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<p>Cervical spondylotic myelopathy (CSM) is rising in the aging population. This study evaluated conventional versus home-based exercise interventions with a head-mounted device in 75 patients. Participants were divided into conventional (<i>N</i> = 36) and home-based (<i>N</i> = 39) groups, assessed pre-surgery, 3-months post-surgery, and after an eight-week intervention. Outcomes included numeric pain rating scale (NRS), neck disability index (NDI), cervical spine range of motion (ROM), neck muscle strength, muscle activation during movement, and cervical proprioception. A two-way mixed ANOVA was used to explore the main effects and interactions between groups and time points. ANCOVA adjusted for potential baseline differences. Both groups improved in NRS (<i>P</i> = 0.003), NDI (<i>P</i> = 0.001), and ROM in flexion (<i>P</i> &lt; 0.001) and extension (<i>P</i> &lt; 0.001) after exercise, while the home-based group showed significantly greater ROM in rotation (left, <i>P</i> = 0.026; right, <i>P</i> = 0.006), greater muscle strength (flexors, <i>P</i> &lt; 0.001; extensors, <i>P</i> &lt; 0.001), and lower sternocleidomastoid muscle activation (<i>P</i> &lt; 0.001). The home-based group exhibited lower reposition errors post-exercise than the conventional group (Variable error during extension, <i>P</i> &lt; 0.001; root mean square error during flexion, left and right rotation, <i>P</i> &lt; 0.001 for all). The home-based intervention with a head-mounted device showed superior outcomes in mobility, muscle strength, proprioception, and muscle activation, surpassing pre-surgery levels and enhancing quality of life for CSM patients.</p>

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A comparison of conventional intervention and home-based approach with head-mounted device for cervical spondylotic myelopathy after surgery

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月8日

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  • Ling-Wei Yen,
  • Hung-Bin Chen,
  • Asghar Rezaei,
  • Hen-Yu Lien,
  • Mohammad Nikkhoo,
  • Chih-Hsiu Cheng

摘要

Cervical spondylotic myelopathy (CSM) is rising in the aging population. This study evaluated conventional versus home-based exercise interventions with a head-mounted device in 75 patients. Participants were divided into conventional (N = 36) and home-based (N = 39) groups, assessed pre-surgery, 3-months post-surgery, and after an eight-week intervention. Outcomes included numeric pain rating scale (NRS), neck disability index (NDI), cervical spine range of motion (ROM), neck muscle strength, muscle activation during movement, and cervical proprioception. A two-way mixed ANOVA was used to explore the main effects and interactions between groups and time points. ANCOVA adjusted for potential baseline differences. Both groups improved in NRS (P = 0.003), NDI (P = 0.001), and ROM in flexion (P < 0.001) and extension (P < 0.001) after exercise, while the home-based group showed significantly greater ROM in rotation (left, P = 0.026; right, P = 0.006), greater muscle strength (flexors, P < 0.001; extensors, P < 0.001), and lower sternocleidomastoid muscle activation (P < 0.001). The home-based group exhibited lower reposition errors post-exercise than the conventional group (Variable error during extension, P < 0.001; root mean square error during flexion, left and right rotation, P < 0.001 for all). The home-based intervention with a head-mounted device showed superior outcomes in mobility, muscle strength, proprioception, and muscle activation, surpassing pre-surgery levels and enhancing quality of life for CSM patients.