The Addition Of Bilateral Neurodynamics In Ultrasound Therapy And Manual Traction Intervention In Cervical Radiculopathy

Made Hendra Satria Nugraha, Gede Parta Kinandana
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Abstract

Background: Cervical radiculopathy is a condition that characterized by pain and/or sensorimotor deficits caused by compression of one or more cervical nerve roots. The aim of this case series is to serve as a preliminary study to determine the effectiveness of adding bilateral neurodynamics to the intervention of ultrasound therapy and manual traction in cervical radiculopathy. Methods: The research writing method used CARE (CAseREport) guidelines, which consisted of: introduction, patient information, clinical findings, timeline, diagnostic assessment, therapeutic intervention, follow-up and outcome, and discussion. The measuring instrument used in this study was the Visual Analogue Scale (VAS) in assessing tension pain when given neurodynamics and neck disabilities using the Indonesian version of the Neck Disability Index (NDI). The intervention was carried out 12 times (3 times a week for 4 weeks) and a follow-up was done at week 5. Results: The results showed that there was an improvement in the score of neck pain and disability in the 2 patients both at post-test and at follow-up. Conclusion: Based on these findings, it can be concluded that the application of additional bilateral neurodynamics in the intervention of ultrasound therapy and manual traction can help reduce pain and improve neck disability.
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双侧神经动力学在颈椎病超声治疗和手动牵引干预中的应用
背景:颈神经根病是一种以压迫一个或多个颈神经根引起疼痛和/或感觉运动障碍为特征的疾病。本病例系列的目的是作为一项初步研究,以确定在超声治疗和手动牵引的干预下增加双侧神经动力学对颈椎神经根病的有效性。方法:研究写作采用CARE (CAseREport)指南,内容包括:引言、患者信息、临床表现、时间线、诊断评估、治疗干预、随访与结局、讨论。本研究中使用的测量工具是视觉模拟量表(VAS),在给定神经动力学和颈部残疾时,使用印度尼西亚版的颈部残疾指数(NDI)来评估紧张性疼痛。干预12次(每周3次,共4周),第5周随访。结果:2例患者术后及随访时颈部疼痛及失能评分均有改善。结论:在超声治疗和手动牵引的干预下,应用额外的双侧神经动力学可以减轻疼痛,改善颈部功能障碍。
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