{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:48:48Z","timestamp":1777891728163,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NRE"],"published-print":{"date-parts":[[2024,8,29]]},"abstract":"<jats:p>BACKGROUND: Radiculopathy can cause pain and numbness along a pinched nerve. OBJECTIVE: To investigate how people with cervical radiculopathy respond to intense cervical traction in terms of depression, sleeplessness, and quality of life (QoL). METHODS: Two equal groups of forty male patients with unilateral cervical radiculopathy were randomly assigned. In addition to transcutaneous electrical nerve stimulation (TENS) and other treatments, twenty individuals in group I received mechanical cervical traction. Group II consisted of twenty individuals who received only TENS treatment. Before and after treatment, every participant completed the Arabic versions of the Hospital Anxiety and Depression Scale (HADS), the Insomnia Severity Index (ISI), and Short-Form 36 Health Survey (SF-36). RESULTS: While there was no significant difference in group II, there was a significant decline in group I visual analog scale (P\u200a=\u200a0.001), depression subscale of the hospital anxiety and depression score (P\u200a=\u200a0.001), and ISI (P\u200a=\u200a0.001). Eight domains of SF-36 showed a significant increase in group I. These domains included physical functioning (P\u200a=\u200a0.001), role limitations due to physical health (P\u200a=\u200a0.001), role limitations due to emotional problems (P\u200a=\u200a0.001), and energy (P\u200a=\u200a0.001). In group II, there was a non-significant increase nevertheless. CONCLUSION: Cervical traction improved individuals\u2019 QoL, depression, and insomnia, suggesting the effectiveness of it with TENS for cervical radiculopathy patients.<\/jats:p>","DOI":"10.3233\/nre-240133","type":"journal-article","created":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T11:01:23Z","timestamp":1724151683000},"page":"51-58","source":"Crossref","is-referenced-by-count":3,"title":["Efficacy of intensive cervical traction on depression, insomnia, and quality of life in patients with cervical radiculopathy"],"prefix":"10.1177","volume":"55","author":[{"given":"Moataz Mohamed","family":"El Semary","sequence":"first","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt"},{"name":"Department of Physical Therapy and Health Rehabilitation, CAMS, Jouf University, Sakakah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef M.","family":"Elbalawy","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Radwa T.","family":"El Shorbagy","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Musculoskeletal Disorders and Their Surgeries, Faculty of Physical Therapy, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Nagaty","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rasha Mohamed","family":"El Rewainy","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy for Neurology and Neurosurgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/NRE-240133_ref1","first-page":"1237","article-title":"Comparison between Manual Traction, Manual Opening technique and Combination in Patients with cervical radiculopathy: Randomized Control Trial","volume":"69","author":"Afzal,","year":"2019","journal-title":"JPMA J Pak Med Assoc"},{"key":"10.3233\/NRE-240133_ref2","first-page":"1","article-title":"Prevalence of sleep deprivation in patients with chronic neck and back pain: a retrospective evaluation of 1016 patients","volume":"6","author":"Artner,","year":"2013","journal-title":"J Pain Res"},{"key":"10.3233\/NRE-240133_ref3","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1097\/BRS.0000000000002983","article-title":"What Are the Costs of Cervical Radiculopathy Prior to Surgical Treatment?","volume":"44","author":"Barton,","year":"2019","journal-title":"Spine"},{"key":"10.3233\/NRE-240133_ref4","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.apmr.2007.06.778","article-title":"Outcomes after a prone lumbar traction protocol for patients with activity-limiting low back pain: a prospective case series study","volume":"89","author":"Beattie,","year":"2008","journal-title":"Arch Phys Med Rehabil"},{"issue":"4","key":"10.3233\/NRE-240133_ref5","doi-asserted-by":"crossref","first-page":"9825","DOI":"10.1590\/S0004-282X2009000600004","article-title":"Co-morbid depression and anxiety symptoms in patients with chronic pain","volume":"67","author":"Castro,","year":"2009","journal-title":"Arquivos de Neuro-Psiquiatria"},{"key":"10.3233\/NRE-240133_ref6","first-page":"746","article-title":"Nonoperative Management of Cervical Radiculopathy","volume":"93","author":"Childress,","year":"2016","journal-title":"Am Fam Physician"},{"key":"10.3233\/NRE-240133_ref7","doi-asserted-by":"crossref","first-page":"2030","DOI":"10.1097\/01.BRS.0000083325.27357.39","article-title":"Impact of neck and arm pain on overall health status","volume":"28","author":"Daffner,","year":"2003","journal-title":"Spine"},{"issue":"4","key":"10.3233\/NRE-240133_ref8","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.2519\/jospt.2012.42.4.A1","article-title":"Orthopaedic section of the American Physical Therapy Association Low back pain","volume":"42","author":"Delitto,","year":"2012","journal-title":"J Orthop Sports Phys Ther"},{"key":"10.3233\/NRE-240133_ref9","first-page":"50","article-title":"Manipulation of the cervical spine: Risks and Benefits","volume":"79","author":"Di Fabio,","year":"1999","journal-title":"Phys Ther"},{"issue":"3","key":"10.3233\/NRE-240133_ref10","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1097\/01.NPT.0000282245.31158.09","article-title":"Locomotor training approaches for individuals with spinal cord injury: preliminary report of walking-related outcomes","volume":"29","author":"Edelle,","year":"2005","journal-title":"J Neurol Phys Ther"},{"issue":"10","key":"10.3233\/NRE-240133_ref11","doi-asserted-by":"publisher","first-page":"706","DOI":"10.26719\/emhj.19.041.","article-title":"Validation of the Arabic version of the SF-36, generic questionnaire of quality of life related to health among the elderly in Lebanon","volume":"25","author":"El Osta,","year":"2019","journal-title":"East Mediterr Health J"},{"key":"10.3233\/NRE-240133_ref12","unstructured":"Elnaggar Ibrahim, M. , Elhabashy, Hala R. , Abd El-Menam Enas, M. (2009). Influence of SpinalTraction in Treatment of Cervical Radiculopathy Egypt. J Neurol Psychiat Neurosurg, 46(2)."},{"key":"10.3233\/NRE-240133_ref13","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1007\/s41105-018-0196-0","article-title":"Validation of selected sleeping disorders related scales in Arabic among the Lebanese Population","volume":"17","author":"Hallit,","year":"2019","journal-title":"Sleep Biol Rhythms"},{"key":"10.3233\/NRE-240133_ref14","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1016\/S0140-6736(74)90884-8","article-title":"Measurement of pain","volume":"2","author":"Huskisson,","year":"1974","journal-title":"Lancet"},{"issue":"6","key":"10.3233\/NRE-240133_ref15","doi-asserted-by":"crossref","first-page":"1333","DOI":"10.12669\/pjms.336.13851","article-title":"A randomized controlled trial of intermittent Cervical Traction in sitting vs. Supine position for the management of Cervical Radiculopathy","volume":"33","author":"Khan,","year":"2017","journal-title":"Pak J Med Sci"},{"issue":"8","key":"10.3233\/NRE-240133_ref16","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1097\/AJP.0000000000000147","article-title":"Patients with neck pain are less likely to improve if they experience poor sleep quality: a prospective study in routine practice","volume":"31","author":"Kovacs,","year":"2015","journal-title":"Clin J Pain"},{"key":"10.3233\/NRE-240133_ref17","doi-asserted-by":"crossref","first-page":"509","DOI":"10.3928\/0048-5713-20020901-06","article-title":"The PHQ-: A new depression diagnostic and severity measure","volume":"32","author":"Kroenke,","year":"2002","journal-title":"Psychiatr Ann"},{"issue":"1","key":"10.3233\/NRE-240133_ref18","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.ejpain.2004.02.006","article-title":"Quality of life in chronic pain is more associated with beliefs about pain, than with pain intensity","volume":"9","author":"Lam\u00e9,","year":"2005","journal-title":"Eur J Pain"},{"key":"10.3233\/NRE-240133_ref19","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.rhum.2008.07.002","article-title":"R\u00e9\u00e9ducation dans les cervicalgies communes: ce que je fais, ce que je discute et pourquoi? Fondement sur les preuves et strat\u00e9gies du clinicien","volume":"75","author":"Maryl\u00e8ne","year":"2008","journal-title":"Revue du Rhumatisme"},{"key":"10.3233\/NRE-240133_ref20","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1093\/physth\/pzy001","article-title":"Cervical radiculopathy: effectiveness of adding traction to physical therapy-a systematic review and meta-analysis of randomized controlled trials","volume":"98","author":"Romeo,","year":"2018","journal-title":"Phys Ther"},{"issue":"6","key":"10.3233\/NRE-240133_ref21","first-page":"688","article-title":"Association between chronic low back pain, anxiety, and depression in patients at a tertiary care centre","volume":"63","author":"Sagheer,","year":"2013","journal-title":"J Pak Med Assoc"},{"key":"10.3233\/NRE-240133_ref22","doi-asserted-by":"crossref","first-page":"1624","DOI":"10.1007\/s00586-023-07655-y","article-title":"Prevalence of sleep disturbance in patients with cervical radiculopathy and an analysis of risk factors: a cross-sectional study","volume":"32","author":"Shi,","year":"2023","journal-title":"Eur Spine J"},{"issue":"Suppl 1","key":"10.3233\/NRE-240133_ref23","doi-asserted-by":"publisher","first-page":"S11","DOI":"10.4103\/sja.SJA_43_17","article-title":"Development and validation of Arabic version of the Hospital Anxiety and Depression Scale","volume":"11","author":"Terkawi,","year":"2017","journal-title":"Saudi J Anaesth"},{"key":"10.3233\/NRE-240133_ref24","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1016\/j.rhum.2004.05.009","article-title":"Traitements physiques et cervicalgies communes","volume":"71","author":"Tiffreau,","year":"2004","journal-title":"Rev Rhum"},{"key":"10.3233\/NRE-240133_ref25","doi-asserted-by":"crossref","first-page":"1781","DOI":"10.1016\/j.spinee.2014.02.032","article-title":"The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature","volume":"14","author":"Wong,","year":"2014","journal-title":"Spine J Off J North Am Spine Soc"},{"key":"10.3233\/NRE-240133_ref26","doi-asserted-by":"crossref","first-page":"E251","DOI":"10.1097\/BSD.0000000000000284","article-title":"Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment","volume":"28","author":"Woods,","year":"2015","journal-title":"J Spinal Disord Tech"},{"key":"10.3233\/NRE-240133_ref27","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1186\/s12891-022-05410-w","article-title":"Sleep disturbance is associated with neck pain: a 3-year longitudinal study after the Great East Japan Earthquake","volume":"23","author":"Yabe,","year":"2022","journal-title":"BMC Musculoskelet Disord"}],"container-title":["NeuroRehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/NRE-240133","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:09:13Z","timestamp":1777615753000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/NRE-240133"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,29]]},"references-count":27,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3233\/nre-240133","relation":{},"ISSN":["1053-8135","1878-6448"],"issn-type":[{"value":"1053-8135","type":"print"},{"value":"1878-6448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,29]]}}}