الشد من وضع الاستلقاء علي البطن مقابل الظهر في علاج بروز الغضروف العنقي
ملخص البحث
Abstract
Background. Disc bulge could lead to compression on adjacent nerve root causing neurological deicits. The purpose of
this study is to compare between the effect of prone traction versus supine traction on the neck function and on the size
of disc bulge in patients with cervical disc bulge.
Methods. Randomized controlled clinical trial design, 45 patients diagnosed with cervical disc bulge at C5‑C6 and /or C6‑
C7 levels, their ages ranged from 40 to 50 years and were randomly distributed into three equal groups (A, B and C), the
three groups received conventional physical therapy for cervical disc bulge, for (group B) traction from prone position
was added and for (group C) traction from supine position was added. All participants received 3 sessions per week for
one month. The assessment done before and after one month of treatment using neck disability index for neck function
disability while size of disc bulge was assessed by using magnetic resonance image.
Results. A statistical signiicant decrease in the neck disability index scores of the three groups post treatment in
comparison with that of pretreatment with high statistical signiicant decrease in the scores of group B and C post
treatment in comparison with that of group A, while there was no statistical signiicant difference between group B and
C in post treatment scores. There were no statistical signiicant differences between the post treatment measures in
comparison with that of the pretreatment for the three groups regarding disc bulge size.
Conclusions. Adding cervical traction to the conventional physical therapy program for cervical disc bulge at C5‑6 and /
or C6‑7 levels can yield more increase in the neck function compared with conventional physical therapy only, while the
position of the patient during traction has no effect on the outcome measures.
Key words:
Traction, Cervical disc, Neck disability index
الكلمات المفتاحيه
الغضروف العنقي الشد مؤشر العجز للرقبة