Sultana R, Shahid Z, Safdar F, Arshad H S. The Association Between Cervical Radiculopathy and Quality of Life in Patients With Cervical Spondylosis. Iranian Rehabilitation Journal 2023; 21 (1) :177-184
URL:
http://irj.uswr.ac.ir/article-1-1492-en.html
1- DPT Medical Center, Lahore, Pakistan.
2- Department of Neurology, Superior University Lahore , Lahore, Pakistan.
3- DPT Department, Superior University Lahore , Lahore, Pakistan.
4- OMPT Avicenna Medical College, Punjab, Pakistan.
Abstract: (2209 Views)
Objectives: To determine the association between cervical radiculopathy and quality of life (QoL) in patients with cervical spondylosis.
Methods: This analytical cross-sectional study was conducted on 273 patients in five hospitals in Lahore within 3 months from April to June 2021. The Spurling test was used to measure cervical radiculopathy. The participants were selected according to the inclusion criteria. The Spurling test was used to measure cervical radiculopathy and its symptoms. The World Health Organization quality of life scale (WHOQoL) was used to evaluate the QoL of patients suffering from cervical spondylosis.
Results: Of 273 patients, 42.9% were male and 57.1% female. Their Mean±SD age was 42±11.9 years. Also, 70.3% had positive Spurling test, and 29.7% had negative results. Their Mean±SD physical health score was 11.70±1.74 (out of a total of 20), and their Mean±SD psychological health score was 11.75±1.78 (out of a total of 20). The Mean±SD social relationships score was 11.19±2.98 (out of a total of 20), and their Mean±SD environment health score was 11.13±3.08 out of a total of 20. P indicates a significant difference in the QoL between patients with positive and negative Spurling tests. Patients with negative Spurling tests had higher QoL scores. Greater scores denote a higher QoL
Discussion: There is a significant association between cervical radiculopathy and QoL in patients with cervical spondylosis. These results will help us in the future to design educational programs or modify the lifestyle of those patients with cervical radiculopathy. This research concluded that there is a significant difference in the QoL among patients with positive and negative Spurling tests. Patients with negative Spurling tests have higher QoL scores. Hence there is a significant association between diagnosed cervical radiculopathy and QoL.
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• Cervical spondylosis may result in cervical radiculopathy.
• Cervical spondylosis affects the quality of life (QoL).
• Cervical spondylosis affects the QoL and cervical radiculopathy.
Plain Language Summary
Cervical spondylosis is a degenerative disease of the intervertebral disks and facet joints that produce neck pain and motor or sensory dysfunction in elderly and middle-aged people. Cervical radiculopathy is the subdivision or the main symptom of cervical spondylosis with severe neck or shoulder pain. Due to these circumstances, this study was conducted in the clinical setting of Azra Naheed Medical College. The study samples were recruited based on criteria proved by the research committee of the Superior University, Lahore. The patients who were diagnosed with cervical spondylosis were recruited. After diagnosis, expert physiotherapists performed the Spurling tests to diagnose cervical radiculopathy and used a questionnaire to evaluate the QoL in patients with degenerative changes in the cervical area. The results under ethical consideration were analyzed using SPSS, and the effect of cervical spondylosis on the QoL was investigated. Also, we determined the association between cervical radiculopathy and QoL in patients with cervical spondylosis.
Article type:
Original Research Articles |
Subject:
Physiotherapy Received: 2021/10/19 | Accepted: 2022/11/23 | Published: 2023/03/1
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