CERVICAL TRACTION ANGLES IN CERVICAL RADICULOPATHY. SYSTEMATIC REVIEW

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Elhafez H.M.1, Anees Y.1, Elzoqm R.H.2
1Cairo University, Faculty of Physical Therapy, Basic Science Department, Giza, Egypt, 2Ashmonn Hospital, Physical Therapy, Menofyia, Egypt

Background: Cervical traction has been considered as a therapy of choice for patients with cervical radiculopathy. Traction angle is one of variables that affect traction outcome.

Purpose: The objective of this study is to determine the most effective cervical traction angle in treatment of patients with cervical radiculopathy.

Methods: Detailed searching the electronic data base from the year 2004 up to 2015 was conducted and only randomized controlled trial (RCT) studying the effect of cervical traction angle on patient with cervical radiculopathy and where the inclusion criteria are applicable were selected. After exclusion the invalid studies only six trials were included in the review. Assessment of methodological quality of the studies was performed using PEDro scale and the data was extracted from them. According to PEDro scale two trials was of high quality scoring 8/10 while the remaining studies scoring 6/10,5/10,4/10 and 2/10.

Results: Meta-analysis was performed to pool together the results of the studies. Cervical traction angle 15 degree flexion was found statically significant on pain, parasthesia and other symptoms on patient with cervical radiculopathy.

Conclusion(s): Cervical traction angle 15 degree flexion has a good efficacy on reducing pain, increase range of motion and decrease functional disability.

Implications: Use of this angle as primary choice in traction of cervical radiculopathy.

Funding acknowledgements: No funds

Topic: Musculoskeletal: spine

Ethics approval: Ethical approval number is ERC7723S49


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