Degenerative Disorders of the Cervical Spine

Leonardi, M.C.; Boos, Norbert

doi:10.1007/978-3-540-69091-7_17

Cited by 3 publications

(3 citation statements)

References 276 publications

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“…Although chopsticks are now more widely used for eating, even in Western cultures, questionnaires using chopsticks cannot be readily applied to those who have not used them, or who do not use them regularly. Therefore, the adaptation of the JOA score to a Western population requires translation as well as modification [ 6 ]. Currently, there are three different kinds of so-called “modified JOA (mJOA) scores” [ 7 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Japanese Orthopaedic Association (JOA) Score and Modified JOA (mJOA) Score for the Assessment of Cervical Myelopathy: A Multicenter Observational Study

et al. 2015

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ObjectivesThe Japanese Orthopaedic Association (JOA) score is widely used to assess the severity of clinical symptoms in patients with cervical compressive myelopathy, particularly in East Asian countries. In contrast, modified versions of the JOA score are currently accepted as the standard tool for assessment in Western countries. The objective of the present study is to compare these scales and clarify their differences and interchangeability and verify their validity by comparing them to other outcome measures.Materials and MethodsFive institutions participated in this prospective multicenter observational study. The JOA and modified JOA (mJOA) proposed by Benzel were recorded preoperatively and at three months postoperatively in patients with cervical compressive myelopathy who underwent decompression surgery. Patient reported outcome (PRO) measures, including Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire (JOACMEQ), the Short Form-12 (SF-12) and the Neck Disability Index (NDI), were also recorded. The preoperative JOA score and mJOA score were compared to each other and the PRO values. A Bland-Altman analysis was performed to investigate their limits of agreement.ResultsA total of ninety-two patients were included. The correlation coefficient (Spearman’s rho) between the JOA and mJOA was 0.87. In contrast, the correlations between JOA/mJOA and the other PRO values were moderate (|rho| = 0.03 – 0.51). The correlation coefficient of the recovery rate between the JOA and mJOA was 0.75. The Bland-Altman analyses showed that limits of agreement were 3.6 to -1.2 for the total score, and 55.1% to -68.8% for the recovery rates.ConclusionsIn the present study, the JOA score and the mJOA score showed good correlation with each other in terms of their total scores and recovery rates. Previous studies using the JOA can be interpreted based on the mJOA; however it is not ideal to use them interchangeably. The validity of both scores was demonstrated by comparing these values to the PRO values.

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Section: Introductionmentioning

confidence: 99%

Comparison of the Japanese Orthopaedic Association (JOA) Score and Modified JOA (mJOA) Score for the Assessment of Cervical Myelopathy: A Multicenter Observational Study

et al. 2015

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“…Patients with progressive neurologic changes such as weakness, numbness with signs of severe spinal cord compression, severe or disabling pain may be benefitted with surgery [14]. When myelopathy is caused by factors of a progressive nature, such as spinal cord tumors, surgical treatment is likewise indicated [15,16]. The principal aim of surgery for cervical myelopathy is decompression of the spinal cord by discectomies or corpectomies with or without instrumented fusion, laminectomy with or without instrumented fusion or laminoplasty.…”

Section: Managementmentioning

confidence: 99%

Myofacial Release for the Management of Cervical Compressive Myelopathy – Case Study

Mohanty¹

2021

Jap J Clin & Med Res

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Cervical compressive myelopathy commonly occurs due to degeneration or disc herniation. The persons with cervical meylopathy are usually advised for surgical decompression. Person with signs of cervical cord compression was treated with myofacial release and found to be improved in signs as well as the symptoms. Total 34 numbers of similar cases (31 males and 3 females) age ranging from 25 to 61 years were treated by myofascial release of periscapular soft tissue structures over last 2 & ½ years (2017 to 2020) and found to return back to their activities after 6 months of follow up.

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“…Patients with cervical radiculopathy often turn to conservative therapy. Surgery is an option only when their symptoms persist or progress [4] . Conservative therapies include nonsteroidal anti-inflammatory drugs (NSAIDs), exercise, manipulation therapy [5] , cervical collar (neck brace) [6] , muscle relaxants [7] , pain killers, physical therapy apparatus [8] , Chinese medicine [9][10] , acupuncture [11] , electroacupuncture [12] , bee venom acupuncture [13] , tuina [14] and bloodletting [15] , etc.…”

mentioning

confidence: 99%

Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy

Mou

Piao

Meng

et al. 2015

J. Acupunct. Tuina. Sci.

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Objective: To observe the efficacy and safety of bloodletting and cupping for cervical radiculopathy. Methods: The randomized controlled clinical trial was conducted in five centers. A total of 183 eligible subjects were randomly allocated into a bloodletting group (n=68), an acupuncture group (n=56) and a combined group (n=59). Patients in the bloodletting group were treated with bloodletting at Dazhui (GV 14) and Jianjing (GB 21) on the affected side, coupled with 5-10 min of cupping, 5 mL blood for each cup, 2-3 cups for one treatment. Patients in the acupuncture group were treated with needling cervical Jiaji (EX-B 2) points and Jianjing (GB 21) on the affected side. The needles were retained for 30 min. Patients in the combined group were treated with both methods. The treatment in all three groups were done once every three days, twice a week, 4 weeks for a course of treatment, for a total of 1-3 courses. Then the therapeutic efficacy was evaluated using scores of visual analogue scale (VAS), neck disability index (NDL) and clinical assessment scale (CAS) before treatment and after 1, 2 and 3 courses of treatment. Results: The scores of VAS, NDI and CAS in all three groups were significantly decreased after 1, 2 and 3 courses of treatment (all P＜0.001), and there were no inter-group statistical significances in comparing scores of VAS, NDI and CAS (all P＞0.05). Conclusion: Bloodletting and cupping share the similar effect with acupuncture in pain relief and improvement of quality of life in patients with cervical radiculopathy.

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Degenerative Disorders of the Cervical Spine

Cited by 3 publications

References 276 publications

Comparison of the Japanese Orthopaedic Association (JOA) Score and Modified JOA (mJOA) Score for the Assessment of Cervical Myelopathy: A Multicenter Observational Study

Comparison of the Japanese Orthopaedic Association (JOA) Score and Modified JOA (mJOA) Score for the Assessment of Cervical Myelopathy: A Multicenter Observational Study

Myofacial Release for the Management of Cervical Compressive Myelopathy – Case Study

Therapeutic efficacy observation on bloodletting and cupping for cervical radiculopathy

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