ABSTRACT

Year : 2022  |  Volume : 6  |  Issue : 2  |  Page : 69

Physiotherapy in Neurological Conditions: AB No: 150: Effect of bioenergy LASER along with activity-based therapy and surface spinal stimulation in sub-acute cervical compressive myelopathy in middle-aged population: A Randomised Controlled Trial

Sharanjeet Kaur, Narkeesh Arumugam
Punjabi University Patiala

Correspondence Address:

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2456-7787.361081

Background: The term “Myelopathy” is included under the broad umbrella of non-traumatic spinal cord injuries together with vascular, inflammatory, neoplastic and congenital (Badhiwal et al., 2020). It is the static compression of the thecal sac, due to narrowing of spinal canal that leads to a decrease in blood flow to neural parenchyma and neural degeneration in the cervical region (Fehling et al., 2017). It is a special form of non-traumatic spinal cord injury (Wang et al., 2018). Study Design: A Randomized Controlled Trial. Purpose of the Study: To study the combined effect of Bio-energy Laser along with Surface Spinal Stimulation and Activity-Based therapy in Sub-acute Cervical Compressive Myelopathy in middle-aged population. Methodology: Nature of the study-Two group, Experimental design. Assessments were taken at Day 0, Day 7 and Day 15 for all the participants of both the groups. Study Participants- Individuals within 20–65 years of age-group diagnosed with CCM. Study Settings- Neuroots-, Patiala. Sampling Method- Purposive Sampling. Sample Size- Total 20 Individuals with thecal sac compression at cervical region were included in the study. Each group has 10 participants. Randomization- The computer generated random sampling method Interventions- Experimental group received Bio-energy Laser at lesion site of 1500 joules at 5 watts,SSS at 20–40 Hz modulated at 2500 Hz frequency and ABT for 30 minutes for 5 Sessions/week for 3 weeks. The control group received SSS for 20 minutes and ABT for same duration. Outcome Measures- Hoffmann’s-reflex, Modified- Clinical Testing for Sensory Integration and Balance (m-CTSIB), Japanese Orthopedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ) And Neck Disability Index (NDI). Conclusion: There are significant changes in the outcome measures of the study and significant improvement in functional status the individuals with CCM. This protocol might reactivate the central pattern generator (CPG) that influence the previously silent spared neural circuits or promote plasticity.

Keywords: SSS Surface Spinal Stimulation, ABT Activity-Based Therapy, CPG Central Pattern Generator