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Evaluation of physical function in individuals 11 to 14 years after anterior cervical decompression and fusion surgery--a comparison between patients and healthy reference samples and between 2 surgical techniques.
- Source :
-
Journal of manipulative and physiological therapeutics [J Manipulative Physiol Ther] 2014 Feb; Vol. 37 (2), pp. 87-96. Date of Electronic Publication: 2014 Jan 02. - Publication Year :
- 2014
-
Abstract
- Objective: The purpose of this study was to evaluate neck-related physical function in individuals 11 to 14 years after anterior cervical decompression and fusion (ACDF) surgery for degenerative cervical disk disease and to compare the long-term outcome of 2 surgical techniques, including the Cloward procedure and cervical intervertebral fusion cage.<br />Methods: In this cross-sectional study, 51 individuals, 11 years or more after ACDF, underwent testing of cervical active range of motion, hand-grip strength, static and dynamic balance, neck muscle endurance, and completed pain ratings. The participants' values were compared with values of age- and sex-matched healthy individuals to evaluate impairments. Correlations between different test scores and pain were performed. Group differences were analyzed between the 2 surgical techniques.<br />Results: Sixty-five percent and 82% exhibited impairment in ventral and dorsal neck muscle endurance, respectively. Impairment rates of 18% to 39% for cervical active range of motion, 27% to 43% for hand-grip strength, 37% for standing balance, and 35% for dynamic balance were recorded. Twenty-nine percent of the participants had impairment (>30 mm visual analog scale) in pain. There were no significant differences in physical function between the 2 surgical treatment groups (Cloward procedure or cervical intervertebral fusion cage) (P = .10-.92).<br />Conclusions: In those studied, a large percentage of patients who had anterior cervical decompression and fusion surgery have impairments in neck-related physical function when compared 11 to 14 years after surgery with age- and sex-matched healthy reference individuals. Neck-specific function, but not balance, was statistically correlated to pain. Neck muscle endurance was most affected, and balance impairments were also present in one-third of the individuals. There were no differences in long-term physical function between the 2 surgical techniques.<br /> (Copyright © 2014 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.)
- Subjects :
- Case-Control Studies
Cross-Sectional Studies
Female
Follow-Up Studies
Hand Strength physiology
Humans
Male
Middle Aged
Muscle Strength physiology
Neck Muscles physiopathology
Neck Pain physiopathology
Physical Endurance physiology
Postural Balance physiology
Range of Motion, Articular physiology
Visual Analog Scale
Cervical Vertebrae surgery
Decompression, Surgical methods
Spinal Fusion methods
Subjects
Details
- Language :
- English
- ISSN :
- 1532-6586
- Volume :
- 37
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Journal of manipulative and physiological therapeutics
- Publication Type :
- Academic Journal
- Accession number :
- 24387834
- Full Text :
- https://doi.org/10.1016/j.jmpt.2013.11.002