Effect of Physical Therapy Program on Cervical Radiculopathy in Patients with a Reversed Cervical Curve: a Single-blind Randomized Controlled Trial.

Abstract

Background: Although many physical therapy modalities are used in treating the cervical spine, the efficacy of physical therapy as well as the selection of appropriate techniques, frequency, and duration of treatment have not been fully investigated. This study was designed to investigate the effect of physical therapy programs on cervical pain, range of motion, and cervical curve restoration.

Material and methods: A total of sixty patients (20-45 years) who exhibited a reversed cervical curve combined with cervical radiculopathy were randomized into experimental (n=30) and control (n=30) groups. The control group received medical treatment and a collar orthosis, while the experimental group received medical treatment, a collar orthosis, and physical therapy. Cobb's angle, a visual analog scale (VAS), and ROM measurements were recorded before and after the treatment. Unpaired t-tests were used (p<0.05).

Results: Inter-group analysis demonstrated the statistical significance post-treatment of all study variables in the experimental group compared to the control group. Within-group analysis indicated substantial improvements in Cobb's angle, visual analog scale, and cervical flexion and extension range of motion in the experimental group.

Conclusion: The physical therapy program effectively improved Cobb's angle, radiating pain, and cervical range of motion in the reversed cervical curve.