Effectiveness of hyper and hypothermic application revulsively on range of motion, symptom score and quality of life in patients with cervical spondylosis: a randomized controlled trial

K. J. Sujatha1, N. K. Manjunath2
1Division of Natural Therapeutics, Shri Dharmasthala Manjunatheshwara College of Naturopathy and Yogic Sciences, Ujire, India
2S-VYASA University, Bengaluru, India

Tóm tắt

Cervical spondylosis (CS) is a degenerative age-related disorder affecting the cervical region of the spinal cord which manifests mainly with radiating pain in the neck, numbness in fingers, and headache. To control the symptoms and manage the disease progression, a combination of Complementary and Alternative Medicine with conventional management is necessary. Hence this study is aimed to evaluate the effect of Revulsive Compress (RC) along with the Integrated Naturopathy and Yoga (INY) approach in patients with CS. Out of 210 subjects screened, 60 subjects between the ages of 40 to 85 years were selected for the study. The subjects were randomly assigned into two groups, Group 1 (n = 30) Case group taking RC with INY and Group 2 (n = 30) control group taking only INY protocol for 10 days. Pain, Symptom score, Range of Motion (ROM), and Quality of life (QOL) were assessed before and after the intervention on the 11th day. The result of this study shows that with 10 days of RC and INY intervention, there was a significant reduction in the pain [Visual analog scale (VAS): p = 0.001] and symptom score [Neck disability index: p = 0.001] when compared to the control group. There was a significant improvement in QOL and ROM. The results of this study show that RC intervention with INY is having a substantial effect on patients with CS. Pain and Symptom score have been reduced significantly with marked improvement in QOL and ROM. Hence, this intervention can be used in the management of patients with CS, either as an individual or accompanied by management.

Tài liệu tham khảo

Arankalle D, Sundaran J, Puthige R (2012) Critical review on trends in hydrotherapy research. Int J Naturop Med 6:693 Basuny N, Zatton H, Abo- Hashem M (2020) Responsiveness of pain and associated health issues of patients with knee osteoarthritis to the revulsive compresses. Egypt J Health Care 11(3):114–143. https://doi.org/10.21608/ejhc.2020.108130 Benoist M (2003) Natural history of the aging spine. Eur Spine J 12:S86–S89. https://doi.org/10.1007/s00586-003-0593-0 Bostan B (2010) Comparison of inta-articular hyaluronic acid injections and mud-pack therapy in the treatment of knee osteoarthritis. Acta Orthop Traumatol Turc 44(1):42–47. https://doi.org/10.3944/aott.2010.2238 Brenner I, Castellani J, Gabaree C, Young A, Zamecnik J, Shephard R, Shek P (1999) Immune changes in humans during cold exposure: effects of prior heating and exercise. J Appl Physiol 87(2):699–710. https://doi.org/10.1152/jappl.1999.87.2.699 Brinjikji W, Luetmer PH, Comstock B, Bresnahan BW, Chen LE, Deyo RA et al (2015) Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. AJNR Am J Neuroradiol 36(4):811–816. https://doi.org/10.3174/ajnr.A4173 Burrows E (1963) The sagittal diameter of the spinal canal in cervical spondylosis. Clin Radiol 14(1):77–86. https://doi.org/10.1016/s0009-9260(63)80015-x Cochrane D (2004) Alternating hot and cold water immersion for athlete recovery: a review. Phys Ther Sport 5(1):26–32. https://doi.org/10.1016/j.ptsp.2003.10.002 Cohen M (2003) Complementary and integrative medical therapies, the FDA, and the NIH: definitions and regulation. Dermatol Ther 16(2):77–84. https://doi.org/10.1046/j.1529-8019.2003.01614.x Denegar C (2010) Preferences for heat, cold, or contrast in patients with knee osteoarthritis affect treatment response. Clin Interv Aging. https://doi.org/10.2147/cia.s11431 Fleming S, Gutknecht N (2010) Naturopathy and the primary care practice. Prim Care Clin off Pract 37(1):119–136. https://doi.org/10.1016/j.pop.2009.09.002 Garfin SR (2000) Cervical degenerative disorders: etiology, presentation, and imaging studies. Instr Course Lect 49:335–338 Janssen R, Schwartz D, Velleman P (2009) A randomized controlled study of contrast baths on patients with carpal tunnel syndrome. J Hand Ther 22(3):200–208. https://doi.org/10.1016/j.jht.2009.02.001 Joseph E, Michael T (1999) Text book of natural medicine. Churchill Livingstone, New York Kuppusamy S, Dinesh S, Shetty P, Kumariv G (2018) Effect of naturopathy and yoga on patients with knee osteoarthritis - a prospective randomized controlled trial. J Res Educ Indian Med. https://doi.org/10.5455/jreim.82-1492495014 Manna S, Mallik N, Dey B et al (2017) Safety and efficiently management through alternative medicine lifestyle in patients suffering from cervical spondylosis. Res Rev J Ayurvedic Sci Yoga Naturopat 4(3):11–22 McCormack BM, Weinstein PR (1996) Cervical spondylosis. An update. West J Med 165(1–2):43–51 Meng Z, Yu J, Luo C, Liu X, Jiang W, Yu L, Huang R (2017) Anterior cervical spondylosis surgical interventions are associated with improved lordosis and neurological outcomes at latest follow up: a meta-analysis. Sci Rep. https://doi.org/10.1038/s41598-017-04311-6 Mooventhan A, Nivethitha L (2014) Scientific evidence-based effects of hydrotherapy on various systems of the body. N Am J Med Sci 6(5):199. https://doi.org/10.4103/1947-2714.132935 Morton R (2007) Contrast water immersion hastens plasma lactate decrease after intense anaerobic exercise. J Sci Med Sport 10(6):467–470. https://doi.org/10.1016/j.jsams.2006.09.004 Rastog R (2012) Current approaches of research in naturopathy: How far is its evidence base? J Homeopat Ayurv Med. https://doi.org/10.4172/2167-1206.1000107 Rastogi R, Bendore P (2015) Effect of naturopathy treatments and yogic practices on cervical spondylosis–a case report. Indian J Physiol Pharmacol 59(4):442–445 Reddy R, Tedla J, Dixit S, Abohashrh M (2019) Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. https://doi.org/10.1186/s12891-019-2846-z Rhee T, Westberg S, Harris I (2017) Complementary and alternative medicine in US adults with diabetes: reasons for use and perceived benefits. J Diabetes 10(4):310–319. https://doi.org/10.1111/1753-0407.12607 Shedid D, Benzel E (2007) Cervical spondylosis anatomy. Neurosurgery. https://doi.org/10.1227/01.neu.0000215430.86569.c4 Shevchuk NA (2007) Possible use of repeated cold stress for reducing fatigue in chronic fatigue syndrome: a hypothesis. Behav Brain Funct 3:55. https://doi.org/10.1186/1744-9081-3-55 Smith M, Logan A (2002) Naturopathy. Med Clin N Am 86(1):173–184. https://doi.org/10.1016/s0025-7125(03)00079-8 Versey N, Halson S, Dawson B (2012) Effect of contrast water therapy duration on recovery of running performance. Int J Sports Physiol Perform 7(2):130–140. https://doi.org/10.1123/ijspp.7.2.130 Vijay Kumar G, Ray D, Das R (2019) Natural history, prevalence, and pathophysiology of cervical spondylotic myelopathy. Indian Spine J 2(1):5. https://doi.org/10.4103/isj.isj_48_18 Voorhies RM (2001) Cervical spondylosis: recognition, differential diagnosis, and management. Ochsner J 3(2):78–84 Weston C, O’Hare J, Evans J, Corrall R (1987) Haemodynamic changes in man during immersion in water at different temperatures. Clin Sci 73(6):613–616. https://doi.org/10.1042/cs0730613