The Concurrent Use of Intermittent Cervical Traction and Neuromobilization Techniques in Patients With Cervical Radiculopathy
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- changes in pain
研究概览
简要总结
This study evaluates the effectiveness of two treatment interventions in patients with cervical radiculopathy. One group will receive a concurrent approach using traction and neuromobilizations. The other group will receive the sequential approach of traction and neuromobilizations
详细描述
Physical therapists routinely use cervical traction and manual therapy in patients with cervical radiculopathy. The standard of care is a sequential approach in which the patients receive interventions successively. This study will provide the standard of care approach for one group while the other group receives the concurrent approach in which the patient will have neuromobilizations while they are receiving mechanical traction. Both groups will also receive exercise and manual therapy to the cervical and thoracic spine.
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
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- 未提供
排除标准
- •Do not test positive on at least 3 of 4 special tests.
- •Signs of cervical trauma
- •Cervical myelopathy
- •Active pregnancy
- •Medical red flags (fracture, tumor, long term steroid use, rheumatoid arthritis, and osteoporosis)
- •Evidence of vascular compromise
- •Cervical spine surgery
- •Recent injections in the past six weeks
研究组 & 干预措施
Concurrent traction
Concurrent traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: concurrent traction and neuromobilization technique (Other)
Concurrent traction
Concurrent traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: active exercise program (Other)
Concurrent traction
Concurrent traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: manual therapy to cervical and thoracic spine (Other)
Sequential traction
Sequential traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: sequential traction and neuromobilization technique (Other)
Sequential traction
Sequential traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: active exercise program (Other)
Sequential traction
Sequential traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session
干预措施: manual therapy to cervical and thoracic spine (Other)
结局指标
主要结局
changes in pain
时间窗: after 4 weeks of intervention
Measured using the Numeric pain rating scale. Minimum score is 0 and maximum score is 10. 0 describes no pain and 10 describes worst pain imaginable.
changes in function
时间窗: After 4 weeks of intervention
Measured using the Neck Disability Index. The Neck Disability Index has a minimum score of 0 and maximum score of 50. It is typically expressed as a percentage by multiplying the score by 2. Higher scores represent greater disability.
次要结局
- Difference in treatment time between the groups(4 weeks of intervention)
研究者
James W. Bellew
Professor
University of Indianapolis