Physical Therapy versus surgery in cervical radiculopathy
08-03-2013 In aprospectiverandomizedstudy,63 patientswith cervicalradiculopathyandMRIverifiednerveroot compressioninvestigated.PatientsreceivedACDF(surgery)in combinationwithphysical therapy orphysical therapyalone.Measurement pointswereat 3-, 6-, 12 -,and 24-month follow-ups. There were no significantdifferences between the twotreatmentsin each of themeasurements carried out(P =0.17-0.91).Bothgroups showedimprovements over timein the neckmuscleendurance(P≤0.01),dexterity(P≤0.03),and right-hand grip strength(P=0.01). Surgery(ACDF)followed byphysiotherapyhasnot led to more improvements inactive range of motion, neckmuscleendurance,or hand-related functionin patientswith cervicalradiculopathy.This researchhighlightsatherapeutic interventionis preferable tosurgery andbecause physical therapyhas lower costs,lowerrisksand equaloutcomesin this study.
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