Evidence map›Paper›PMID 39448969›Full record

Trial reportBMC musculoskeletal disorders2024

Effect of cervical traction on cervicogenic headache in patients with cervical radiculopathy: a preliminary randomized controlled trial.

Anis Jellad, Amine Kalai, Amr Chaabeni, Cyrine Ben Nasrallah, Atef Ben Nsir, Mahbouba Jguirim, Asma Belguith Sriha, Zohra Ben Salah Frih, Mohamed Hedi Bedoui

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anis JelladDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Monastir, Rue Avicenne, Monastir, 5000, Tunisia. anisjellad@gmail.com.
Amine KalaiDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Monastir, Rue Avicenne, Monastir, 5000, Tunisia.
Amr ChaabeniDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Monastir, Rue Avicenne, Monastir, 5000, Tunisia.
Cyrine Ben NasrallahDepartment of Preventive Medicine, Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.
Atef Ben NsirDepartment of Neurosurgery, Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.
Mahbouba JguirimDepartment of Rheumatology, Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.
Asma Belguith SrihaDepartment of Preventive Medicine, Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.
Zohra Ben Salah FrihDepartment of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Monastir, Rue Avicenne, Monastir, 5000, Tunisia.
Mohamed Hedi BedouiLaboratory of Technology and Medical Imaging - LR12ES06, Center for Musculoskeletal Biomechanics Research, Faculty of Medicine, University of Monastir, Monastir, 5000, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical radiculopathy (CR) is a common condition, often associated with cervicogenic headache (CGH), a secondary headache arising from cervical spine disorders. Mechanical intermittent cervical traction (MICT) is frequently prescribed to treat CR symptoms. The purpose of the study was to make a preliminary estimate of efficacy of adding MICT to conventional rehabilitation on CGH in patients with cervical radiculopathy.

methodsA total of 36 CR patients with CGH were randomly allocated to 3 equally sized groups (A, B and C). The treatment consisted of twelve sessions of conventional rehabilitation (4 weeks) combined with MICT (2 kg for group A, 8 kg for group B and 12 kg for group C). Primary outcomes were CGH intensity (visual analog scale) and frequency (days per week). Secondary outcomes were radicular pain intensity (visual analog scale), cervical range of motion (cervical range of motion instrument), proprioception (cervical range of motion instrument) and muscle strength (MicroFET2 dynamometer), handgrip strength (handheld dynamometer), function (Neck Disability Index), kinesiophobia (Tampa Scale for KInesiophobia), anxiety and depression (Hospital Anxiety and Depresion questionnaire), and quality of life (World Health Organization Quality of Life). Patients were assessed at baseline, one, three and six months after the beginning of treatment. The post hoc Dunn testing was used to determine which traction load had the better effect on CGH symptoms.

resultsAt one, three and six months follow-ups, Group C exhibited the highest improvement in CGH intensity and frequency compared to the other groups (p = 0.021 and p = 0.023; p = 0.012 and p = 0.01; p = 0.005 and p = 0.005). Both groups C and B showed a significant improvement in radicular pain compared to group A at one month follow-up (p = 0.05).The improvement in group C was significantly better in terms of function (p = 0.049) and anxiety (p = 0.011) at three months and quality of life at six months (Psychological p = 0.046 and Environment p = 0.006).

conclusionsThe blend of conventional rehabilitation alongside 12 kg MICT seems to be efficacious in diminishing both the intensity and frequency of CGH in patients with CR. These advantages appear to last for up to six months following the treatment period, potentially leading to decreased CGH severity and occurrence rates, heightened functionality, reduced anxiety levels, and an overall enhancement in quality of life. These findings are preliminary and require confirmation in larger trials.

trial registrationThe study protocol was retrospectively registered at the Pan African Clinical Trial Registry (PACTR202401838955948). Date of registration is 16/01/2024.

Indexed as

Cervical VertebraePost-Traumatic HeadacheRadiculopathyTractionAdultFemaleHumansMaleMiddle AgedPain MeasurementQuality of LifeRange of Motion, ArticularTreatment OutcomeCervical radiculopathyCervical tractionCervicogenic headachePainRandomized trial

Identifiers

PMID39448969
PMCPMC11515553

What OpenQuestion holds

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Registered trials

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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.