Cervical spondylosis is a progressive disease defined by degenerative changes affecting
the vertebrae, intervertebral disks, facets, and associated ligaments. Symptoms of
cervical spondylosis manifest as neck pain and neck stiffness and can be accompanied by
radicular symptoms when there is compression of neural structures. The degenerative
changes are intervertebral disc degeneration, osteophyte formation, and ligamentum flavum
and facet hypertrophy. The sine sound waves approach aims to provide orthopaedic spinal
treatment through focused vibroacoustic treatment (fVAT) and manage the biomechanical
aspect of back pain. Vibroacoustic therapy has been indicated for patients with a range
of musculoskeletal, neurological, and haemodynamic problems demonstrating positive
changes in pain, spasticity, movement control, and specifically fatigue and anxiety in
those with spinalcord or brain injuries. For neck pain syndromes, the kinesthetic
rehabilitation exercises (i. e.,eye-follow exercises, head relocation exercises, eye-head
coordination, and gaze stability exercises) are developed to improve or restore
somatosensory and sensorimotor function by enhancing tactile afferents cues. Kinaesthetic
exercises have an added advantage over the conventional exercise programs as it uses an
unconscious component of proprioceptive signals for the automatic control of cervical
muscle tone and posture.
The research include 3 intervention groups Group A will be give sine sound waves
treatment 6 sessions 3 times a week followed by 6 sessions 2 times a week. Group B will
be given kinesthetic exercise for 6 weeks. And group C will be given combination of both
group A and group B treatments. Outcomes, encompassing pain levels, range of motion
(ROM), and Neck Disability Index (NDI) scores, will be evaluated using the Numeric Pain
Rating Scale, Goniometer, and Crom device. Data analysis will employ SPSS version 26.
Data will be collected at baseline, immediately post-intervention, and at follow-up
intervals. Statistical analyses will be conducted to assess and compare the effects of
the interventions on the primary and secondary outcomes, thereby addressing the research
question regarding their relative efficacy.
