Loss of cervical lordosis: What is the prognosis?

Lippa, Laura; Lippa, Luciano; Cacciola, Francesco

doi:10.4103/0974-8237.199877

Cited by 21 publications

(12 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, this finding is compatible with several related reports. As reviewed by Lippa et al [ 52 ], many studies have found no association between cervical lordotic curvature and symptoms especially the neck pain including whiplash injury in approximately 700 individuals [ 53 – 56 ]. Exceptions can also be found in literature.…”

Section: Discussionmentioning

confidence: 99%

Cervical lordosis in asymptomatic individuals: a meta-analysis

Guo

Diao

et al. 2018

J Orthop Surg Res

View full text Add to dashboard Cite

BackgroundCervical lordosis has important clinical and surgical implications. Cervical spine curvature is reported with considerable variability in individual studies. The aim of this study was to examine the existence and extent of cervical lordosis in asymptomatic individuals and to evaluate its relationship with age and gender.MethodsA comprehensive literature search was conducted in several electronic databases. Study selection was based on pre-determined eligibility criteria. Random effects meta-analyses were performed to estimate the proportion of asymptomatic individuals with lordosis and the effect size of cervical lordotic curvature in these individuals which followed metaregression analysis to examine the factors affecting cervical lordosis. Data from 21 studies (15,364 asymptomatic individuals, age 42.30 years [95% confidence interval 36.42, 48.18], 54.2% males) were used in the present study.ResultsIn this population, 63.99% [95% confidence interval 44.94, 83.03] individuals possessed lordotic curvature. Degree of lordotic curvature differed by method of measurement; 12.71° [6.59, 18.84] with Cobb C2–C7 method and 18.55° [14.48, 22.63] with posterior tangent method. Lordotic curvature was not significantly different between symptomatic and asymptomatic individuals but was significantly higher in males in comparison with females. Age was not significantly associated with lordotic cervical curvature.ConclusionMajority of the asymptomatic individuals possesses lordotic cervical curvature which is higher in males than in females but have no relationship with age or symptoms.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical lordosis in asymptomatic individuals: a meta-analysis

Guo

Diao

et al. 2018

J Orthop Surg Res

View full text Add to dashboard Cite

show abstract

“…Furthermore, the early symptoms are often ignored or masked by the use of easily available over-the-counter (OTC) analgesics [5]. Proper spine functioning is affected by its shape [1,6], vertebral muscle tension, vertebral ligaments, joints, discs, nerves, and sensory organs. Each of these elements plays a substantial role in maintaining somatosensory integrity [7].…”

Section: Introductionmentioning

confidence: 99%

“…Re-establishing proper posture, as close as possible to the physiological cervical lordosis, is one of the first steps of CSD treatment [6]. The restoration of proprioception in the suboccipital area is another key factor in the process.…”

Section: Introductionmentioning

confidence: 99%

Cortisol, testosterone, and pain levels among patients undergoing McKenzie therapy and suboccipital relaxation

Miecznikowski

Kiczmer

Cygan³

et al. 2020

Medical Research Journal

View full text Add to dashboard Cite

Sedentary lifestyle and the development of consumer electronics, often associated with a faulty posture, are widespread factors contributing to cervical spine dysfunction (CSD). The purpose of our study is to compare two methods of physical therapy of CSD: suboccipital relaxation and the McKenzie method. Their effect on perceived pain level and life quality was assessed using VAS and NDI scores. Serum levels of biochemical stress indicators like testosterone and cortisol were also evaluated. Eighty-six adult patients were divided into two groups: Group A and Group B. Group A included 42 patients treated using the McKenzie method. Group B consisted of 44 patients who underwent suboccipital relaxation. The therapy in both groups included three treatment sessions over a six-week period. Testosterone and cortisol levels were assessed using the ELISA technique. Pain evaluation was performed using the Visual Analogue Scale (VAS). The disability level was evaluated with the Neck Disability Index (NDI). In both groups, a similar improvement in VAS and NDI scores was observed. A distinct cortisol level decrease in patients subjected to the suboccipital relaxation was noticed, while the McKenzie method did not affect cortisolaemia significantly. We did not notice any difference in testosterone levels between the two groups. Both treatment methods contributed towards clinical improvement in our patients, represented by the drop in VAS and NDI scores. We also observed a biochemical improvement: decreased cortisol level in the group treated with suboccipital relaxation. Due to the important role of testosterone and cortisol in the pathogenesis of chronic pain, our study should be the pilot experience on their use as markers in CSD.

show abstract

“…Furthermore, early symptoms of impairment are often ignored or masked by the excessive use of easily available over-the-counter (OTC) analgesics [4]. Proper spine functioning is determined by its shape [1,5], vertebral muscle tension, vertebral ligaments, joints, discs, nerves and sensory organs condition. Each of these elements plays a substantial role in maintaining somatosensory integrity of spine [6].…”

Section: Introductionmentioning

confidence: 99%

“…Reestablishing proper posture, as close as possible to the physiological cervical lordosis is one of the first steps of CSD treatment [5]. The restoration of proprioception in the suboccipital area is another key factor in the process of posture correction.…”

Section: Introductionmentioning

confidence: 99%

Comparison of two methods of cervical spine pain manual therapy using clinical and biochemical pain markers

Miecznikowski

Kiczmer

Seńkowska

et al. 2019

Medical Research Journal

View full text Add to dashboard Cite

Background. Sedentary lifestyle, often associated with faulty posture is a widespread facilitating factor for cervical spine dysfunction (CSD).Objective. The purpose of our study was to compare two methods of physical therapy for CSD: the McKenzie method and suboccipital relaxation. We investigated the effect of these methods on pain level perceived by patients and their physical fitness. The levels of biochemical stress indicators were assessed. Materials and methods. Eighty-six adult patients divided into two groups: A and B. Group A included 42 patients treated with the McKenzie method. Group B consisted of 44 patients, who underwent suboccipital relaxation. The treatment in both groups comprised 3 treatment sessions over a 6-week period. To assess salivary sIgA concentration, the ELISA technique was used. The alpha-amylase activity was determined using static method. Pain assessment was performed using the VAS scale. Disability level was evaluated with the NDI scale.Results. Significant decrease of VAS and NDI scores were observed in both groups. An increase of sIgA concentration was observed in both groups. No difference in amylase activity between the groups was observed, however, time and group effects the interaction was found to be significant. A significant correlation between both biochemical markers and VAS score was observed in group B and in the general population.Conclusions. Both therapies improve patient outcomes, however, at present we cannot indicate the advantage any method.

show abstract

Loss of cervical lordosis: What is the prognosis?

Cited by 21 publications

References 41 publications

Cervical lordosis in asymptomatic individuals: a meta-analysis

Cervical lordosis in asymptomatic individuals: a meta-analysis

Cortisol, testosterone, and pain levels among patients undergoing McKenzie therapy and suboccipital relaxation

Comparison of two methods of cervical spine pain manual therapy using clinical and biochemical pain markers

Contact Info

Product

Resources

About