The MENT Protocol: A Multimodal Intervention Strategy for the Management of Cervical Radiculopathy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Pain thershold,
Study Overview
Brief Summary
A common neuromuscular condition called cervical radiculopathy is typified by radiating pain in the arms and neck, frequently accompanied by motor weakness, sensory deficiencies, and functional impairment. Although general exercises and modalities are frequently used in conventional physiotherapy to address symptoms, many patients still suffer from residual disability because of untreated motor control deficits, postural dysfunction, and nerve mechanosensitivity. According to recent research, neurostimulation, motor control training, nerve mobilisation, and ergonomic techniques are all beneficial when used separately to treat cervical radiculopathy. Nevertheless, there is a dearth of strong data examining the combined, protocol-driven effects of these interventions. This research seeks to address that deficiency by presenting and substantiating an innovative, evidence-based, multi-dimensional intervention protocol aimed at critical areas of dysfunction in cardiac rehabilitation patients. Utilising objective outcome measures like the CRIS scale, NPRS, and hand-held dynamometer, this study aims to develop a standardised, quantifiable, and clinically relevant intervention, which may enhance rehabilitation protocols and long-term results for cervical radiculopathy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant, Investigator and Outcome Assessor Blinded
Eligibility Criteria
- Ages
- 25.00 Year(s) to 55.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.Clinically diagnosed cervical radiculopathy confirmed by at least two of the following clinical tests Spurling’s Compression Test Upper Limb Tension Test Cervical Distraction Test.
- •Cervical rotation restricted to less than 60 degree toward the symptomatic side (Optional) Radiological evidence (X-ray or MRI) indicating disc pathology or foraminal narrowing 2.Age range between 25 and 55 years 3.Pain localized to the neck with radiating symptoms to the unilateral upper limb
- •Demonstrated functional limitations such as: Decreased grip strength Altered posture Restricted and painful cervical movement 5.A patient specific functional scale score reflecting mild to moderate functional disability
- •Ability to comprehend and follow instructions, and willingness to provide written informed consent.
Exclusion Criteria
- •Individuals were excluded if any of them presents Bilateral upper extremity symptoms Cervical spine instability Central cord compression Spinal tumours or infections Any history of cervical fractures trauma or surgical intervention Complaints of dizziness or vertigo Diagnosed malignancies near the cervical region Whiplash injuries
- •Severe or progressive neurological deficits such as Significant motor weakness Loss of deep tendon reflexes Bladder or bowel dysfunction 3.Contraindications to TENS therapy, including: Presence of a cardiac pacemaker or defibrillator History of epilepsy Hypersensitivity or skin lesions at electrode site 4.Ongoing participation in any other physiotherapy or interventional rehabilitation program 5.Pregnancy due to precautionary limitations regarding electrical stimulation and neural mobilization techniques Inability to follow protocol instructions due to language, cognitive, or psychological limitations.
Outcomes
Primary Outcomes
Pain thershold,
Time Frame: Baseline & 4 weeks
Grip strength
Time Frame: Baseline & 4 weeks
Functional disability
Time Frame: Baseline & 4 weeks
Secondary Outcomes
- Grip strength(Baseline & 4 weeks)
Investigators
Sanya Kapoor
AIPT , AIHAS