APPLICATION OF DEEP OSCILLATION THERAPY IN PATIENTS WITH CERVICAL OSTEOCHONDROSIS: A PILOT STUDY
Keywords:
Deep Oscillation, neck, pain, disabilityAbstract
The aim of this clinical study is to evaluate the effect of the application of low-frequency electrostatic field /Deep Oscillation®/ in combination with Transcutaneous Electrical Nerve Stimulation /TENS/ and Kinesiotherapy, and to compare it to the effectiveness of a common physical therapy program applied to patients with cervical spondylosis. The short- and long-term effects of the applied therapy regarding the neck pain and the quality of life of the affected individuals are assessed. 60 patients with cervical spondylosis were included in the study, randomly divided into three equal groups. The patients were treated with different rehabilitation methods divided in three programs, for 10 days. Therapeutic group “A” received the combination of Deep Oscillation, TENS and Kinesiotherapy. The therapy of group “B” included Phonophoresis with non-steroidal anti-inflammatory gel /PP/, TENS and Kinesiotherapy, group “C” received therapy with placebo Deep Oscillation, TENS and Kinesiotherapy. The following parameters were used to monitor the treatment effect: static and dynamic pain assessed by VAS, and measuring the self-rated disability due to neck pain by NDI questionnaire. The assessment was carried out in three stages: оn the 1st day (before the start of therapy), the 10th day (after the end of treatment) and the 45th day after the start of therapy. ANOVA test and Tukey's post hoc test were applied for statistical processing of the results. In the analysis of the obtained results regarding the VAS values at rest, it was found that after the end of the therapeutic course there was a statistically significant difference (F=8.028; Sig.=0.001), demonstrating the better results of group "A" compared to the other two monitored groups. The results from the other used parameters, considering the dynamic pain according to VAS and the disability due to neck pain evaluated by NDI test, are similar. This trend remains unchanged in time and is identical to the results of the next control carried out on the 45th day. The results of group "B" show improvement compared to group "C", despite the fact that the comparative analysis of the results of all the studied parameters does not show a statistically significant difference. The analysis found that the therapeutic approach consisting of these physical factors, including Deep Oscillation has a more pronounced analgesic effect and reduces functional disorders to a greater extent, compared to common physical therapy programs, applied to patients with cervical spondylosis. For a more precise assessment of the therapeutic effect of our proposed physiotherapy program including a low-frequency alternating electrostatic field, research needs to be expanded.
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