EFFECT OF RADIOLOGICAL GUIDED MOBILIZATION ON CERVICAL INTERVERTEBRAL FORAMEN IN PATIENTS WITH CANAL STENOSIS

The purpose of the present study is:

1. To measure dimensions of cervical intervertebral foramen in case of peripheral canal stenosis
2. To study the effect of uniaxial positions and multi axial positions on the dimensions of intervertebral foramen in case of cervical foraminal stenosis
3. To detect the proper direction of opening mobilization for cervical intervertebral foramen
4. To test the effect of applying grade four Maitland mobilization to the affected spinal unit IVF.
5. To study the effect mobilization on the cervical intervertebral foramen OF C5/6.
6. To study the effect of specific mobilization on the cervical radiculopathy

subjects and methods:

1. Thirty male patients represent the sample of this study.
2. The age of the patients range from 25 to 40 years. The body weight range from 75 to 90kg. The height range from 175 to 185Cm.
3. Each patient has disc prolapse at C5-C6 and the duration of illness ranged from three months to one year.
4. Each patient suffers from cervical radiculopathy from disc prolapse at C5-C6 and the duration of illness range from three months to one year.
5. Each patient will be subjected to physical, neurological examination (motor assessment, sensory assessment) and electrophysiological assessment (H-reflex).
6. Each patient will be subjected to 3D CT scan from 6 separate positions in two visits to the Alpha Scan Radiology lab, 3 positions in each visit to avoid over dose of exposure to X ray.
7. The six positions are:

• Neutral
• Side bending
• Axial rotation
• Flexion with ipsilateral rotation
• Flexion with contralateral
• Extension with contralateral rotation

8. IVF width & Hight will be measured from the 3D CT from each position for Right (Rt) & left (Lt) IVF.
9. Direction of CT scan volume will 45 degree with sagittal plan and 10 to 15 degrees below the transverse plane.