A Multimodal Treatment Approach using Spinal Decompression via SpineMED, Flexion-Distraction Mobilization of the Cervical Spine, and Cervical Stabilization Exercises for the Treatment of Cervical Radiculopathy

摘要

[Purpose] The aim of the present study was to determine whether a multimodal treatment approach using spinal decompression via SpineMED and spinal mobilization as well as cervical stabilization exercises would benefit patients with neck pain with radiculopathy. [Subjects] A total of 10 patients with cervical radiculopathy ranging in age from 19 to 46 with an average age of 35.50 years participated in this study. [Methods] Patients received treatment in 85 minute sessions, 6 days per week for the first two weeks, and 4 days per week for two additional weeks. Treatment protocol consisted of spinal decompression via SpineMED and flexion-distraction mobilization of the cervical spine as well as cervical stabilization exercises. Physical therapy modalities including superficial heat, ultrasound, and interferential current were also delivered prior to administration of SpineMED. Differences between patients' pre-intervention and discharge outcome measures, pain on a visual analogue scale (VAS) and neck disability index (NDI), were examined using a paired t-test. [Results] Mean measures of patients' VAS and NDI demonstrated significant improvement after being treated with 20 sessions of combined treatment. [Conclusion] Findings of the present study provide significant evidence to support the efficacy of a multimodal treatment approach using spinal decompression via SpineMED and spinal mobilization as well as cervical stabilization exercises. A multimodal approach might be an asset in the management of cervical spine disorders.