Cervical stability training with and without core stability training for patients with cervical disc herniation: A randomized, single‐blind study

Büyükturan, Buket; Güçlü-Gündüz, Arzu; Büyükturan, Öznur; Dadali, Yeliz; Bilgin, Sevil; Kurt, Emine Eda

doi:10.1002/ejp.1073

Cited by 22 publications

(20 citation statements)

References 27 publications

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“…Physical exercise can improve the strength of paraspinal muscles, provide support for the spine, and contribute to the proliferation of IVD cells. Buyukturan et al 30 conducted a randomized controlled trial that revealed that exercise can relieve pain and enhance muscle endurance. Transcutaneous Electrical Nerve Stimulation can also relieve pain according to two trials 31,32 ; however, it does not show any advantages compared with the exercise therapy.…”

Section: Non-drug Therapymentioning

confidence: 99%

Treatment of Intervertebral Disc Degeneration

Xin

Wang

Zheng

et al. 2022

Orthopaedic Surgery

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Intervertebral disc degeneration (IDD) causes a variety of signs and symptoms, such as low back pain (LBP), intervertebral disc herniation, and spinal stenosis, which contribute to high social and economic costs. IDD results from many factors, including genetic factors, aging, mechanical injury, malnutrition, and so on. The pathological changes of IDD are mainly composed of the senescence and apoptosis of nucleus pulposus cells (NPCs), the progressive degeneration of extracellular matrix (ECM), the fibrosis of annulus fibrosus (AF), and the inflammatory response. At present, IDD can be treated by conservative treatment and surgical treatment based on patients' symptoms. However, all of these can only release the pain but cannot reverse IDD and reconstruct the mechanical function of the spine. The latest research is moving towards the field of biotherapy. Mesenchymal stem cells (MSCs) are regard as the potential therapy of IDD because of their ability to self-renew and differentiate into a variety of tissues. Moreover, the non-coding RNAs (ncRNAs) are found to regulate many vital processes in IDD. There have been many successes in the in vitro and animal studies of using biotherapy to treat IDD, but how to transform the experimental data to real therapy which can apply to humans is still a challenge. This article mainly reviews the treatment strategies and research progress of IDD and indicates that there are many problems that need to be solved if the new biotherapy is to be applied to clinical treatment of IDD. This will provide reference and guidance for clinical treatment and research direction of IDD.

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Section: Non-drug Therapymentioning

confidence: 99%

Treatment of Intervertebral Disc Degeneration

Xin

Wang

Zheng

et al. 2022

Orthopaedic Surgery

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“…The first exercise, sling exercise, was conducted in 30-min sessions per week based on Neurac's treatment method. Exercise methods included core cervical spine flexor strengthening (Buyukturan et al, 2017), scapula retractor strengthening (Fennell et al, 2016), and scapular protractor strengthening (Cools et al, 2005). Based on Kendall exercise method, this also was performed in 30-min sessions per week for 16 weeks.…”

Section: Core Balance Training Programmentioning

confidence: 99%

Effects of core balance training on Cobb angle, isokinetic torque, and balance in unilateral handed athletes

2020

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This study aimed to provide fundamental data of core balance training (CBT) on Cobb angle and isokinetic torque and balance in unilateral exercised athletes. Forty-eight subjects were divided by control group (CON; n= 16), non-CBT exercised group in unilateral handed athletes (NEG, n= 16), and CBT exercised group in unilateral handed athletes (EG, n= 16), respectively. Although the group by time interaction in the Cobb angle and in the isokinetic torque were not significantly changed in the EG, the balance of the EG showed significantly improved. As conclusions, these results informed that the 16-week CBT would provide a positive effect on the balance except for the Cobb angle and the isokinetic torque.

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“…Due to aging, lack of neck muscle exercise, and chronic abnormal use of the cervical spine, cervical degeneration diseases have become a common problem in the middle-aged and elderly population ( Buyukturan et al, 2017 ; Wada et al, 2018 ; Kumagai et al, 2019 ; Tamai et al, 2019 ). Anterior cervical discectomy and fusion (ACDF) has become the standard clinical procedure for the treatment of cervical myelopathy and radiculopathy, which can directly remove the compression of intervertebral discs, posterior longitudinal ligaments, and osteophytes on the spinal cord to relieve the symptoms of nerve compression ( Zhu et al, 2013 ; Findlay et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Biomechanical Analysis of the Reasonable Cervical Range of Motion to Prevent Non-Fusion Segmental Degeneration After Single-Level ACDF

Liang

Han

Hai

et al. 2022

Front. Bioeng. Biotechnol.

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The compensatory increase in intervertebral range of motion (ROM) after cervical fusion can increase facet joint force (FJF) and intradiscal pressure (IDP) in non-fusion segments. Guiding the post-ACDF patient cervical exercise within a specific ROM (defined as reasonable ROM) to offset the increase in FJF and IDP may help prevent segmental degeneration. This study aimed to determine the reasonable total C0–C7 ROM without an increase in FJF and IDP in non-fusion segments after anterior cervical discectomy and fusion (ACDF). A three-dimensional intact finite element model of C0–C7 generated healthy cervical conditions. This was modified to the ACDF model by simulating the actual surgery at C5–C6. A 1.0 Nm moment and 73.6 N follower load were applied to the intact model to determine the ROMs. A displacement load was applied to the ACDF model under the same follower load, resulting in a total C0–C7 ROM similar to that of the intact model. The reasonable ROMs in the ACDF model were calculated using the fitting function. The results indicated that the intervertebral ROM of all non-fusion levels was increased in the ACDF model in all motion directions. The compensatory increase in ROM in adjacent segments (C4/5 and C6/7) was more significant than that in non-adjacent segments, except for C3/4 during lateral bending. The intervertebral FJF and IDP of C0–C7 increased with increasing ROM. The reasonable ROMs in the ACDF model were 42.4°, 52.6°, 28.4°, and 42.25° in flexion, extension, lateral bending, and axial rotation, respectively, with a decreased ROM of 4.4–7.2%. The postoperative increase in FJF and IDP in non-fusion segments can be canceled out by reducing the intervertebral ROM within reasonable ROMs. This study provided a new method to estimate the reasonable ROMs after ACDF from a biomechanical perspective, and further in vitro and clinical studies are needed to confirm this.

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Cervical stability training with and without core stability training for patients with cervical disc herniation: A randomized, single‐blind study

Abstract: Both cervical stability training and its combination with core stability training were significantly and similarly effective on neck pain and neck muscle endurance in patients with cervical disc herniation.

Cited by 22 publications

References 27 publications

Treatment of Intervertebral Disc Degeneration

Treatment of Intervertebral Disc Degeneration

Effects of core balance training on Cobb angle, isokinetic torque, and balance in unilateral handed athletes

Biomechanical Analysis of the Reasonable Cervical Range of Motion to Prevent Non-Fusion Segmental Degeneration After Single-Level ACDF

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