A comparison of conventional intervention and home-based approach with head-mounted device for cervical spondylotic myelopathy after surgery.

Ling-Wei Yen, Hung-Bin Chen, Asghar Rezaei, Hen-Yu Lien, Mohammad Nikkhoo, Chih-Hsiu Cheng

Abstract readComparative Study

In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Ling-Wei YenSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, No.259, Wen-Hwa 1st Rd, Guishan Dist, Taoyuan, 333, Taiwan (R.O.C.).

Hung-Bin ChenSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, No.259, Wen-Hwa 1st Rd, Guishan Dist, Taoyuan, 333, Taiwan (R.O.C.).

Asghar RezaeiDepartment of Orthopedic Surgery, Division of Orthopedic Research, Mayo Clinic, Rochester, MN, USA.

Hen-Yu LienSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, No.259, Wen-Hwa 1st Rd, Guishan Dist, Taoyuan, 333, Taiwan (R.O.C.).

Mohammad NikkhooSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, No.259, Wen-Hwa 1st Rd, Guishan Dist, Taoyuan, 333, Taiwan (R.O.C.).

Chih-Hsiu ChengSchool of Physical Therapy and Graduate Institute of Rehabilitation Science, College of Medicine, Chang Gung University, No.259, Wen-Hwa 1st Rd, Guishan Dist, Taoyuan, 333, Taiwan (R.O.C.). chcheng@mail.cgu.edu.tw.

Funding

Chang Gung Memorial Hospital Research Program CMRPD1L0182Healthy Aging Research Center, Chang Gung University EMRPD1M0411National Science and Technology Council 111-2221-E-182-009-MY3

6 · The paper itself

Abstract

Cervical spondylotic myelopathy (CSM) is rising in the aging population. This study evaluated conventional versus home-based exercise interventions with a head-mounted device in 75 patients. Participants were divided into conventional (N = 36) and home-based (N = 39) groups, assessed pre-surgery, 3-months post-surgery, and after an eight-week intervention. Outcomes included numeric pain rating scale (NRS), neck disability index (NDI), cervical spine range of motion (ROM), neck muscle strength, muscle activation during movement, and cervical proprioception. A two-way mixed ANOVA was used to explore the main effects and interactions between groups and time points. ANCOVA adjusted for potential baseline differences. Both groups improved in NRS (P = 0.003), NDI (P = 0.001), and ROM in flexion (P < 0.001) and extension (P < 0.001) after exercise, while the home-based group showed significantly greater ROM in rotation (left, P = 0.026; right, P = 0.006), greater muscle strength (flexors, P < 0.001; extensors, P < 0.001), and lower sternocleidomastoid muscle activation (P < 0.001). The home-based group exhibited lower reposition errors post-exercise than the conventional group (Variable error during extension, P < 0.001; root mean square error during flexion, left and right rotation, P < 0.001 for all). The home-based intervention with a head-mounted device showed superior outcomes in mobility, muscle strength, proprioception, and muscle activation, surpassing pre-surgery levels and enhancing quality of life for CSM patients.

Indexed as

Cervical VertebraeExercise TherapySpinal Cord DiseasesSpondylosisAgedFemaleHumansMaleMiddle AgedMuscle StrengthProprioceptionRange of Motion, ArticularTreatment Outcome

Identifiers

PMID40057588

DOI10.1038/s41598-025-91555-2

PMCPMC11890783

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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.