Effectiveness of Mulligan Mobilizations With Upper Limb Movement and McKenzie Exercises Along With Neural Mobilizations in Cervical Spondylosis - A Comparative Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 2
- 主要终点
- Change in pain intensity on Numerical Pain Rating Scale after four weeks.
研究概览
简要总结
Cervical pain is one of the common problem among general population. However, cervical spondylosis may cause unavoidable neck pain and range limitations due to wear and tear changes in the cervical spine. This condition can further lead to dysfunction and neuro musculoskeletal symptoms. Literature suggests the use of Mulligan therapy, McKenzie exercises and Neural mobilizations in spondylosis. According to author's knowledge there is limited evidence regarding effects of specific treatment approach.
详细描述
A randomized control trial will be conducted among 80 patients with cervical spondylosis having age group 40 to 60 years. The non-probability purposive sampling technique will be used to recruit on the basis of study criteria. The study settings will be Dow University of health sciences, Karachi Pakistan. After taking informed consent all the patients will be randomized into two groups (A, B). Group A will receive mulligan with upper limb movement of involved side, group B will receive McKenzie exercises and neural mobilizations. Patients will be evaluated at baseline and after four weeks of treatment by using a goniometer, numerical pain rating scale (NPRS), and neck disability index (NDI) for cervical range of motions, pain intensity and neck disability respectively. There will be twelve sessions of treatment with thrice a week.
Duration of each session will be thirty minutes. All the data will be entered and analyzed through statistical package of social sciences version 24. Descriptive analysis will be performed for both continuous and categorical data. Inferential statistics will be performed to compare pain, disability index and range of motion between group and within group. The level of significance will be considered as 0.05.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •40 - 60 years old adults.
- •Diagnosed and referred cases of cervical spondylosis and both males and females are included.
- •Unilateral radiculopathy pain C5-C8 and T
- •Individuals whose Spurling's and distraction test is positive.
- •Patients with NPRS > 3/10 score.
- •Patients with ipsilateral cervical rotation less than 60 degrees.
排除标准
- •Individuals with history of;
- •cervical or shoulder girdle trauma.
- •any specific pathology or red flags (diplopia, dizziness, drop attacks, dysarthria, dysphagia)
- •cervical myelopathy
- •neoplastic lesions
- •vertebral artery insufficiency
- •upper cervical ligamentous instability,
- •spondylolisthesis
- •hypermobile cervical spine
- •cervical fracture inflammatory
- •cardiac or severe psychiatric disease.
结局指标
主要结局
Change in pain intensity on Numerical Pain Rating Scale after four weeks.
时间窗: Baseline and 4 weeks.
The Numerical Pain Rating Scale is a unidimensional measure of pain intensity, use to record patients' pain progression or compare pain severity between pains with similar condition. It is 0 to 10 number scale. Higher the score, severe will be the pain experienced.
次要结局
- Change in range of motion assessed with universal goniometer after four weeks(Baseline and 4 weeks.)
- Change in functional disability assessed with Neck Disability Index after four weeks.(Baseline and 4 weeks.)
研究者
Hafsa Shehzadi
Principal Investigator
Dow University of Health Sciences