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https://www.readbyqxmd.com/read/29315428/cervical-radiculopathy-effectiveness-of-adding-traction-to-physical-therapy-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#1
Paolo Pillastrini, Antonio Romeo, Carla Vanti, Valerio Boldrini, Martina Ruggeri, Andrew Guccione, Lucia Bertozzi
Background: Cervical radiculopathy (CR) is a common cervical spine disorder. Cervical traction (CT) is a frequently recommended treatment for patients with CR. Purpose: The purpose of this study was to conduct a review and meta-analysis of randomized controlled trials (RCTs) on the effect of CT combined with other physical therapy procedures versus physical therapy procedures alone on pain and disability. Data Sources: Data were obtained from COCHRANE Controlled Trials Register, PubMed, CINAHL, Scopus, ISI Web of Science, and PEDro, from their inception to July 2016...
January 5, 2018: Physical Therapy
https://www.readbyqxmd.com/read/29310380/traumatic-c1-2-posterolateral-dislocation-with-dens-fracture-injury-of-the-transverse-atlantal-ligament-and-unilateral-facet-fracture-with-subluxation-of-c6-7-a-case-report
#2
Jong-Beom Park, Sung Shik Kang, Jin S Yeom
RATIONALE: Traumatic C1-2 dislocation associated with contiguous or noncontiguous cervical spine injury is rare. Moreover, there have been no reports describing traumatic C1-2 dislocation associated with multiple contiguous and noncontiguous cervical injuries. PATIENT CONCERNS: The authors present a case of a 20-year-old male with painful limitation of motion of the neck. This complex cervical injury occurred due to hyperextension of the head in a rotated position...
December 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29259395/cervical-spine-mechanism-for-reproduction-of-the-biomechanical-behaviours-of-the-human-neck-during-rotation-traction-manipulation
#3
Yuancan Huang, Shuai Li, Minshan Feng, Liguo Zhu
Rotation-traction (RT) manipulation is a commonly used physical therapy procedure in TCM (traditional Chinese medicine) for cervical spondylosis. This procedure temporarily separates the C3 and C4 cervical vertebrae from each other when a physician applies a jerky action while the neck is voluntarily turned by the patient to a specific position as instructed by the physician, where the cervical vertebrae are twisted and locked. However, a high rate of cervical injury occurs due to inexperienced physician interns who lack sufficient training...
2017: Applied Bionics and Biomechanics
https://www.readbyqxmd.com/read/29234411/kinematics-analysis-of-cervical-rotation-traction-manipulation-measured-by-a-motion-capture-system
#4
Zhu Liguo, Feng Minshan, Yin Xunlu, Wang Shangquan, Yu Jie
Objectives: To analyze the kinematics of cervical rotation-traction manipulation (CRTM). Methods: An experimental study measuring the kinematics of CRTM was conducted. A total of 18 healthy volunteers participated in the study. A single manipulator operated the CRTM for all subjects. Motion capture technology was adopted to track the trajectory during the CRTM operation. Results: The manipulated side did not influence the cervical spine motion...
2017: Evidence-based Complementary and Alternative Medicine: ECAM
https://www.readbyqxmd.com/read/29229345/comparison-of-outcomes-in-three-surgical-approaches-for-dystrophic-cervical-kyphosis-in-patients-with-neurofibromatosis-type-%C3%A2
#5
Tao Lin, Wei Shao, Ke Zhang, Rui Gao, Xuhui Zhou
OBJECTIVE: This study compares the outcomes of anterior-only (AO), posterior-only (PO), and anteroposterior (AP) surgical approaches for the treatment of dystrophic cervical kyphosis in patients with neurofibromatosis type I (NF1). METHODS: A total of 81 patients with dystrophic cervical kyphosis due to NF1 were included in our retrospective observational study. Length of kyphosis, duration of halo-traction, cobb angle, C2-7-SVA, T1 slope, NDI (Neck Disability Index), and complications after surgery were evaluated before and, if possible, after each surgical approach...
December 8, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29228289/clinical-practice-guideline-for-physical-therapy-assessment-and-treatment-in-patients-with-nonspecific-neck-pain
#6
Jasper D Bier, Wendy G M Scholten-Peeters, J Bart Staal, Jan Pool, Maurits W van Tulder, Emmylou Beekman, Jesper Knoop, Guus Meerhoff, Arianne P Verhagen
The Royal Dutch Society for Physical Therapy (KNGF) issued a clinical practice guideline for physical therapists that addresses the assessment and treatment of patients with nonspecific neck pain, including cervical radiculopathy, in Dutch primary care. Recommendations were based on a review of published systematic reviews.During the intake, the patient is screened for serious pathologies and corresponding patterns. Patients with cervical radiculopathy can be included or excluded through corresponding signs and symptoms and possibly diagnostic tests (Spurling test, traction/distraction test, and Upper Limb Tension Test)...
December 4, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29181341/odontoideum-bone-revealed-by-c1-c2-dislocation-of-the-cervical-spine-during-a-diving-accident
#7
Lassaad Hassini, Mohamed Ali Khalifa, Zeineb Alaya, Mohamed Laaziz Ben Ayeche, Walid Osman, Mourad Mtaoumi
Introduction: Odontoideum bone or the mobile odontoid process is one of the rarest malformations of the cervico-occipital hinge. It exposes to the atlo-axial instability and to the risk of bulbo-medullary compression threatening then the vital and functional prognosis. We report the case of a 16-year-old patient who was the victim of a raod accident resulting in acervical spine injury. Radiological investigation found an odontoideum bone malformation associated with C1C2 dislocation. Case Report: A 16-year-old patient with no medical history had a road accident...
July 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29180561/notalgia-paresthetica-relieved-by-cervical-traction
#8
Rhonda Low, Leah A Swanson, David L Swanson
Notalgia paresthetica is a syndrome of unilateral, chronic pruritis that is associated with burning pain, paresthesia, numbness, and hyperesthesia localized to the medial and inferior scapula. The condition does not respond to anti-inflammatory drugs or traditional antipruritic agents and has variable responses to numerous other reported pharmacologic and nonpharmacologic therapies. Although the etiology is thought to be nerve impingement, neurologic and musculoskeletal causes are often not considered in the differential diagnosis...
November 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29164032/change-in-function-pain-and-quality-of-life-following-structured-nonoperative-treatment-in-patients-with-degenerative-cervical-myelopathy-a-systematic-review
#9
REVIEW
Lindsay A Tetreault, John Rhee, Heidi Prather, Brian K Kwon, Jefferson R Wilson, Allan R Martin, Ian B Andersson, Anna H Dembek, Krystle T Pagarigan, Joseph R Dettori, Michael G Fehlings
Study Design: Systematic review. Objectives: The objective of this study was to conduct a systematic review to determine (1) change in function, pain, and quality of life following structured nonoperative treatment for degenerative cervical myelopathy (DCM); (2) variability of change in function, pain, and quality of life following different types of structured nonoperative treatment; (3) differences in outcomes observed between certain subgroups (eg, baseline severity score, duration of symptoms); and (4) negative outcomes and harms resulting from structured nonoperative treatment...
September 2017: Global Spine Journal
https://www.readbyqxmd.com/read/29145335/clavicle-fracture-associated-with-atlantoaxial-rotatory-displacement-type-ii-in-an-8-year-old-girl-a-case-report
#10
Jacek Karski, Łukasz Matuszewski, Paweł Jakubowski, Klaudia Karska, Grzegorz Kandzierski
RATIONALE: Fracture of the clavicle is a very common injury in children. However, association between clavicle fracture and atlantoaxial rotatory displacement is rarely observed. PATIENT CONCERNS: We present a case of an 8-year-old girl, who suffered a right clavicle fracture as a result of a sledge accident. Six weeks after figure of 8 casting for a right clavicle fracture, an 8-year-old girl was brought to the Pediatric Orthopedic Department due to torticollis...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29145327/current-practice-and-usual-care-of-major-cervical-disorders-in-korea-a-cross-sectional-study-of-korean-health-insurance-review-and-assessment-service-national-patient-sample-data
#11
A Ryeon Choi, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-Riong Kim, Min-Seok Oh, Eun-Jung Lee, Sungchul Kim, Mia Kim, In-Hyuk Ha
Neck pain is a highly common condition and is the 4th major cause of years lived with disability. Previous literature has focused on the effect of specific treatments, and observations of actual practice are lacking to date. This study examined Korean health insurance review and assessment service (HIRA) claims data to the aim of assessing prevalence and comparing current medical practice and costs of cervical disorders in Korea.Current practice trends were determined through assessment of prevalence, total expenses, per-patient expense, average days in care, average days of visits, sociodemographic characteristics, distribution of medical costs, and frequency of treatment types of high frequency cervical disorders (cervical sprain/strain, cervical intervertebral disc displacement [IDD], and cervicalgia)...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29105476/-clinical-observation-of-the-proprioceptive-sensibility-reflexotherapy-by-tendon-acupuncture-at-trigger-points-for-cervical-vertigo
#12
Fen-Fen Yao, Jun Luo, Jiao Liu, Wen-Yao Fang, Chen-Yu Zhang, Sheng Zhang, Yu-Lin Mao, Zhen Yuan, Kai Wang
OBJECTIVE: To evaluate the efficacy of the proprioceptive sensibility reflexotherapy by tendon acupuncture needling at trigger points for patients with proprioceptive disorder of cervical vertigo. METHODS: Seventy-nine patients with proprioceptive disorder of cervical vertigo were randomly assigned into a treatment group (42 cases) and a control group (37 cases). Patients in the treatment group received the proprioceptive sensibility reflexotherapy with tendon acupuncture at trigger points in the neck...
October 25, 2017: Zhen Ci Yan Jiu, Acupuncture Research
https://www.readbyqxmd.com/read/29072015/-clinical-trials-for-thyroidectomy-under-acupuncture-aided-anesthesia-by-using-electroacupuncture-or-transcutaneous-acupoint-electrical-stimulation-of-different-acupoints
#13
Yin-Qiu Gao, Qing Jia, Shen Xie, Li-Wei Yin, Ji-Xiu Xue, Li-Hua Kou, Bing Xue, Jun-Ling Liu, Jin-Hua Shi
OBJECTIVE: To observe the effectiveness of transcutaneous acupoint electrical stimulation (TAES) or electroacupuncture (EA) stimulation of different acupoints in combination with anesthetics in the management of thyroidectomy patients, so as to choose a better stimulating method and most effective acupoints for thyroidectomy. METHODS: A total of 216 thyroidectomy patients (ASA Ⅰ-Ⅱ grades) with thyroid gland adenoma, thyroid cyst or thyroid nodules from 3 hospitals (3 research centers) were randomized into 6 groups, i...
August 25, 2017: Zhen Ci Yan Jiu, Acupuncture Research
https://www.readbyqxmd.com/read/29057361/hypoglossal-nerve-paresis-secondary-to-anterior-approach-of-upper-cervical-spine-followed-by-spontaneous-recovery
#14
Antonio José Vargas López, Laín Hermes González Quarante, Oscar Lucas Gil de Sagredo Del Corral, Antonio Montalvo Afonso, Carlos Fernández Carballal
We describe an exceptional complication of cervical spine surgery in a 63-year-old male. He suffered the impact of a beam to the top of his head. During evaluation in the emergency room he reported intense neck pain with no other neurological symptoms or findings on physical examination. Spine computed tomography (CT) showed C3 vertebral body fracture that required surgical stabilization. A right side anterior approach to upper cervical spine with C3 corpectomy and placement of iliac bone autograft was performed...
September 2017: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29046175/risk-factors-for-cervical-pain-in-f-15c-pilots
#15
Eric M Chumbley, Adrienne Stolfi, James C McEachen
INTRODUCTION: Many fighter pilots report cervical pain during their careers. Etiology likely relates to +Gz exposure, physical positioning with maneuvers, and varying load associated with headgear. We evaluated whether selected risk factors predicted cervical pain in this population. METHODS: An Institutional Review Board-approved, Health Insurance Portability and Accountability Act-compliant, controlled crossover study of the use of home cervical traction was undertaken with 20 male F-15C pilots...
November 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28988275/risk-factors-and-preventative-measures-of-early-and-persistent-dysphagia-after-anterior-cervical-spine-surgery-a-systematic-review
#16
REVIEW
Jingwei Liu, Yong Hai, Nan Kang, Xiaolong Chen, Yangpu Zhang
PURPOSE: To conduct a systematic review of literature to determine risk factors and preventative measures of early and persistent dysphagia after anterior cervical spine surgery (ACSS). METHODS: On March 2017, we searched the database PubMed, Medline, EMBASE, the Cochrane library, Clinical key, Springer link and Wiley Online Library without time restriction using the term 'dysphagia', 'swallowing disorders', and 'anterior cervical spine surgery'. Selected papers were examined for the level of evidence by published guidelines as level I, level II, level III, level IV studies...
October 7, 2017: European Spine Journal
https://www.readbyqxmd.com/read/28960819/circumferential-reconstruction-of-subaxial-cervical-and-cervicothoracic-spine-by-simultaneously-combined-anterior-posterior-approaches-in-the-sitting-position
#17
Yue Han, Xin-Long Ma, Yong-Cheng Hu, Jun Miao, Ji-Dong Zhang, Jian-Qiang Bai, Qun Xia
OBJECTIVE: To introduce and analyze the feasibility of a new surgical strategy for circumferential reconstruction of subaxial cervical and cervicothoracic spine by simultaneously combined anterior-posterior approach in the sitting position. METHODS: A retrospective review was performed for seven patients who underwent the above surgical procedure between July 2011 and January 2015. Among the seven patients, there were six men and one woman, with an average age of 52 years (range, 36-79 years)...
August 2017: Orthopaedic Surgery
https://www.readbyqxmd.com/read/28960655/urgent-closed-reduction-of-the-dislocated-cervical-spine-in-new-zealand
#18
Richard N Storey, Raj Singhal, Tom Inglis, David Kieser, Rowan Schouten
BACKGROUND: Emergent decompression, either by closed reduction or surgical decompression, of the acutely compressed cervical spinal cord is recognized as important in minimizing the neurological outcomes of these injuries. The aim of this study is to optimize New Zealand's capability to perform closed reductions. METHODS: Regional hospitals throughout New Zealand were surveyed on their capability to reduce acute cervical spine dislocations using traction. A systematic literature review was performed to investigate aspects of patient selection, reduction technique and the outcomes achieved with closed reduction of such injuries...
September 28, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28939933/cellular-mechanics-of-primary-human-cervical-fibroblasts-influence-of-progesterone-and-a-pro-inflammatory-cytokine
#19
Vasudha Shukla, Victoria Barnhouse, William E Ackerman, Taryn L Summerfield, Heather M Powell, Jennifer L Leight, Douglas A Kniss, Samir N Ghadiali
The leading cause of neonatal mortality, pre-term birth, is often caused by pre-mature ripening/opening of the uterine cervix. Although cervical fibroblasts play an important role in modulating the cervix's extracellular matrix (ECM) and mechanical properties, it is not known how hormones, i.e., progesterone, and pro-inflammatory insults alter fibroblast mechanics, fibroblast-ECM interactions and the resulting changes in tissue mechanics. Here we investigate how progesterone and a pro-inflammatory cytokine, IL-1β, alter the biomechanical properties of human cervical fibroblasts and the fibroblast-ECM interactions that govern tissue-scale mechanics...
September 22, 2017: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/28878485/non-surgical-relief-of-cervical-radiculopathy-through-reduction-of-forward-head-posture-and-restoration-of-cervical-lordosis-a-case-report
#20
Bret M Wickstrom, Paul A Oakley, Deed E Harrison
[Purpose] To present a case demonstrating the relief of cervical radiculopathy following the dramatic reduction of forward head posture and restoration of the cervical lordosis by use of a multi-modal rehabilitation program incorporating cervical extension traction. [Subject and Methods] A 31-year-old male patient presented with severe cervical radiculopathy and muscle weakness as well as neck pain. The patient had limited neck range of motion, and multiple positive orthopedic tests. Radiography revealed excessive forward head posture with a cervical kyphosis...
August 2017: Journal of Physical Therapy Science
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