Cervical radiculopathy and myelopathy are common degenerative disorders, which can create a large amount of social and medical burden. The aims of this study are(1) to investigate the functional outcomes progression before and after surgery, (2) to evaluate the biomechanical change and compensatory patterns of patients with or without decompression surgery, and (3) to design innovation intervention for the patients with cervical myelopathy and radiculopathy.

Brief Title

Investigation in Integrated Perspective of Radiculomyelopathy Patients

Official Title

Investigation of the Relationship Between Surgical Approaches, Psychological Intervention, Neuromuscular Control, Rehabilitation Exercise and Biomechanical Characteristics in Radiculomyelopathy Patients

Brief Summary

Cervical radiculopathy and myelopathy are common degenerative disorders, which can create a <br /> large amount of social and medical burden. The aims of this study are(1) to investigate the <br /> functional outcomes progression before and after surgery, (2) to evaluate the biomechanical <br /> change and compensatory patterns of patients with or without decompression surgery, and (3) <br /> to design innovation intervention for the patients with cervical myelopathy and <br /> radiculopathy.

Detailed Description

Neck pain, which is common in population recently, is causing the huge burden in the global
medical service system. Cervical myelopathy, that is induced by disc degeneration, is turning
to be an alarming public health issue. The clinical manifestations of cervical myelopathy
include neck/shoulder pain, numbness/weakness of four limbs, sensorimotor impairment, and
sociopsychological dysfunction. However, most of the previous studies tend to justify
patients, prognosis in a single dimension. The investigators realized that no standard
protocol for management in patients with the variety of manifestation and severity of signs
and symptoms.This study is purposed to integrate and analyze the finding in surgery
selection, clinical manifestation, psychological consultation, compensatory patterns in the
neuromusculoskeletal system, postural control, home exercise and biomechanical features.
Then, the investigators will develop a complementary model in assessment and prediction of
prognosis, and also an applicable standard guideline in the clinical setting. To achieve the
expected target, the principal investigator will play the role as the main coordinator in the
team. The 3-year plan is listed as below:

1. In the first year, the patients will be recruited for projects from different
co-investigators. The recruited participants will be allocated to different study group
after assessment to ensure the most suitable intervention are offered to the
participants.

2. In the second year, the participants' recruitment will be continuing. The effectiveness
previous treatment will be assessed. The study procedure will be adjusted based on pilot
results.

2. In the third year, the study finding of all co-investigators and results of the
biomechanical analysis will be integrated to establish the model of prognosis prediction and
clinical management guideline. This study will provide a complete clinical management
guideline in cervical myelopathy, which is expected to be globally leading reference in the
management of cervical myelopathy.

Outcome Measures

Outcome measures are the tests that investigators perform to prove whether or not a treatment being tested in a clinical trial is having any effect.

Inclusion Criteria:

  -  Diagnosed as cervical myelopathy or radiculopathy based on imaging results

Exclusion Criteria:

  -  With spondylolisthesis, rheumatoid arthritis, multiple sclerosis

  -  With cancer/tumor

  -  With neurological or psychological disorder

  -  Not suitable for cervical decompression surgery or physical therapy