Integrating Neuromobilization versus Stabilization Exercise to improve Pain, Disability, Health related quality of life, and hand strength among Cervical Radiculopathy.

The study aims to evaluate the effectiveness of neuromobilization and cervical stabilization exercises in improving pain, disability, hand strength, and health-related quality of life (HrQOL) in patients with cervical radiculopathy.

Phase 1: Screening and Consent. Participants will be briefed on the study and screened based on inclusion/exclusion criteria. Informed consent will be obtained.

Phase 2: Assessment.  Pain (VAS)and disability(NDI); Hand grip strength by hand dynamometer of both the groups.

A total of “N=64” subjects will be enrolled in the study and randomly assigned into Group A and Group B

Group A Neuromobilization with manual therapy This group employs a neural mobilization approach, involving median nerve sliding, with one set of five repetitions, each held for five seconds. Using the method by David Butler, which states that the individual was in supine position with the shoulder in lateral rotation and abduction, with the elbow in extension, forearm in supination, wrist, finger, and thumb in extension, and contralateral side in flexion and shoulder in abduction for stretch. Some additional exercises, like Neck isometric, with two sets of five repetitions, each hold for five seconds, stretching of muscles like levator scapulae, scalene, with five repetitions in two sets, each holding for five seconds With hand exercises for tingling and numbness in the arm, exercises like hand putty squeezing, and rolling putty between both hands.

 Group B Cervical Stabilization with  Manual Therapy

cervical flexion and extension dynamic isometric exercise in sitting position, bicep curls, bench press, 5 repetitions each in two sets, each holding for five seconds

additional exercises, like Neck isometric, with two sets of five repetitions, each hold for five seconds, stretching of muscles like levator scapulae, scalene, with five repetitions in two sets, each holding for five seconds

With hand exercises for tingling and numbness in the arm, exercises like hand putty squeezing, and rolling putty between both hands.

All outcome measures will be measured at baseline and the 4th week of the trial. Both groups received the sessions three times a week for 4 weeks. The data will be analyzed to evaluate the best  therapeutic option for cervical radiculopathy.