Objectives: Cervicarthrosis is almost inevitable with age .Men and women are affected .Given the constraints of overweight in the degenerative process of musculoskeletal system ,there would be a large number of obese patients.The objective of this reseach is to demonstrate the role of overweight in the occurence of clinical manifestations of cervicartrosis patients with a view to improving management .
Design: This prospective and descriptive study was caried out in University Hospital of Kinshasa during the period from january 2014 to march 2018.A Scale weighing scale for weight merurement and standard wall gauge was used to measure patients sizes .Body Mass Index .BMI is the ratio of weight (kgs) to height squared (m2) was used to define weight status.The WHO classification was adopted for interpretation of values ,as bellow:
Obesity:≥30 (grade i 30,0-34,9 ; grade ii 35-35,9 ; grade iii ≥ 40 )
Results: Of 81 patients followed for clinical manifestations of cervicarthrosis ,44(54%) of men , (34 46%) of women.The mean age of the patients was 56±12 years ,with 18 and 84 as extremes .Clinicaly ,mecanical type of cervical pain was present to 100% of patients.Of which 52 (64,2%) with moderate pain (EVA 4-6),and 29 (35,8%) with severe pain (EVA from 7 to 10 ).Neck stiffness and paresthesia of the upper limbs was present to 67,9% of patients and pain radiating to the shoulder at 49,4% .Radiologically inter-somatic nip was found in 87,7 of cases,osteophytes in 86,4 %,and erasure of cervical lordosis in 74,1 of cases ,The evolutionary curve of the calculated body mass index of our sample was greater the 24,9 kg/m2 whish is the upper limit expected in the standards .The mean calculated BMI was 26,4±3,6 kg/m2,with 18,4 and 40kg/m2 as extrem .
Conclusions: The study shows that overweight exert considerable influence in the clinical manifestations of cervicarthrosis .
Bertin Nsitwayisatadi– Phd student, University of Kinshasa
Djema Catherine– ASSISTANTE, University of Kinshasa
Betty Miangindula– PHD, University of Kinshasa
Vindicien Sali Demokolo– Phd student, University of Kinshasa
Damas Okito Wonga– assistant, University of Kinshasa
Jean Marie Mbuyi Muamba– PHD, University of Kinshasa
Honoré Nkakudulu– PHD, University of Kinshasa
Meya Kiala– Phd student, University Hospital of Kinshasa ;University of Kinshasa ,Departement of physical medicine and Rehabilitation