Research Article
Personalized, 3-Dimensional, Computerized Mobilization of the Cervical Spine for the Treatment of Chronic Neck Pain - A Pilot Study
Yaron River1* and Shelly Aharony2
1Department of Neurology, Hillel Yaffe Medical Center, Hadera, Israel
2Department of Physical Therapy, Hillel Yaffe Medical Center, Hadera, Israel
- *Corresponding Author:
- Yaron River
Department of Neurology, Hillel Yaffe Medical Center
P.O Box 169, Hadera 38100, Israel
Tel: +972-52-375-6446
Fax: +972-4-630-4427
E-mail: yaronr@hy.health.gov.il
Received date: July 29, 2017; Accepted date: August 28, 2017; Published date: August 30, 2017
Citation: River Y, Aharony S (2017) Personalized, 3-Dimensional, Computerized Mobilization of the Cervical Spine for the Treatment of Chronic Neck Pain - A Pilot Study. J Pain Relief 6:300. doi:10.4172/2167-0846.1000300
Copyright: © 2017 River Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background: Previous studies have shown that computerized mobilization of the cervical spine (CMCS) is safe and potentially effective treatment for chronic neck pain (CNP).
Objective: The investigation of safety, clinical outcome, and changes of specific physiological parameters, in CNP patients, treated with individualized, 3-dimensional CMCS.
Participants: Nine patients with CNP.
Interventions: A cradle capable of CMCS was utilized. Each participant underwent individualized treatment sessions, lasting 20 min each, carried out biweekly over 6 weeks.
Main Outcome Measurements: Pain visual analog scale (VAS), disability index (NDI), pressure pain thresholds (PPT), cervical range of motion (CROM), joint position error (JPE), forward neck tilt (FNT), and flexion relaxation ratio (FRR).
Results: Minor side effects encountered during the study. Comparing baseline measurements with measurements after treatment completion: VAS scores dropped by 2.3 points (p=0.04). NDI improved, but this improvement was not significant (p=0.086). CROM increased, on the average, by 11% but this increase was insignificant (p=0.061). JPE decreased from 2.88° to 1.14° (p<0.01). PPT increased from 1.27 kg/cm2 to 2.44 kg/cm2 (p=0.043). FNT insignificantly decreased from 20.36 cm to 19.02 cm (p=0.104). Left-sided FRR significantly increased (p=0.017).
Conclusions: This study provides preliminary evidence that suggest that personalized, 3-dimensional, CMCS is a safe treatment. This novel treatment may positively change cervical neuromuscular control, and the processing of proprioceptive and nociceptive information.
