Changes in reaching skill in patients with cervical spondylosis after cervical decompression surgery.
Naoto Noguchi, Bumsuk Lee, Ken Kondo and 3 others
PMID 31645802WHAT IT FOUND
After surgery and rehabilitation with stretching, muscle training of all four limbs and targeted practice for activities in daily life, nine men showed forward-reaching wrist acceleration peak increase from 2.0 to 2.7 G; grip and pinch strength did not change.
Key findings
01Nine male inpatients showed x-axis acceleration peak increase from 2.0 to 2.7 G after surgery and rehabilitation.
02Grip strength and pinch strength did not show significant changes after surgery.
03Pre-operative x-axis acceleration peak, grip strength and pinch strength predicted JOA-UEF severity.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only nine male inpatients were studied, and female patients were excluded because of privacy concerns. All patients received rehabilitation after surgery, including stretching, muscle training of all four limbs, and targeted practice for activities in daily life, so the contribution of surgery alone cannot be separated. Postoperative JOA scores were not assessed. Magnetic resonance imaging results were not investigated. Follow-up was 18.1 ± 7.7 days after operation, and the study was small, so the results should be interpreted with caution.
Declared interests
The authors declared no conflict of interest.
The easy way to misread this
Do not read the rise in forward-reaching wrist acceleration as evidence that surgery alone improved reaching. All patients also received rehabilitation after surgery, including stretching, muscle training of all four limbs, and targeted practice for activities in daily life, and only nine male inpatients were studied.