Comparative Effects of Modified Cervical Retraction and Motor Control Therapeutics Exercises in Cervical Spondylosis
Condition: Cervical Spondylosis
MeSH terms: Spondylosis
Study type: Interventional

Summary: 
      Cervical spondylosis is a general term for age-related wear and tear in the cervical spine
      that can lead to neck pain, stiffness and other symptoms. Sometimes this condition is called
      arthritis or osteoarthritis of the neck. The spine likely begins this wearing-down process
      sometime in your 30s. By age 60, almost nine in 10 people have cervical spondylosis
      .Objective of this study is to compare the effects of Modified cervical retraction Motor
      control therapeutic exercises on pain, ROM and functional disability in patients with
      cervical spondylosis
    

Detailed description: 
      Cervical spondylosis is a chronic degenerative process of the cervical spine which affects
      the vertebral bodies and intervertebral discs and causes herniated intervertebral discs,
      osteophytes, and ligament hypertrophy. It is commonly seen in patients between the ages of 40
      and 60. Neck pain not only imposes a notable burden on individuals in the society, but also
      affects families, the healthcare and economic systems of countries. In 2017, age-standardized
      prevalence, annual incidence, and years lived with disability from neck pain were estimated
      at 3551, 807, and 352 per 100,000 population worldwide, respectively Patients seeking medical
      help for this condition primarily complain of neck pain and/or stiffness. This pain is
      considered the second most common complaint post low back pain and increased by neck
      movements especially hyperextension and side bending Currently, there are several therapeutic
      approaches, either pain relievers or non-medicinal treatments for the management of cervical
      spondylosis and its associated pain and disability Pain medications mainly include
      non-steroids anti-inflammatory drugs and narcotics with exercise therapy, massage,
      physiotherapy, and local injections are among the most common non-medicinal therapies.
      Evidence suggests that exercise therapy plays a role in improving neck pain and disability of
      patients with cervical spondylosis. Besides, thanks to being non-invasive and profitable,
      exercise therapy is commonly used in patient rehabilitation Therapeutic exercises include
      various workouts such as proprioceptive exercises, stability exercises, strength exercises
      (dynamic and isometric) and endurance exercises. Neck retraction helps recover the lordotic
      curve in the lower cervical portion, but kyphotic changes may occur at the upper cervical
      level. The motor control exercises are the therapeutic approach which mainly focuses on motor
      control, activation of deep cervical muscles, and aims to retrain the optimal control and
      coordination of the cervical muscles Apart from the fact that clinical guidelines suggest
      therapeutic exercises as an integral part of managing neck pain and disability, prescribing
      the most advantageous exercise therapy has yet been controversial and even current guidelines
      do not offer specific recommendations on the preferred type and dosage of exercises
    

Intervention name(s): Modified Cervical Retraction Exercises (MCRE); Motor Control therapeutic exercise(MCTE)
Intervention type(s): Other; Other
Intervention description(s): Group A includes Modified cervical retraction exercise The patient is in sitting OR standing position and faces the physical therapist. The MCRE program consisted of alternating head position( neutral, side bending and rotation) while pushing their chin backward patients maintained an upright posture and tried to pull back their shoulders while maintaining this retracted position patient side bend OR rotate their head respectively hold the position for 20 sec.subject performed 5 sets of 10 repetition for 3-4 days per week. Rest intervals of 30 seconds were provided after the completion of 10 repetitions for each pattern and between sets, respectively. The total duration of MCRE will be of approximately 15-20 minutes; Motor control therapeutic exercises will be guided for the retraining of cervical muscles.it include craniocervical flexor exercise,craniocervical extensor exercise, co-contraction of flexors and extensor, a synergy exercise for retraining the strength of the deep neck flexors. Each of these four exercises will be performed for 3 sets of 8 to 10 repetitions, taking an approximate total duration of 15-20 minutes for, 3 days a week
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment