Effects of McKenzie Exercises Along With Neurodynamic Mobilization Exercises on Pain, Range of Motion and Functional Disability in Patients With Cervical Radiculopathy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 46
- 试验地点
- 1
- 主要终点
- Neck Disability Index
研究概览
简要总结
This studt was conducted to determine the effects of McKenzie Exercises along with Neurodynamic Mobilization exercises on Pain, Range of Motion and Functional Disability in patients with Cervical Radiculopathy.
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 35 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age limit 35-50 Years.
- •Both male and female participants.
- •Median nerve related symptoms.
- •Participants presenting with unilateral C5-C7 cervical radiculopathy associated with a posterolateral cervical disc bulge were included in the study.
- •Ipsilateral neck rotation, Spurling's test, median nerve neurodynamic testing, and ULNTT were considered positive if they reproduced unilateral C5-C7 radicular arm pain and negative if they did not.
- •Pain reported as greater than 4-9/10 on the NPRS, persisting for more than 3 months.
- •Neck Disability Index score 20-
- •Participants demonstrating moderate restriction in cervical range of motion, defined as flexion <40°, extension <50°, lateral flexion <35°, and rotation <70°, were included.
排除标准
- •A cervical spine fracture.
- •Spondylolisthesis, subluxation, and cervical instability
- •Radicular symptoms in both upper extremities.
- •TB, cancer, heart illness, osteoporosis.
- •Prolapsed intervertebral disc, neurological problems, any trauma or localized infection in the neck area.
- •Upper motor neuron disease, cervical stenosis, and bone and joint metabolic diseases.
- •Hyperelasticity and Thoracic outlet syndrome
- •Hyper lordotic if exceeds than normal angle
- •Psychiatric conditions including sadness and phobia/obsession.
- •Individuals who have had cervical spine surgery within a year.
研究组 & 干预措施
Neurodynamic Mobilization exercises with Standardized Physiotherapy treatment
干预措施: Neural Mobilization exercises: (Other)
Neurodynamic Mobilization exercises with Standardized Physiotherapy treatment
干预措施: Standard Treatment (Other)
McKenzie exercises along with Neurodynamic Mobilization exercises with Standardi
干预措施: Neural Mobilization exercises: (Other)
McKenzie exercises along with Neurodynamic Mobilization exercises with Standardi
干预措施: Standard Treatment (Other)
McKenzie exercises along with Neurodynamic Mobilization exercises with Standardi
干预措施: McKenzie Exercises (Other)
结局指标
主要结局
Neck Disability Index
时间窗: From enrollment to the end of treatment at 4 weeks
The Neck Disability Index (NDI) is a self-administered tool that is employed to evaluate the functional impairment in people with neck pains. The instrument consists of ten questions which refer to daily activities; every question will be rated out of 0-5 scale, and finally there will be a total mark out of 0 -50. High scores indicate an increased amount of disability hence making NDI useful in assessing the impact of neck discomfort on the quality of life of patients and guide therapeutic decision making. When used in measuring functional disability in cervical radiculopathy, the NDI demonstrates strong levels of reliability. The psychometric integrity of the instrument is also supported by internal consistency where a Cronbach alpha of between approximately 0.80 and 0.90 is shown. 0-4: Minimal Disability, 5-14: Mild Disability, 15-24: Moderate Disability, 25-34: Severe Disability, 35-50: Complete Disability
Numeric Pain Rating Scale
时间窗: From enrollment to the end of treatment at 4 weeks
The Numerical Pain Rating Scale (NPRS) is used to assess a patient's level of pain, ranging from 0 to 10, whereas 0 denotes "no pain" and 10 represents the "worst imaginable pain." It is widely used tool in both clinical and research settings. The National Pain Research Scale (NPRS) has good test-retest reliability as revealed by the correlation coefficients of 0.95 to 0.96 and thus validates the reliability and consistency of the pain intensity measures.
ROM Cervical Spine (Flexion)
时间窗: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer
ROM Cervical Spine (Extension)
时间窗: From enrollment to the end of treatment at 4 weeks.
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
ROM Cervical Spine (Lateral Flexion)
时间窗: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
ROM Cervical Spine (Rotations)
时间窗: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
次要结局
未报告次要终点