Evidence map›Paper›PMID 35906546›Full record

ArticleBMC musculoskeletal disorders2022

Outcomes of active cervical therapeutic exercise on dynamic intervertebral foramen changes in neck pain patients with disc herniation.

Shyi-Kuen Wu, Han-Yu Chen, Jia-Yuan You, Jian-Guo Bau, Yu-Chen Lin, Li-Chieh Kuo

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Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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  6. Journal of functional morphology and kinesiology · 2023
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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Shyi-Kuen Wu *Department of Physical Therapy, HungKuang University, Taichung, Taiwan.
Han-Yu Chen *Department of Physical Therapy, HungKuang University, Taichung, Taiwan.
Jia-Yuan YouDepartment of Physical Therapy, I-Shou University, Kaohsiung, Taiwan.
Jian-Guo BauDepartment of Biomedical Engineering, HungKuang University, Taichung, Taiwan.
Yu-Chen LinDepartment of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Li-Chieh KuoDepartment of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan. jkkuo@mail.ncku.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo better understand biomechanical factors that affect intervertebral alignment throughout active therapeutic exercise, it is necessary to determine spinal kinematics when subjects perform spinal exercises. This study aims to investigate the outcomes of active cervical therapeutic exercise on intervertebral foramen changes in neck pain patients with disc herniation.

methodsThirty diagnosed C4/5 and/or C5/6 disc-herniated patients receiving an 8-week cervical therapeutic exercise program were followed up with videofluoroscopic images. The dynamic changes in the foramen were computed at different timepoints, including the neutral position, end-range positions in cervical flexion-extension, protrusion-retraction, and lateral flexion movements.

resultsThe results showed that the active cervical flexion, retraction, and lateral flexion away from the affected side movements increased the area of the patients' intervertebral foramen; while the active extension, protrusion, and lateral flexion toward the affected side reduced the areas of intervertebral foramen before treatment. After the treatment, the active cervical flexion significantly increased the C2/3, C3/4, and C6/7 foramen area by 5.02-8.67% (p = 0.001 ~ 0.029), and the extension exercise significantly reduced the C2/3 and C4/5 area by 5.12-9.18% (p = 0.001 ~ 0.006) compared to the baseline. Active retraction movement significantly increased the foramen area from C2/3 to C6/7 by 3.82-8.66% (p = 0.002 ~ 0.036 with exception of C5/6). Active lateral flexion away from the affected side significantly increased the foramen by 3.71-6.78% (p = 0.007 ~ 0.046 with exception of C6/7).

conclusionsThe 8-week therapeutic exercises including repeated cervical retraction, extension, and lateral flexion movements to the lesion led to significant changes and improvements in intervertebral foramen areas of the patients with disc herniation.

trial registrationISRCTN61539024.

Indexed as

Intervertebral DiscIntervertebral Disc DisplacementBiomechanical PhenomenaCervical VertebraeExercise TherapyHumansNeckNeck PainRange of Motion, ArticularActive therapeutic exerciseDisc herniationIntervertebral foramenVideofluoroscopy

Identifiers

PMID35906546
PMCPMC9338473

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.