Does the Combination of Cervical and Sacroiliac Mobilization Enhance Clinical Outcomes in Cervical Radiculopathy?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Cervical Radiculopathy Impact Scale (CRIS)
研究概览
简要总结
This study evaluated whether adding mobilization and myofascial techniques targeting the lumbar and sacroiliac regions to cervical-focused manual therapy provides additional clinical benefits in individuals with cervical radiculopathy. Changes in pain, disability, cervical range of motion, and sacroiliac joint (SIJ) clinical findings were assessed. The study also examined whether changes in SIJ clinical findings were associated with changes in cervical clinical outcomes, thereby exploring the relationship between cervical and lumbopelvic responses to an extended regional manual therapy approach.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The diagnosis of cervical radiculopathy was established by a specialist neurosurgeon based on clinical examination and magnetic resonance imaging (MRI) findings. Individuals aged 18-55 years with a confirmed diagnosis of cervical radiculopathy and who were considered clinically appropriate for manual therapy were screened for eligibility -
排除标准
- •criteria were previous cervical spine surgery; rheumatologic, vestibular, neurological, or cardiopulmonary disorders that could interfere with assessment or treatment; limb-length discrepancy; scoliosis; a history of fracture involving the spine, sacroiliac joint (SIJ), or lower extremities; mechanical low back pain; receipt of exercise-based treatment or physical therapy within the preceding 6 months; and pregnancy
研究组 & 干预措施
Cervical-Focused Manual Therapy
Participants received manual therapy interventions targeting the cervical region.
干预措施: Cervical manual-focused manual therapy (Other)
Extended Regional Manual Therapy
Participants received cervical-focused manual therapy combined with additional mobilization and myofascial techniques targeting the lumbar and sacroiliac regions.
干预措施: Cervical manual-focused manual therapy (Other)
Extended Regional Manual Therapy
Participants received cervical-focused manual therapy combined with additional mobilization and myofascial techniques targeting the lumbar and sacroiliac regions.
干预措施: Extended Regional Manual Therapy (Other)
结局指标
主要结局
Cervical Radiculopathy Impact Scale (CRIS)
时间窗: Baseline and immediately after the intervention
Cervical Radiculopathy Impact Scale (CRIS)
Neck Disability Index (NDI)
时间窗: Baseline and immediately after completion of the intervention protocol
Neck-related disability will be assessed using the Neck Disability Index (NDI), a 10-item self-reported questionnaire. The total score ranges from 0 to 50, with higher scores indicating greater neck-related disability. The validated Turkish version will be used.
Short-Form McGill Pain Questionnaire (SF-MPQ)
时间窗: Baseline and immediately after completion of the intervention protocol
Pain will be assessed using the Short-Form McGill Pain Questionnaire (SF-MPQ). The questionnaire includes 15 pain descriptors comprising 11 sensory and 4 affective items. Each descriptor is rated from 0 (none) to 3 (severe), with higher scores indicating greater pain severity. The validated Turkish version will be used.
Active Cervical Flexion Range of Motion
时间窗: Baseline and immediately after completion of the intervention protocol
Active cervical flexion range of motion will be measured in degrees using a Baseline® digital goniometer. Participants will actively move through their available cervical flexion range using standardized positioning and anatomical landmarks. Higher values indicate greater cervical flexion range of motion.
次要结局
未报告次要终点
研究者
Duygu Reyhanioğlu
Dr. Duygu Reyhanioglu
Fenerbahce University