Effects of Neuromuscular Re-education on Pain, Range of Motion and Disability in Patients With Cervical Radiculopathy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Goniometer
研究概览
简要总结
This study explores the effectiveness of Neuromuscular Re-education compared to conventional therapies in managing pain, range of motion, and disability in patients with Cervical Radiculopathy
详细描述
The study identifies a gap in the current literature surrounding the effectiveness of neuromuscular re-education interventions in targeting pain reduction, disability improvement, and enhancement of range of motion for CR patients. Previous studies emphasize conventional methods, such as proprioceptive neuromuscular facilitation and manual therapy, with a general focus on motor control and postural re-education. However, the precise benefits of structured NMR exercises tailored to CR symptoms, particularly targeting proprioceptive training and functional task simulation, are less explored, especially compared to traditional interventions like heat/cold application or general strengthening
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants of Age between 30 and 50 years old.
- •Participants of both gender included.
- •Participants having Unilateral upper extremity pain, paresthesia, or numbness
- •Participants with Four positive findings required:
- •Positive Spurling's test
- •Positive distraction test
- •Positive upper limb tension test
- •Ipsilateral cervical rotation less than 60 degrees
- •Participants must have experienced pain for at least 3 months.
- •Participants must have a pain score of 4 to 6 on the 0-10 scale
排除标准
- •Participants having prior cervical spine surgery.
- •Participants with Cervical vertebral fracture
- •Participants with severe osteoporosis, rheumatic disease, shoulder disease, or infection will be excluded.
- •Participants with vertebro-basilar artery insufficiency and diabetic neuropathy
研究组 & 干预措施
Conventional Physical Therapy
Electrotherapy, Manual Therapy Techniques
干预措施: Conventional Physical Therapy (Other)
Neuromuscular Re-education Group
postural training exercises, proprioceptive tasks, Dynamic control exercises, eye-head coordination tasks
干预措施: Neuromuscular Re education (Other)
结局指标
主要结局
Goniometer
时间窗: 8th Week
A goniometer is used to measure cervical range of motion (ROM) by aligning its fulcrum over a bony landmark (like the C7 vertebrae or external auditory meatus) and its arms with other bony landmarks (such as the nose, acromion, or sternal notch) to measure the angle of movement in degrees.
NDI (Neck Disability Index)
时间窗: 8th week
The NDI is a 10-item questionnaire that assesses how neck pain affects daily activities(28). The Neck Disability Index (NDI) measures neck-specific disability through a 10-item questionnaire assessing pain and daily activities like personal care, lifting, and concentration. Scores range from 0-50 (or 0-100%), with higher scores indicating greater disability
NPRS (Numeric Pain Rate Scale)
时间窗: 8th week
The Numerical Pain Rating Scale (NPRS) has been used to assess the level of pain patients experience. It can be used to assess pain either verbally or through a self completion questionnaires. Patients are asked to circle a number on a scale that best describes the pain the experience. Patients are asked to recall from the pain scale from 0 to 10. 0 equals No pain, 1-3 equals Mild pain, 4-6 equals Moderate pain, 7-9 equals Severe pain, and 10 equals Very Severe pain. NPRS shows strong test-retest score even in illiterate and literate patients
次要结局
未报告次要终点