Efficacy of EMG Biofeedback Cervical Traction on Patients with Unilateral Cervical Radiculopathy

Authors

  • Moataz M. El Semary Assistant Professor of Physical Therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Cairo University, Egypt & Associate Professor, College of Applied Medical Sciences, Jouf University, KSA. Author
  • Mahmoud Y. Elzanaty Lecturer of Physical Therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Cairo University and Deraya University, Egypt. Author
  • Dina O. Galal Lecturer of Physical Therapy for Musculoskeletal Disorders & its Surgery, Faculty of Physical Therapy, Badr University, Cairo, Egypt. Author
  • Hager R. El-Serougy Lecturer of Physical Therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Misr University for Science and Technology- Egypt. Author
  • Shaima M. Abdelmageed Lecturer of Physical Therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Misr University for Science and Technology- Egypt. Author
  • Shreen I. Taha Lecturer of Physical Therapy for Neuromuscular Disorders & its Surgery, Faculty of Physical Therapy, Beni-Suef University, Egypt. Author

DOI:

https://doi.org/10.61841/mzp4h993

Keywords:

EMG Biofeedback, Cervical Traction, Cervical Radiculopathy

Abstract

Background: Cervical radiculopathy (CR) is frequently encountered by physical therapists, so EMG effects biofeedback cervical traction on myoelectric activity of Paraspinal cervical muscles that can give better effect on neck pain and cervical ranges of movements.

Objective: This study aimed to assess efficacy of cervical traction maneuver with and without EMG biofeedback for neck muscle where C5 CR.

Subjects and methods: thirty male have CR secondary to C5- C6 cervical disc herniation, picked by convenience sampling and Fifteen allocated randomly to cervical traction maneuver with EMG biofeedback (Group A); and fifteen patients to conventional traction (Group B). Exercised for intermittently for 20 min. with 10 seconds pull and 5 seconds rest cycle. Angle of pull adjusted at 25˚ from vertical plane, at 2 /week for 45 days. and the traction force was adjusted at one fourth of body weight during pull and one eighth during rest.

Results: reducing of myoelectric activities were identified throughout traction pull phase and later in cervical muscle tension, during the six-weeks course especially in people use EMG biofeedback traction modality and also in VAS & cervical movements.

Conclusion: EMG biofeedback in comparison with cervical traction training can lessen muscle tension effectively resulting in more pain inhibition and grants more range of cervical movements.

 

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References

[1] Carette S, Fehlings MG. Clinical practice. Cervical radiculopathy. NEng. J Med., 2005;353:392–9.

[2] Woods BI, Hilibrand AS. Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment. J Spinal Disord. Tech. 2015;28: E251–9.

[3] Caridi JM, Pumberger M, Hughes AP. Cervical radiculopathy: a review. HSS J 2011; 7:265 72.

[4] Yoon SH. Cervical radiculopathy. Phys Med Rehabil Clin N Am 2011; 22:439–46.

[5] Moustafa IM, Diab AA. Multimodal treatment program comparing two different traction approaches for patients with discogenic cervical radiculopathy: a randomized controlled trial. J Chiropr Med 2014; 13:157– 67.

[6] Daffner S, Hilibrand A, Hanscom B, Brislin B, Vaccaro A, Albert T. Impact of neck and arm pain on overall health status. Spine 2003; 28:2030–2035.

[7] M.Y. lee, M. K. Wong, F.T. Tang, W.H. Chang and Y.L. Chen. Cervical Traction Using EMG Biofeedback. ieee engineering in medicine and biology 1996; 83-87.

[8] Carol A. Bodian, Gordon Freedman, Sabera Hossain, James B. Eisenkraft, Yaakov Beilin; The Visual Analog Scale for Pain: Clinical Significance in Postoperative Patients. Anesthesiology 2001;95(6):1356-1361.

[9] Hseuh TC, Ju MS, Chou YL. J Formos Med Assoc. 1991;90(12):1234-1239.

[10] Jette DU, Flake JE, Trombly C. Effect of intermittent supine cervical traction on the myoelectric activity of the upper trapezius muscles in subjects with neck pain. Phys Ther 1995; 65: 1173-1176.

[11] Harris PR. Cervical traction: review of literature and treatment guideline. Phys Ther 1997; 57: 910-914.

[12] Kang MS, Hwang JH, Ahn JS. An evaluation of contrast dispersal pattern on preganglionic epidural injection through trans-lateral recess approach in patients with lumbosacral radiculopathy. Eur Spine J. 2019 Nov;28(11):2535-2542.

[13] Colachis SC, Strohm BR. Relationship of time to varied traction force with constant angle of pull. Arch Phys Med Rehabil 1996; 47: 353-359.

[14] Hardin J. Pain and the cervical spine. Bull Rheum Dis 2001; 50: 1-4.

[15] Moeti, P., & Marchetti, G. Clinical outcome from mechanical intermittent cervical traction for the treatment of cervical radiculopathy: a case series. Journal of Orthopaedic & Sports Physical Therapy, 2001; 31(4), 207- 213.

[16] Savva, C., Giakas, G., Efstathiou, M., Karagiannis, C., & Mamais, I. Effectiveness of neural mobilization with intermittent cervical traction in the management of cervical radiculopathy: A randomized controlled trial. International Journal of Osteopathic Medicine, 2016.

[17] Joghataei, M. T., Arab, A. M., & Khaksar, H. The effect of cervical traction combined with conventional therapy on grip strength on patients with cervical radiculopathy. Clinical rehabilitation, 2004; 18(8), 879-887.

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Published

30.06.2020

Issue

Vol. 24 No. 6 (2020): 24 (6) 2020

Section

Articles

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How to Cite

Semary, M. M. E., Elzanaty, M. Y., Galal, D. O., El-Serougy, H. R. ., Abdelmageed, S. M. ., & Taha, S. I. . (2020). Efficacy of EMG Biofeedback Cervical Traction on Patients with Unilateral Cervical Radiculopathy. International Journal of Psychosocial Rehabilitation, 24(6), 17746-17754. https://doi.org/10.61841/mzp4h993