Effectiveness of Spinal Mobilization with Arm Movement versus Neural Slider Technique on Pain, Functionality, and Joint Position Sense in Cervical Spondylosis with Radiculopathy: A Comparative Study.

Title: Effectiveness of Spinal Mobilization with Arm Movement versus Neural Slider Technique on Pain, Functionality and Joint Position Sense in Cervical Spondylosis with Radiculopathy: A Comparative Study

Neck pain is a multifactorial disease, and is a major problem in modern society. Although neck pain may not be the most common musculoskeletal disorder. The global age standardised prevalence and incidence rate of neck pain were 3551.1 and 806.6 per 100,000. Cervical spondylosis is caused by a degeneration of the intervertebral discs. Cervical spondylosis, degenerative changes start in the intervertebral discs with osteophyte formation and involvement of adjacent soft tissue structures. Disc degeneration causes increased mechanical stress at the cartilaginous end plates at the vertebral body lip. This results in subperiosteal bone formation or osteophytic bars that extend along the ventral aspect of the spinal canal and, in some cases, encroach on nervous tissue. In cervical radiculopathy, a compressed nerve results in abnormal sensation and pain along with a neuropathic pain usually described as a “burning” or “shooting” pain.

Spinal Mobilization with Arm Movement – Lateral Glide is a manual therapy technique commonly applied in the cervical spine, typically used to treat patients with neck pain, Cervical Spondylosis with Radiculopathy**,** orNeck dysfunction. It combines a sustained lateral glide mobilization of the spine with active arm movement by the patient

The Neural Slider Technique, also known as nerve gliding or Neurodynamic sliding, is a gentle Neurodynamic intervention used in physiotherapy to treat patients with Cervical Spondylosis with Radiculopathy improve the mobility of peripheral nerves by promoting a sliding motion between the nerve and its surrounding tissues without putting significant tension on the nerve.

Patients with Cervical Spondylosis with Radiculopathy of age between 35 to 50 years. Were divided in two groups, Group A Conventional exercises group and Group B Experimental group. The treatment was given 4 days per week for 4 weeks. NPRS, Neck Disability Index (NDI), Joint Position Error (JPE) test for Cervical Proprioceptionused as outcome measures.

The patient will be screened on the basis of inclusion and exclusion criteria and their demographic data will be taken by an assessment Performa. Prior to the Commencement of the study, detailed procedure of the study will be explained to the Patients and a signed informed consent form will be taken from them. Then the Patient will be randomly assigned to a 4-week intervention protocol and allocated randomly to Group A and Group B. The subjects will be allocated to any of the two groups by random allocation using chit method. The therapist will measure pain, Functionality and joint position error before the intervention on the first day of the Treatment.