PHYSICAL THERAPY & REHAB
Decreased neck pain with the use of a rigid cervical collar following ACDF treatment
Physiother Theory Pract. 2013 May;29(4):290-300. doi: 10.3109/09593985.2012.731627. Epub 2012 Oct 1733 patients who underwent anterior cervical discectomy and fusion (ACDF) treatment (n=15 at final follow-up) were randomized to either wear a rigid cervical collar for 6 weeks post-surgery, or not. The purpose of this pilot study was to determine the feasibility of a trial evaluating the efficacy of rigid cervical collars post-surgery in terms of clinical outcomes. Results indicated that there was a significantly larger improvement in Neck Disability Index (NDI) scores and prospective neck pain in the collar group at 6 months; however, the results for the other outcomes and time points were statistically underpowered. Feasibility assessments indicated the need for a sample size 4 times larger to detect significant differences in these outcome measures.
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