Effect of Biofeedback Corrective Exercise on Reaction Time and Central Somatosensory Conduction Time in Patients With Forward Head Posture and Radiculopathy: A Randomized Controlled Study

Mohamed, Ayman A.; Jan, Yih‐Kuen; Raoof, Neveen A. Abdel; Kattabei, Omaima; Moustafa, Ibrahim M.; Hosny, Hanan

doi:10.1016/j.jcm.2022.01.001

Cited by 6 publications

(15 citation statements)

References 57 publications

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“…Of the 68 studies, 54 included at least two categories (clinical symptoms, clinical examination tests, and/or imaging),13–73 with 12 studies including participants based on clinical symptoms alone74–85 and two including participants based on clinical examination findings alone 86,87. Twenty-six trials required clinical symptoms in addition to positive clinical examination tests,17–19,25,27,29,30,33,42,43,45–47,51,52,54,56,59,60,62,63,65,67,68,70–72,88 six trials required clinical symptoms in addition to imaging,14,15,24,35,41,53,61,73 two required physical examination findings in addition to imaging,39,48 and 20 required clinical symptoms in addition to positive clinical examination tests and imaging 13,16,20–23,28,31,32,34,36–38,40,44,49,50,55,57,58,64,66,69…”

Section: Resultsmentioning

confidence: 99%

“…Of the 68 distinct trials, 50 required at least one positive clinical examination test for participant inclusion 13,16–23,25–34,36–40,42–52,54–60,62–72,86–89. Sixteen trials included the Wainner cluster of tests (Spurling, ULTT, cervical distraction test, cervical ROM<60°), with 12 requiring three out of four positive tests,26,43,46,56,58–60,62,63,65,68,71 while four trials required all four to be positive 27,49,50,88.…”

Section: Resultsmentioning

confidence: 99%

“…Forty-five trials included red flag conditions as exclusion criteria such as previous trauma, infection, and malignancy,13–16,25,27–31,33,35–37,41,42,44,47–52,54–57,59,60,62,63,65,67–71,73–75,78,81,83,84,88 27 excluded participants who underwent previous cervical spine surgery,13–19,24,25,27,30–33,39,41,44,46,47,49,50,53,60,62,63,65,67–70,78,88 and three excluded participants who had an indication for surgery (ineffective nonsurgical treatment for three to six months, relapse of severe symptoms that impacted daily life, or progressive and severe neurological deficits) 38,53,79. Twelve trials excluded participants who had bilateral upper extremity symptoms27,28,46,50,58–60,62,63,65,86,88 and 40 trials excluded participants who had signs of cervical myelopathy/stenosis 13–18,20–24,27,28,30–36,38,40,45,46,48,49,54–59,62,63,65,67–70,76,78,81,82,84–86,88. Excluding participants with cervical myelopathy is important due to the severity and distinct patient symptoms that are experienced with this condition in comparison to CR 90…”

Section: Resultsmentioning

confidence: 99%

“…Of the 68 distinct trials, 50 required at least one positive clinical examination test for participant inclusion. 13,[16][17][18][19][20][21][22][23][25][26][27][28][29][30][31][32][33][34][36][37][38][39][40][42][43][44][45][46][47][48][49][50][51][52][54][55][56][57][58][59][60][62][63][64][65][66][67][68][69][70]…”

Section: Clinical Examination Testsmentioning

confidence: 99%

“…32,38,39,66,87 Thirteen trials required two or more individual physical examination tests, 29,31,36,37,42,47,51,52,54,55,57,72,86 and nine included a neurological examination in addition to one or more positive physical examination test(s). [17][18][19]28,33,[44][45][46]49,50,68 Nine trials required only one individual clinical examination maneuver to be positive with two trials including a positive Spurling test, 13,16,40 five requiring a positive neurological examination, [20][21][22][23]48,64,69,70 three requiring a positive ULTT 25,30,67 and one requiring a positive shoulder abduction test. 34 In addition to the trials that included cervical ROM limitations as part of the Wainner cluster of tests, nine trials included neck movements that were restricted and/or elicited pain.…”

Section: Clinical Examination Testsmentioning

confidence: 99%

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Eligibility Criteria of Participants in Randomized Controlled Trials Assessing Conservative Management of Cervical Radiculopathy: A Systematic Review

Plener

Silva-Oolup

et al. 2022

Spine

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Study Design. Systematic review. Objective. The aim of this study was to evaluate the inclusion and exclusion criteria for participants in randomized control trials (RCTs) assessing conservative management for cervical radiculopathy (CR), to determine if any consensus exists within the literature. Summary of Background Data. A 2012 systematic review identified a lack of uniformity for the eligibility criteria of participants in RCTs evaluating conservative interventions for CR. Since then, a large number of RCTs have been published, signaling the need for an updated evaluation of this topic. Materials and Methods. We electronically searched MEDLINE, CENTRAL, CINAHL, Embase, and PsycINFO from inception to June 15, 2022, to identify RCTs assessing conservative management of CR. Information extracted was analyzed to determine the level of homogeneity and/or heterogeneity of the inclusion and exclusion criteria across studies. Results. Seventy-six RCTs met our inclusion criteria with 68 distinct trials identified. The inclusion of arm pain with or without another symptom (i.e. numbness, paresthesia, or weakness) was required in 69.12% of trials, 50% of trials required participants to exhibit neck symptoms, and 73.53% of studies required some form of clinical examination findings, but inconsistencies existed for the number and type of tests used. Furthermore, 41.18% of trials included imaging, with 33.82% of trials requiring magnetic resonance imaging findings. The most common exclusion criteria included were the presence of red flags and cervical myelopathy in 66.18% and 58.82% of trials, respectively. Conclusions. Overall, there is still a lack of uniformity for the inclusion/exclusion criteria of trials assessing the conservative management of CR, with some improvements noted compared with the 2012 review. Based on the current literature assessing the diagnostic utility of clinical symptoms and confirmatory tests, we proposed inclusion criteria for trials assessing conservative interventions. Future research should aim to develop standardized classification criteria to improve consistency among studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Clinical Examination Testsmentioning

confidence: 99%

Section: Clinical Examination Testsmentioning

confidence: 99%

See 3 more Smart Citations

Eligibility Criteria of Participants in Randomized Controlled Trials Assessing Conservative Management of Cervical Radiculopathy: A Systematic Review

Plener

Silva-Oolup

et al. 2022

Spine

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Conservative Management of Cervical Radiculopathy

Plener

Csiernik²,

et al. 2023

The Clinical Journal of Pain

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Objective: The purpose of this systematic review was to assess the effectiveness and safety of conservative interventions compared with other interventions, placebo/sham interventions, or no intervention on disability, pain, function, quality of life, and psychological impact in adults with cervical radiculopathy (CR). Methods: We searched MEDLINE, CENTRAL, CINAHL, Embase, and PsycINFO from inception to June 15, 2022 to identify studies that were randomized controlled trials, had at least one conservative treatment arm, and diagnosed participants with CR through confirmatory clinical examination and/or diagnostic tests. Studies were appraised using the Cochrane Risk of Bias 2 tool and the quality of the evidence was rated using the Grades of Recommendations, Assessment, Development, and Evaluation approach. Results: Of the 2561 records identified, 59 trials met our inclusion criteria (n = 4108 participants). Due to clinical and statistical heterogeneity, the findings were synthesized narratively. There is very-low certainty evidence supporting the use of acupuncture, prednisolone, cervical manipulation, and low-level laser therapy for pain and disability in the immediate to short-term, and thoracic manipulation and low-level laser therapy for improvements in cervical range of motion in the immediate term. There is low to very-low certainty evidence for multimodal interventions, providing inconclusive evidence for pain, disability, and range of motion. There is inconclusive evidence for pain reduction after conservative management compared with surgery, rated as very-low certainty. Discussion: There is a lack of high-quality evidence, limiting our ability to make any meaningful conclusions. As the number of people with CR is expected to increase, there is an urgent need for future research to help address these gaps.

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Influence of enhancing dynamic scapular recognition on shoulder disability, and pain in diabetics with frozen shoulder: A case report

Mohamed¹

2022

World J Clin Cases

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BACKGROUND Frozen shoulder (FS) is a familiar disorder. Diabetics with FS have more severe symptoms and a worse prognosis. Thus, this study investigated the influence of enhancing dynamic scapular recognition on shoulder disability and pain in diabetics with FS. CASE SUMMARY A Forty-five years-old male person with diabetes mellitus and a unilateral FS (stage II) for at least 3 mo with shoulder pain and limitation in both passive and active ranges of motion (ROMs) of the glenohumeral joint of ≥ 25% in 2 directions participated in this study. This person received dynamic scapular recognition exercise was applied to a diabetic person with a unilateral FS (stage II). The main outcome measures were upward rotation of the scapula, shoulder pain and disability index, and shoulder range of motion of flexion, abduction, and external rotation. The dynamic scapular exercise was performed for 15 min/session and 3 sessions/wk lasted for 4 wk. After 4 wk of intervention, there were improvements between pre-treatment and post-treatment in shoulder pain, shoulder pain and disability index, shoulder ROM, and upward rotation of the scapula. CONCLUSION This case report suggested that enhancing dynamic scapular recognition may improve shoulder pain and disability; upward rotation of the scapula; and shoulder ROM of shoulder abduction, flexion, and external rotation after 4 wk.

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Effect of Biofeedback Corrective Exercise on Reaction Time and Central Somatosensory Conduction Time in Patients With Forward Head Posture and Radiculopathy: A Randomized Controlled Study

Cited by 6 publications

References 57 publications

Eligibility Criteria of Participants in Randomized Controlled Trials Assessing Conservative Management of Cervical Radiculopathy: A Systematic Review

Eligibility Criteria of Participants in Randomized Controlled Trials Assessing Conservative Management of Cervical Radiculopathy: A Systematic Review

Conservative Management of Cervical Radiculopathy

Influence of enhancing dynamic scapular recognition on shoulder disability, and pain in diabetics with frozen shoulder: A case report

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