Effects of Neural Mobilization With or Without Soft Tissue Mobilization in Cervical Radiculopathy

Not Applicable

• Conditions: Cervical Radiculopathy
• Interventions: Other: Neural Mobilization with Soft Tissue Mobilization; Other: Neural Mobilization without Soft Tissue Mobilization

• Registration Number: NCT03838315
• Lead Sponsor: Isra University

Brief Summary

This study will evaluate Effects of Neural Mobilization with or without Soft Tissue Mobilization in Cervical Radiculopathy, half of the subjects will receive treatment of Neural Mobilization along with Soft Tissue Mobilization whereas half of the subjects will receive only Neural Mobilization.

Detailed Description

Neural mobilization and Soft Tissue Mobilization both treatments are used to treat Cervical Radiculopathy but they work differently.

Neural mobilization technique is different for all 3 nerves i.e Radial, ulnar and median. Neural Mobilization Technique target the single nerve which is being compressed and showing symptoms.

Soft Tissue Mobilization include traction which decompresses the nerve and stretches the surrounding muscles along with help to reduce pain and tingling sensation. whereas hot pack helps to increase blood circulation and warm up muscles and isometric exercises provide strengthening and build endurance.

Study Timeline

• Status Verified: 2019-02
• Study First Submitted: 2019-02-09
• Study First Submitted QC: 2019-02-09
• Study First Posted: 2019-02-12
• Last Update Submitted: 2019-02-12
• Last Update Posted: 2019-02-15
• Study Start: 2019-02-20
• Primary Completion: 2019-05-20
• Study Completion: 2019-06-20

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients with age 18 to 55years
• Patients having pain more than 3months
• Radiating pain in one of the upper limb
• Spurling's test positive

Exclusion Criteria

• Traumatic injury of upper limb or cervical spine
• Vertebral artery test positive(dizziness, vomiting, diplopia, drop attacks etc)
• Patient asymptomatic for pain but symptomatic for tingling and paraesthesia
• Circulatory disturbance of upper extremity
• Known history of high level of spinal cord injury and malignancy
• Thoracic Outlet syndrome

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Neural Mobilization with Soft Tissue Mobilization	Neural Mobilization with Soft Tissue Mobilization	Neural Mobilization with Soft Tissue Mobilization group will be assessed by spurling's test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Neural mobilization Techniques which involve Median, Radial and Ulnar Nerve Mobilization and Post Isometric Relaxation Techniques. Frequency for Neural mobilization is 3 sets of 10 repetitions for each and duration of 15minute. Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 40mints each session)
Neural mobilization without Soft Tissue Mobilization	Neural Mobilization without Soft Tissue Mobilization	Neural Mobilization without Soft Tissue Mobilization group will be assessed by spurling's test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Neural Mobilization Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 30mints each session)

Primary Outcome Measures

Name	Time	Method
Neck Pain Numeric Scale	4weeks	Pain intensity in one of the upper limb is measured by Numeric pain scale in which "0"

Secondary Outcome Measures

Name	Time	Method
Neck Disability Index	4weeks	Neck disability index scale used to measure ability to manage neck pain in everyday life in terms of: Pain intensity, Personal care, Lifting, Reading, Headaches, and Concentration. In which "0" shows disability and "5" shows normal.