Functional Limitation, Pain and Quality of Life in Patients With Cervical Spondylotic Radiculopathy
Study Details
Study Description
Brief Summary
Radiculopathy is a neurological condition in which transmission along a spinal nerve and its roots is limited or inhibited. It is most caused by spondylotic changes such as cervical disc herniation leading to nerve root compression, inflammatory changes, and the formation of bony prominences in this region [1]. Pain is the initial symptom and cervical radiculopathy should be suspected when pain radiates from the neck to the shoulder and arm, accompanied by sensory complaints and motor weakness. It is most commonly caused by spondylotic changes, such as cervical disc herniation and bony prominences in this area, leading to nerve root compression and inflammatory changes. Stenotic changes in the spine, which are often observed with aging, can cause nerve damage and compression in individuals, causing radicular pain. However, there is insufficient study in which the relationship between pain caused by cervical spondylotic radiculopathy caused by stenosis and functional disability, disability and quality of life due to radiculopathy in patients is insufficient. In addition, the lack of a comprehensive outcome scale that evaluates the functional limitation caused by radicular pain has also led to a deficiency in the evaluation of functional limitation. In this context, CRES is a newly developed scale used to evaluate functional limitation associated with radicular pain. In this context, in this study, it was aimed to examine the relationship between pain, functional disability, disability and quality of life in patients with cervical spondylotic radiculopathy.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Study Design
Outcome Measures
Primary Outcome Measures
- Neck Pain [baseline]
The Numeric Rating Scale measures the severity of pain. Scores range from 0 (no pain/numbness) to 10 (worst possible pain/numbness).
- Funcitonal disability [baseline]
The Cervical Radiculopathy Impact Scale (CRIS) will used to determine the functional limitation. This scale includes 21 questions consisting of 3 sub-headings.
- Disability [baseline]
Neck Disability Index (NDI) will used to evaluate the effect of neck pain on activities of daily living
- life quality [baseline]
The EuroQol Five-Dimensions - 3-Level (EQ-5D-3L) General Quality of Life Scale will used to evaluate the quality of life of individuals
Eligibility Criteria
Criteria
Inclusion Criteria:
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over 18 years of age
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with lateral-foraminal spinal stenosis in the cervical region
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with or without neck pain consistent with the diagnosis obtained from magnetic resonance imaging
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with unilateral root symptoms such as pain, numbness, weakness in the affected limb, and diagnosis based on MRI and computerized tomography
Exclusion Criteria:
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signs of increased ventral pressure, such as ventral osteophytes, disc calcification, and ligament hypertrophy
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severe neurological deficits, pregnant women, spinal malignancies,
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those who had undergone cervical surgery in the last 12 months
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and those who could not cooperate
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Karabuk University | Karabük | Turkey |
Sponsors and Collaborators
- Karabuk University
Investigators
- Study Director: Aydın Sinan Apaydın, PhD, Assistant Professor
Study Documents (Full-Text)
None provided.More Information
Publications
- Kelly JC, Groarke PJ, Butler JS, Poynton AR, O'Byrne JM. The natural history and clinical syndromes of degenerative cervical spondylosis. Adv Orthop. 2012;2012:393642. doi: 10.1155/2012/393642. Epub 2011 Nov 28.
- Patel EA, Perloff MD. Radicular Pain Syndromes: Cervical, Lumbar, and Spinal Stenosis. Semin Neurol. 2018 Dec;38(6):634-639. doi: 10.1055/s-0038-1673680. Epub 2018 Dec 6.
- Thoomes EJ, Scholten-Peeters GG, de Boer AJ, Olsthoorn RA, Verkerk K, Lin C, Verhagen AP. Lack of uniform diagnostic criteria for cervical radiculopathy in conservative intervention studies: a systematic review. Eur Spine J. 2012 Aug;21(8):1459-70. doi: 10.1007/s00586-012-2297-9. Epub 2012 Apr 25.
- radiculopathy