Effects of Myokinetic Stretching Technique and Post Facilitation Stretching on Pain, Range of Motion, and Functional Disability in Patients With Cervical Radicular Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Numeric Pain Rating scale
研究概览
简要总结
Cervical radicular pain (CRP) is a musculoskeletal condition characterized by neck pain radiating to the upper limb due to compression or irritation of cervical nerve roots. It significantly affects daily activities, cervical mobility, and overall quality of life. Conventional physical therapy focuses on reducing pain and improving function; however, there is limited evidence comparing the effectiveness of different stretching techniques used in clinical practice.
This randomized controlled trial aims to compare the effectiveness of Myokinetic Stretching Technique (MST) and Post Facilitation Stretching (PFS) on pain intensity, cervical range of motion, and functional disability in patients with cervical radicular pain.
A total of 70 participants with cervical radicular pain (>4 weeks) will be randomly allocated into two groups:
Group A (Myokinetic Stretching Technique Group) - receiving MST along with conventional therapy including hot pack application, cervical isometric exercises, neurodynamic gliding, and continuous cervical traction.
Group B (Post Facilitation Stretching Group) - receiving Post Facilitation Stretching along with the same conventional therapy.
The intervention will be conducted for 4 weeks, with 3 sessions per week on alternate days, each session lasting approximately 45 minutes.
Outcome measures will include:
Pain intensity assessed using the Visual Analogue Scale (VAS) Cervical range of motion measured using a goniometer Functional disability assessed using the Neck Disability Index (NDI)
This study aims to determine the more effective stretching technique for reducing pain, improving cervical mobility, and enhancing functional outcomes, thereby supporting evidence-based physiotherapy practice in managing cervical radicular pain.
详细描述
Cervical radicular pain (CRP) is a condition characterized by neck pain radiating to the upper limb due to compression or irritation of cervical nerve roots. It is commonly associated with reduced cervical range of motion, muscle tightness, and functional disability, significantly affecting daily activities and quality of life. Conservative physiotherapy interventions, including stretching techniques, play a key role in managing this condition.
Among commonly used techniques, Myokinetic Stretching Technique(MST) and Post Facilitation Stretching (PFS) are widely applied to improve muscle flexibility, reduce pain, and enhance functional mobility. MST focuses on controlled contraction and gradual stretching to promote neuromuscular relaxation, whereas PFS involves maximal voluntary contraction followed by rapid passive stretching to achieve muscle lengthening. Despite their frequent use in clinical practice, there is limited comparative evidence regarding their effectiveness in patients with cervical radicular pain.
This study is designed as a single-blinded, two-arm parallel randomized controlled trial. A total of 40 participants diagnosed with cervical radicular pain will be recruited using a convenience sampling technique. Participants will be randomly allocated into two groups using computer-generated randomization with a 1:1 allocation ratio. Allocation concealment will be ensured by an independent administrator, and outcome assessment will be performed by a blinded assessor.
Both groups will receive conventional physiotherapy treatment consisting of hot pack application for 10 minutes, cervical isometric exercises (flexion, extension, lateral flexion, and rotation), neurodynamic gliding techniques, and continuous cervical traction.
Participants in Group A will receive Myokinetic Stretching Technique, applied to the cervical musculature with emphasis on trapezius stretching combined with myofascial release techniques. Participants in Group B will receive Post Facilitation Stretching, involving strong voluntary contraction followed by rapid passive stretching of the targeted muscles.
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
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Both male and female gender
- •Age 30 to 60 years with a +ve spurling test and radiating arm pain for more than 4 weeks
- •Unilateral cervical radicular pain
- •+ve upper limb tension test and neck disability index <50%
排除标准
- •History of cervical spinal surgery
- •Severe facet joint osteoarthritis
- •History of fracture in the head and neck region
- •Patient with cognitive dysfunction or mental illness, severe cardiovascular, cerebrovascular, liver, or kidney dysfunction
- •History of dizziness, vertigo, and vomiting
- •Osteoporosis and prolonged use of steroids
- •Cervical myelopathy, tumor, or infectious disease
结局指标
主要结局
Numeric Pain Rating scale
时间窗: Baseline and 4 weeks
Pain intensity will be assessed using the Numeric Pain Rating Scale. The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst possible pain. Higher scores indicate greater pain.
Neck Disability Index
时间窗: Baseline and 4 weeks
Functional disability will be assessed using the Neck Disability Index . The total score ranges from 0 to 50, with higher scores indicating greater disability.
Goniometer
时间窗: Baseline and 4 week
Cervical range of motion will be measured in degrees using a universal goniometer. Higher values indicate greater cervical range of motion.
次要结局
未报告次要终点