Effect of Soft Tissue Mobilization With and Without Neural Mobilization in Cervical Radiculopathy
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Isra University
- Enrollment
- 60
- Primary Endpoint
- Pain intensity
Study Overview
Brief Summary
This study will evaluate effect of soft tissue mobilization with and with out neural mobilization in cervical radiculopathy, half of the subjects will receive treatment of soft tissue mobilization along with neural mobilization whereas half of the subjects will receive only soft tissue mobilization.
Detailed Description
soft tissue mobilization and neural mobilization both treatments are used to treat cervical radiculopathy but they work differently.
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.
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
Soft Tissues mobilization with Neural mobilization
Soft Tissue Mobilization with Neural mobilization group will be assessed by spurling test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Post Isometric Relaxation Techniques and Neural mobilization Techniques which involve Median, Radial and Ulnar Nerve Mobilization.
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, 50mints each session)
Intervention: Soft Tissue Mobilization with Neural Mobilization (Other)
Soft Tissues mobilization without Neural mobilization
Soft Tissue Mobilization with Neural mobilization group will be assessed by spurling test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Post Isometric Relaxation Techniques.
Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 35mints each session)
Intervention: Soft Tissue Mobilization without Neural Mobilization (Other)
Outcomes
Primary Outcomes
Pain intensity
Time Frame: 4weeks
Pain intensity in one of the upper limb is measured by Numeric pain scale in which "0" shows No pain while "10" shows worst pain.
Secondary Outcomes
- Recurrence of pain and Neck disability(4weeks)
- Neck Range of Motion(4weeks)
Investigators
Noor Abid
Research Associate
Isra University