Combined effect of SMWAM as an adjunct to Fascial Distortion Model and Kinetic Chain Activation Technique in cervical radiculopathy on proprioception: A RCT
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Joint Position Error (JPE) Test
研究概览
简要总结
Title: Combined Effect of Spinal Mobilization with Arm Movement as an Adjunct to Fascial Distortion Model and Kinetic Chain Activation Technique in Cervical Radiculopathy on Proprioception
Aim and Objective: To determine the combined effect of SMWAM with Fascial Distortion Model and Kinetic Chain Activation Technique on proprioception, pain, range of motion, and function in individuals with cervical radiculopathy.
Inclusion Criteria: Participants aged 30 to 55 years of both genders diagnosed with unilateral or bilateral cervical radiculopathy, with acute or subacute onset less than 3 months, and at least three positive findings from Wainner criteria including Spurling test, Distraction test, Upper Limb Tension Test, and reduced cervical rotation less than 60 degrees.
Exclusion Criteria: History of trauma or surgery to the cervical region, severe osteoporosis, malignancy, systemic illness, hypermobility, inflammatory arthritis, or vestibular insufficiency.
Outcome Measures:
Joint Position Error Test for cervical proprioception
Visual Analogue Scale for pain intensity
Universal Goniometer for cervical range of motion
Cervical Radiculopathy Impact Scale for functional status
Procedure: Participants will be screened as per inclusion and exclusion criteria. After obtaining ethical clearance and informed consent, participants will be randomly divided into three groups. Pre and post intervention assessments will be done for proprioception, pain, cervical range of motion, and function using standard outcome measures. Duration of treatment 2 weeks (3 sessions per week)
Intervention (Three Groups):
Group A: SMWAM with conventional therapy including hot moist pack, trapezius stretching, TENS, neck isometrics, chin tucks, and scapular retraction exercises.
Group B: Fascial Distortion Model techniques including Trigger Band and Herniated Trigger Point, combined with SMWAM and conventional therapy.
Group C: Kinetic Chain Activation Technique applied along trapezius fibers, combined with SMWAM and conventional therapy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 30.00 Year(s) 至 55.00 Year(s)（—）
- 性别
- All
入选标准
- •Participants of all genders aged 30-55 years willing to participate Unilateral and bilateral cervical radiculopathy Acute/ Subacute onset less than 3 months Presence of more than or equal to 3 criteria of Wainner et al.(Spurling test, Distraction test, Upper Limb Tension Test (ULTT), and cervical rotation towards painful side less than 60 degree.
排除标准
- •History of recent trauma, fall or injury to the cervical region History of surgery to cervicothoracic spine less than 6 months Participants with severe osteoporosis and malignancy Current use of steroidal anti-inflammatory drugs Acute infection, fever, or systemic illness Hypermobile cervical spine or ligamentous instability Active inflammatory arthritis (e.g., rheumatoid arthritis, ankylosing spondylitis) Diagnosed cases of Vestibular Insufficiency.
结局指标
主要结局
Joint Position Error (JPE) Test
时间窗: Pre and Post 2 weeks of intervention
次要结局
- Visual Analog Scale (VAS)(Range of Motion (ROM))
研究者
Dr Santosh Metgud
KAHER Institute of Physiotherapy