Comparative Study Between Continuous and Intermittent Cervical Traction in Treatment of Chronic Mechanical Neck Pain, MAGDA MAHER ABD ELSHAFY, IBRAHIM M. ELNAGGAR, MOHAMMED A. KADDAH and EBTESSAM F. GOMAA
Abstract
Background: Mechanical neck pain may be defined as sim-ple neck pain without specific underlying disease causing the pain, symptoms vary with physical activity and over time. Cer-vical traction is popular for treating and preventing musculo-skeletal spinal disorders by widening of intervertebral foramen, distraction of facet joints, straightening of spinal musculature, tensing of ligaments, separation of vertebral bodies. Mechani-cal cervical traction can be applied in a continuous or an inter-mittent mode. Aim of Study: The aim of this study was to compare be-tween the effect of continuous and intermittent cervical traction on neck pain severity, neck functional disability and neck sag-ittal, coronal and transverse mobility in patients with chronic mechanical neck pain. Patients and Methods: Thirty male and female patients diagnosed as chronic mechanical neck pain whose age ranged between 20 to 40 years with duration of illness between 3 and 12 months participated in this study. They were randomly dis-tributed into two equal experimental groups. The first group received continuous cervical traction, while the second group received intermittent cervical traction. All patients were treat-ed for 12 sessions (3 sessions/week) every other day for four weeks. Results: Both groups had significant improvement in all the measured variables. Intermittent cervical traction was sig-nificantly more effective than continuous cervical traction in reduction of neck pain severity and increasing neck coronal mobility. However, there was no significant difference be-tween groups on functional disability, neck sagittal and trans-verse mobility.