Effects of Slider Versus Tensioners Nerve Gliding in Cervical Radiculopathy.

Not Applicable

Recruiting

• Conditions: Cervical Radiculopathy
• Interventions: Other: Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique; Other: Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique

• Registration Number: NCT06339970
• Lead Sponsor: Riphah International University

Brief Summary

This study will be a randomized clinical trial in which Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization will be applied on the individuals with cerviculorediculopathy and changes will be recorded using different methods and tools. Convenient sampling technique will be used to collect the data. The sample size of 40 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.20 patients will be allocated in each group A will be treated with Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique; Group B will be treated with Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique .Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI) and goniometer will be used as Data collecting tools. After data collection from defined study setting, data will be entered and analyzed.

Detailed Description

Neck pain is widespread and causes significant pain and disability. In the setting of cervical radiculopathy, because the nerve root of a spinal nerve is compressed It is frequently caused by cervical disc herniation and cervical spondylitis. Compression can result from intervertebral disc herniation, osteophyte formation, or other mass effects near the exit foramen of the cervical spine. This results in lower motor neurons symptoms and often presents with arm pain, weakness, and/or sensory loss, with or without associated neck pain. The most common causes of cervical radiculopathy are cervical disc herniation and cervical spondylosis.

The main aim of our study to determine which combination of techniques Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization is more effective on Pain, Range of Motion and Disability in patients with Cervical Radiculopathy.

Combination of mulligan mobilization with slider and tensioners techniques to determine which combination of technique is more helpful in reducing overall disease burden and will help in increasing Quality of life.Bothcombination combination are checked individually before but their effects are not compared previously.

Study Timeline

• Study Start: 2023-11-23
• Status Verified: 2024-03
• Study First Submitted: 2024-03-25
• Study First Submitted QC: 2024-03-25
• Last Update Submitted: 2024-03-25
• Study First Posted: 2024-04-01
• Last Update Posted: 2024-04-01
• Primary Completion: 2024-06-01
• Study Completion: 2024-06-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• Patient with cervical radiculopathy

• Both gender Age
• Participants having range 20-60 years both male and female are included.
• Unilateral neck pain refers to upper extremity from 2-3 weeks.
• Positive upper limb tension test, spurling test, cervical distraction test and ipsilateral cervical rotation less than 60.
• NDI less than 50%
• NPRS less than 3 more than 7

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Exclusion Criteria

• Inflammation malignancy, neurological disorder
• Metabolic disorders
• Neck pain associated with headache and facial pain
• VBI, vertigo, dizziness, motor imbalance, vertebral impairment, pregnancy, skin allergy
• History of recent surgery, trauma and fractures of cervical spine, dislocation, subluxation of upper limb,
• rheumatoid arthritis, osteoporosis, spondylolistheasis, cervical surgeries skin allergy, referred pain in patient with cardiac ischemia
• Patients having any other therapeutic intervention or medical treatment

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique	Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique	Therapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes nerve by performing desired neurodynamic gliders movement and progressing to tensioners. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique	Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique	Therapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes the median nerve by performing desired neurodynamic sliding movement. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.

Primary Outcome Measures

Name	Time	Method
Numeric Pain Rating Scale	4 Weeks	NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
Neck disability index	4 Weeks	.The NDI consists of ten questions. Each question has six different assertions expressing progressive levels of pain or limitation in activities. Item scores range from 0 (no pain or limitation) to 5 (as much pain as possible or maximal limitation). The total NDI score ranges from 0 to 5 points. Higher scores indicate greater disability.
Goniometer	4 Weeks	Active Range of Motion of the patient will be assessed using a universal standard goniometer for cervical flexion, extension, side flexion (left and right), rotation (left and right). The data will be collected at baseline cervical goniometry.

Trial Locations

Locations (1)

Sehat Medical Compolex; 🇵🇰 Lahore, Punjab, Pakistan