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Cervicogenic angina (CA) is defined as paroxysmal angina- like pain that originates from the disorders of the cervical spine or other neck structures. Because CA mimics typical cardiac angina, symptoms in the elderly with cervical spondylosis are more frequently misdiagnosed Nakajima H, 2006. Patients with CA may have suffered symptoms for longer periods of time and seen several clinicians due to conflicting cardiac exams. Clinicians and patients are unaware that CA symptoms are stemming from cervical spine disorders. However, the mechanism of pain occurrence in patients with CA remains unclear.
Randomized Control Trail (RCT) will be used in the study. Participants will be divided into two groups (experimental and control groups). Each group will include 30 participants.
The study population will be employees working in JU from different departments.
A total of 60 participants will be included in the study. Their weight ranged from (50 kilograms) to (100 kilograms). And their height ranged from (150 centimeters) to (190 centimeters). And their body mass index ranged from (22.2) to (27.7). This will be divided into 2 groups with 30 participants in each group.
The data collected will focus on measuring the Range of Motion (ROM) of the cervical spine using an Electro-Goniometer, the pain using Visual Analogue Scale (VAS), and the Hart Rate (HR) using an electro cardio Graphic (ECG).
The study setting will be JU, located in Jerash City, Jordan.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Efficacy of Physical Therapy Intervention in Cervical Angina Patients | Experimental | Randomized Control Trail (RCT) will be used in the study. Participants will be dived into experimental group and control group. Each group will includes 30 participants.The physiotherapy program intervention will includes cervical traction, cervical mobilization, Sub occipital release, Muscle energy technique. and ultra sound with parameters 5 min × 3 times × 4 weeks, 1 MHz, continuous: 1.5 W/cm2; pulsed: 2.5 W/cm2, for study group. |
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| know the effect of Physical Therapy Intervention in Cervical Angina Patients | Placebo Comparator | 30 participants in control.The physiotherapy program intervention will include ultrasound with parameters 5 min × 3 times × 4 weeks, 1 MHz, continuous: 1.5 W/cm2; pulsed: 2.5 W/cm2 |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual physiotherapy intervention( cervical traction, suboccipital release, muscle energy technique) | Other | Manual physiotherapy intervention( cervical traction, suboccipital release, muscle energy technique) strengthening exercises for neck muscles, ultrasound with parameters 5 min × 3 times × 4 weeks, 1 MHz, continuous: 1.5 W/cm2; pulsed: 2.5 W/cm2. |
| Measure | Description | Time Frame |
|---|---|---|
| 1-Hart Rate (HR) (bpm) using Electro Cardiac Graphic (ECG). 2- Blood pressure (mm Hg) using Sphygmomanometer. | 1- Hart Rate (HR) (bpm) using Electro Cardiac Graphic (ECG). 2- Blood pressure (mm Hg) using 1-Hart Rate (HR) using Electro Cardiac Graphic (ECG). 2- Blood pressure using Sphygmomanometer. | Four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| 3- Range of Motion (ROM) (in degrees) of the cervical spine using Electro-Goniometer. 4- the pain using Visual Analogue Scale (VAS) from (0-10) | 3- Range of Motion (ROM) (in degrees) of the cervical spine using Electro-Goniometer. 4- the pain using Visual Analogue Scale (VAS) from ( 0-10) | 4 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33828047 | Result | Chien JT, Hsieh MH, Yang CC, Chen IH, Lee RP. Anterior Cervical Discectomy and Fusion Versus Conservative Treatment for Cervical Angina Conservative Treatment. Clin Spine Surg. 2021 Nov 1;34(9):E514-E521. doi: 10.1097/BSD.0000000000001178. |
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After publication
After publication
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Randomized Control Trail (RCT) will be used in the study. Participants will be dived into experimental group and control group. Each group will includes 30 participants.
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includes 30 participants.
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| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
| D055585 | Physical Phenomena |
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