Comparison of Static and Dynamic Opening With Neural Sliding in Cervical Radiculopathy

Not Applicable

Recruiting

• Conditions: Cervical Radiculopathy; Cervical
• Interventions: Other: dynamic opener with slider + Conventional PT; Other: static opening with slider+ Conventional PT

• Registration Number: NCT06154993
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this randomized controlled trial is to determine the effects of static and dynamic opening with neural sliding in patients with cervical radiculopathy for reducing pain, enhancing cervical range of motion and improve functional status.

Detailed Description

Static opener is a neurodynamic technique for cervical radiculopathy for reducing pressure on the nervous system that causes intervertebral foramina to remain in the open position for a certain period. This enables blood flow to return to neural tissue so that oxygenation is improved, along with slider mobilization will reduce symptoms and give better healing to the inflamed nerve. when the intervertebral foramina remain open for a considerable amount of time axoplasmic flow is reestablished, oxygenation is improved, increases blood flow along with venous return and nerve gets more nutrients and all the inflammatory exudate is taken off resulting for early improvement.

Dynamic opener is a neurodynamic technique in opening direction to repetitively open and close the intervertebral foramina and produces oscillatory movements that cause pumping effect on the nerve and help to drain edema due to inflammation and help reduce pain and increase the range also.

Study Timeline

• Study Start: 2023-08-03
• Status Verified: 2023-11
• Study First Submitted: 2023-11-24
• Study First Submitted QC: 2023-11-24
• Last Update Submitted: 2023-11-24
• Primary Completion: 2023-12-01
• Study First Posted: 2023-12-04
• Last Update Posted: 2023-12-04
• Study Completion: 2024-02-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• : • Spurling +ive

  • Distraction test +ive (alleviate symptoms)
  • Pain, paresthesia and numbness in Rt/Lt UL in dermatomal pattern of median nerve
  • MRI confirmed spondylosis or disc herniation
  • Age 35-60

Read More

Exclusion Criteria

• • Cervical spine fracture

  • RA
  • Cervical myelopathy
  • Systemic neurological conditions
  • Osteoporosis

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
dynamic opener with slider + Conventional PT	dynamic opener with slider + Conventional PT	Patient supine Neck flexion + contralateral flexion and rotation. And sliding the median nerve along with neck movement from contralateral flexion+rotation to neutal position in repetitive manner, by releasing tension from median nerve when bringing neck in neutral to ease tension from affected side. Conventional PT includes hot pack for 10 mins and cervical isometrics.
static opener with slider + Conventional PT	static opening with slider+ Conventional PT	Patient supine Maintaining neck flexion + contralateral flexion and rotation and applying median nerve slider mobilization while maintaining the neck static in mentioned position. Conventional PT includes hot pack for 10 mins and cervical isometrics.

Primary Outcome Measures

Name	Time	Method
neck disability index	4 weeks	Most used questionnaire for disability in patient related to any musculoskeletal neck condition. It has 7 items for daily living, 2 for pain and 1 for concentration. Each item is rated from 0 to 5. Total score is presented in percentage. Higher score tells greater disability while 0 means no disability. Total score is 50.
visual analogue scale	4 weeks	VAS is a commonly used assessment tool for pain intensity ranging from 0 to 100mm on a horizontal scale while patient marks a vertical line to rank his/her pain.; 0-4mm no pain 5-44mm mild pain 45-74mm moderate pain 75-100mm severe pain
inclinometer	4 weeks	A device used to check range of motion based on gravity.

Trial Locations

Locations (2)

Pakistan Railway General Hospital; 🇵🇰 Rawalpindi, Punjab, Pakistan

RehabWrox; 🇵🇰 Islamabad, Federal, Pakistan