26. THE EFFECTIVENESS OF IMPROVING CERVICAL SPINE RANGE OF MOTION USING LASER ACUPUNCTURE COMBINED WITH EXERCISE THERAPY IN PATIENTS WITH CERVICAL SPONDYLOSIS

Tran Dieu Hoang1, Nguyen Thai Duong1,2, Nguyen Thi Nhu Thuy1, Ly Chung Huy1,2
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Le Van Thinh Hospital

Main Article Content

Abstract

Objective: To evaluate the effectiveness of improving cervical spine range of motion (ROM) using laser acupuncture combined with exercise therapy in patients with cervical spondylosis.


Subjects and Methods: The study was conducted on 30 patients diagnosed with cervical spondylosis (CS). All patients received laser acupuncture and exercise therapy for 4 weeks. The effectiveness was evaluated before and after treatment through cervical spine ROM.


Results: After 4 weeks of treatment, cervical spine ROM improved in all 6 movements. The overall cervical spine motion limitation score decreased by 8 points, from 12 points to 4 points (p < 0.05). The distribution of motion limitation levels changed, with moderate limitation dropping from 70% to 13.33%, severe restriction from 10% to 0%, and an increase in the number of patients with mild or no limitations to 60% and 26.67%, respectively.


Conclusion: The combination of laser acupuncture and exercise therapy in the treatment of cervical spondylosis effectively improves cervical spine ROM in patients.

Article Details

References

[1] Ministry of Health. Guidelines for the diagnosis and treatment of musculoskeletal diseases. Hanoi: Medical Publishing House; 2016. p. 145-148.
[2] Hurwitz EL, Randhawa K, Yu H, Côté P, Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. European Spine Journal. 2018;27:796-801.
[3] Shin DW, Shin JI, Koyanagi A, Jacob L, Smith L, Lee H, et al. Global, regional, and national neck pain burden in the general population, 1990-2019: An analysis of the global burden of disease study 2019. Front Neurol. 2022;13:955367.
[4] Hirpara KM, Butler JS, Dolan RT, O'Byrne JM, Poynton AR. Nonoperative modalities to treat symptomatic cervical spondylosis. Advances in orthopedics. 2012;2012.
[5] Chon TY, Mallory MJ, Yang J, Bublitz SE, Do A, Dorsher PT. Laser acupuncture: a concise review. Medical acupuncture. 2019;31(3):164-168.
[6] Bertozzi L, Gardenghi I, Turoni F, Villafañe JH, Capra F, Guccione AA, et al. Effect of therapeutic exercise on pain and disability in the management of chronic nonspecific neck pain: systematic review and meta-analysis of randomized trials. Physical therapy. 2013;93(8):1026-1036.
[7] Lou C, Chen H, Feng X, Xiang G, Zhu S, Tian N, et al. Menopause is associated with lumbar disc degeneration: a review of 4230 intervertebral discs. Climacteric. 2014;17(6):700-704.
[8] Ho Huu Luong. Cervical spondylosis and herniated disc: Medical Publishing House; 2018.
[9] Roche GC, Murphy DJ, Berry TS, Shanks S. Low-level laser therapy for the treatment of chronic neck and shoulder pain. Functional Neurology, Rehabilitation, and Ergonomics.
2016;6(2):97.
[10] Tehrani MR, Nazary-Moghadam S, Zeinalzadeh A, Moradi A, Mehrad-Majd H, Sahebalam M. Efficacy of low-level laser therapy on pain, disability, pressure pain threshold, and range of motion in patients with myofascial neck pain syndrome: a systematic review and meta-analysis of randomized controlled trials. Lasers in Medical Science. 2022;37(9):3333-3341.
[11] O'Riordan C, Clifford A, Van De Ven P, Nelson J. Chronic neck pain and exercise interventions: frequency, intensity, time, and type principle. Archives of physical medicine and rehabilitation. 2014;95(4):770-783.