Cognitive Behavioral Therapy in Mangement of Chronic Cervical Radiculopathy

Not Applicable

Recruiting

• Conditions: Nervous System Diseases; cervical radiculopathy

• Registration Number: PACTR201701001972227
• Lead Sponsor: faculty of physical therapy

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-01-15
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

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

Inclusion Criteria

CR due to spondylotic changes or bony spur formation.
Patients have a unilateral C5-6 or C6-7, cervical spondylosis confirmed by imaging (computed tomography and/or magnetic resonance imaging).
C6 or C7 dermatomal numbness, current continuous or intermittent pain or discomfort which has persisted for more than 3 months, diminished deep tendon reflexes in the affected arm, and no spinal deformity according to cervical spine derangement classifications.
At least 3 positive tests of the clinical prediction rules which included the presence of four positive examination findings (Spurling test, upper limb tension test, cervical distraction test, and less than 60° cervical rotation towards the symptomatic side).

Exclusion Criteria

Previous fracture or subluxation of the cervical spine, malignity, spinal tumour, spinal infection, previous surgery in the cervical spine.
Drug abuse and diagnosed psychiatric disease.
cognitive impairment (deficits in higher reasoning, forgetfulness, learning disabilities, concentration difficulties, decreased intelligence and other reductions in mental functions).
Any signs or symptoms of medical red flags (e.g., tumor, fracture, rheumatoid arthritis, osteoporosis, and prolonged steroid use).
A history of previous cervical or thoracic spine surgery, signs or symptoms of upper motor neuron disease, vestibulobasilar insufficiency, amyotrophic lateral sclerosis, and myelopathy.
Bilateral upper extremity radicular symptoms.
The complete loss of sensation along the involved nerve root.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The Pain anxiety symptom scale (PASS) Arabic version

Secondary Outcome Measures

Name	Time	Method
Pain level and Functional status: Neck Disability Index (NDI) Arabic version;Cervical Active Range of Motion: measurements of flexion, extension, lateral flexion, and rotation will be taken with the subject in sitting position using a universal inclinometer placed on top of the subject¿s head