The Efficacy of Intermittent Cervical Traction in Cervical Spondylosis with Radiculopathy

Background: Degeneration of cervical spine is one of the most common causes of neck and arm pain with disability. Many studies have done regarding correlation between cervical traction and cervical spondylosis but still there is lack of data about effect ICT (intermittent cervical traction) on cervical spondylosis and radiculipathy. Methods: This prospective randomized clinical trials was performed at physical medicine & Rehabilitation department, Combined Military Hospital (CMH) Dhaka and BSMMU (Vagabond sheikh mujib medical university), Dhaka over a period of six months. 80cases completed the study after selecting by consecutive sampling according to inclusion & exclusion criteria. The neligible participants allocated into two groups. Group-A were managed by supervised ICT, NSAID's, therapeutic neck exercise, soft cervical collar and ADL advice. Group-B received same as A -group management except (ICT). Evaluation made at initial visit and weekly for six weeks. Assessment of the patient was done by VAS, NPRS, pain frequency score and neck ROM. Student's 't' tests, chi square tests were done to see the level of significance. “P” value < 0.05 considered as significant. Results: Among the 80 patients, mean age was 45 ± 9.25 years, 65% were male and 35% were female. Maximum patients were predominantly table worker 30(37.5%) and mean BMI was 24.95 ± 1.86. After six weeks treatment VAS, NPRS, Pain frequency score shows significant difference of improvement “P” value < 0.05 between two groups. Conclusion: So it is suggested that add on therapy of intermittent cervical traction with NSAID and exercise inflict significant effects in pain and functional ability in patients with cervical spondylosis with radiculipathy.