Journal of Chronic Disease Prevention and Care
Open AccessComparative Evaluation of CSET (Chakrasiddh Spine Expert Therapy) and Standard Physiotherapy in Management of Cervical Spondylosis
Authors: Bhuvanagiri Sathya Sindhuja, Injarapu Sankar, Elakya Elavarasan, Shweta Tiwari.
Abstract
Background: Cervical spondylosis (CS) or Ceganavatham in Siddha medicine is a common degenerative disorder of the cervical spine that leads to chronic neck pain, stiffness, and functional limitations. Conservative treatment is the preferred approach, with physiotherapy being widely practiced however, achieving long-term benefit is often inadequate. Siddhabased Chakrasiddh Spine Expert Therapy (CSET), a multidimensional approach not only targets musculoskeletal alignment and pain reduction but also addresses the underlying imbalances described in Siddha medicine, thereby promoting longterm healing in cases of CS.
Objective: This study aimed to compare the effectiveness of CSET with conventional physiotherapy rehabilitation program in reducing pain, improving cervical functional outcomes, and enhancing quality of life in female patients with cervical spondylosis.
Methods: A randomized controlled trial was conducted which included 60 female patients with cervical spondylosis in Chakrasiddh OPD assigned into two groups: Group A (n=30) received CSET, and Group B (n=30) received supervised physiotherapy for 8 weeks. Pain intensity was measured using the Visual Analogue Scale (VAS), functional disability using the Neck Disability Index (NDI), and cervical range of motion (ROM) using a goniometric cervical measurement system. Assessments were conducted pre- and post-intervention. Statistical analysis was performed using paired and unpaired t-tests with significance set at p<0.05.
Results: Both group patients demonstrated significant improvement in outcome scales from baseline (p<0.05), however, the results of Group A (CSET) showed greater reduction in pain, disability, flexibility and enhanced quality of life compared to Group B (physiotherapy). The mean VAS reduction was 5.6 in CSET versus 3.8 in physiotherapy, and the mean NDI reduction was 14.2 versus 9.0, respectively. CSET also produced superior gains in cervical ROM across flexion, extension, lateral flexion, and rotation, along with reported improvements in sleep quality, posture, and daily activity endurance.
Conclusions: The findings suggest that CSET is more effective than conventional physiotherapy in alleviating pain, reducing disability, and improving cervical mobility in patients with cervical spondylosis. CSET may serve as a comprehensive, non-invasive, and integrative therapeutic option for managing cervical spine disorders. Further large-scale randomized controlled trials are recommended to validate these results.
Editor-in-Chief
View full editorial board →