Which is Better to Decompress the Nerve Roots in Cervical Radiculopathy: Stretching or Traction From Foraminal Opening Position
试验速览
- 阶段
- 不适用
- 入组人数
- 30
- 主要终点
- The Flexor Carpi radialis H-reflex
研究概览
简要总结
The purpose of the study is to compare the effects of traction decompression and neck muscle stretching on the magnitude of Flexor Carpi Radialis H-Reflex(HR), Neck Disability Index (NDI), and Visual Analogue Scale (VAS) pain scores in patients with cervical radiculopathy.
详细描述
Cervical traction has long been used to relieve compression of nerve roots caused by intervertebral discs. Yet, there is lack of knowledge that compares the effect of traction decompression with neck muscles stretching 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
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients should have C5-C6 and C6-C7 paramedian disc protrusion manifested by unilateral symptoms in C6-C7 roots dermatome and myotomes of the upper extremities.
- •They were diagnosed as cervical disc protrusion (C5- C7) for at least three months.
- •All patients should have a second grade of disc bulge (2-3mm) which was detected from T2 axial view of MRI.
排除标准
- •Patients will be excluded from the study if they have upper cervical spine disc pathology, cord compression and upper motor neuron symptoms, curvature abnormalities of the neck including reversed curve (kyphotic) and deformities, cervical rib syndrome, double crush syndrome, diabetic neuropathy, text neck , short neck (Churchill neck), Marked facet joint, neuro-central joint arthropathic pathology, osteoporosis.
结局指标
主要结局
The Flexor Carpi radialis H-reflex
时间窗: change from Baseline after 6-week of treament
The peak-to-peak amplitudes of the four FCR-HR traces will be measured and averaged for each patient
次要结局
- The Visual Analogue Scale Pain Scores(VAS)(Change from Baseline after 6-week of treament)
- The Neck Disability Index (NDI)(Change from Baseline after 6-week of treatment)
研究者
Abeer Farag Hanafy
Lecturer of Biomechanics
Cairo University