cervical pain, dysfunction and improvement of ROM within the group of patients. However, the results of Group A were more significant as compared to Group B for pain reduction, flexion, extension and right rotation ROM, but no difference in other parameters for NDI, right and left lateral flexion as well as left rotation ROM.

Supervised exercises have proved to be more effective than unsupervised neck exercises in the treatment of patients with chronic neck pain due to cervical spondylosis in spite of all outcomes has improved within the groups.

Keywords

Cervical spondylosis, Neck pain, Supervised exercises, Unsupervised exercises