Rehabilitation Outcomes in Patients with Cervical Spondylosis Receiving Intermittent versus Continuous Cervical Traction: A Prospective Observational Study

Abstract

Background: Cervical spondylosis is a prevalent degenerative spinal condition characterized by chronic neck pain, limited mobility, and
functional disability. Cervical traction, administered either intermittently or continuously, is commonly employed in conservative management.
However, evidence comparing these two modalities remains limited.
Aim: To compare the rehabilitation outcomes of intermittent versus continuous cervical traction in patients with cervical spondylosis.
Methodology: A prospective observational study was conducted on 50 patients diagnosed with cervical spondylosis. Participants were divided
into two groups based on the traction method: intermittent (Group A, n=25) and continuous (Group B, n=25). All participants received
standard physiotherapy alongside traction therapy for 2 weeks. Outcomes assessed included pain (Visual Analog Scale), functional disability
(Neck Disability Index), cervical range of motion (goniometric measurement), and patient satisfaction (Patient Global Impression of Change).
Assessments were performed at baseline (T0), post-treatment (T1), and 4-week follow-up (T2). Statistical analysis was conducted using SPSS
v26, with significance set at p <0.05.
Results: Both groups showed significant improvements over time in pain, disability, and range of motion (p <0.001). However, Group A
(intermittent traction) demonstrated significantly greater improvements in VAS and NDI scores at T1 and T2 (p <0.05). Cervical ROM and
PGIC scores were also significantly better in Group A at follow-up.
Conclusion: Intermittent cervical traction resulted in superior short-term rehabilitation outcomes compared to continuous traction in patients
with cervical spondylosis. It should be considered the preferred modality in clinical rehabilitation protocols.