The Impact of Physical Therapy on Functional Disability in Patient with Cervical Spondylosis: A Single Case Study

Background: Cervical spondylosis is a common degenerative condition affecting the cervical spine, often leading to chronic pain, stiffness, and functional impairment. Physical therapy plays a crucial role in managing symptoms and improving functional ability. However, limited research compares the combined effects of these modalities such as transcutaneous electrical nerve stimulation (TENS) and Ultrasound Therapy (UST) along with structured exercise on outcomes such as pain reduction, reduce stiffness and improve ADL. Objective: This case study evaluates the impact of a structured physiotherapy program on the functional ability of a 53-year-old female patient with cervical spondylosis, experiencing right shoulder and neck pain, stiffness, and tingling sensations in the right arm. Methodology: The patient presented with progressive neck and right shoulder pain radiating to the right arm, aggravated by neck movements and daily activities. She also reported difficulty in self-care tasks such as eating and bathing. A comprehensive physiotherapy assessment was conducted, including pain evaluation using the Visual Analogue Scale (VAS), Range of motion (ROM) testing, and functional assessment. The intervention program included cervical mobilization, therapeutic exercises, electrotherapy, and ergonomic education. Results: After a structured physiotherapy regime, the patient demonstrated significant improvement in pain reduction (VAS score reduction), increased cervical ROM, and enhanced functional independence. Strengthening and mobility exercises contributed to improved upper limb function, reducing the impact of symptoms on daily activities. Conclusion: This case study highlights the effectiveness of physiotherapy in managing cervical spondylosis related pain and functional limitations. A tailored rehabilitation approach incorporating manual therapy, exercise therapy, and patient education can significantly enhance mobility and quality of life in individuals with cervical spondylosis. Keywords: Cervical spondylosis, neck pain, physiotherapy, ROM, functional disability.