Cervical Traction, Passive Accessory Intervertebral Movements and Active Strength Training in Cervical Radiculopathy

Riphah International University

Status: Completed

Conditions: Cervical Radiculopathy

Treatments: Other: Manual Cervical Traction; Other: Passive Accessory Intervertebral Movements; Other: Active Strength Training

Study type: Interventional

Funder types: Other

Identifiers

NCT05234268

REC/01060 Yusra Arif

Details and patient eligibility

About

To determine the effectiveness of Manual Cervical Traction, Passive Accessory Intervertebral Movements (PAIVMs) and Active strength training in the management of cervical radiculopathy. To compare the effectiveness of Manual Cervical Traction, Passive Accessory Intervertebral Movements (PAIVMs) and Active strength training in the management of cervical radiculopathy.

Full description

Cervical radiculopathy is a clinical condition resulting from compression of cervical nerve roots near the spinal cord. Some factors that may increase the risk for developing cervical radiculopathy include age. The risk for cervical radiculopathy tends to increase with age. This study is based on three interventions (Manual Cervical traction, Passive Accessory Intervertebral Movements (PAIVMs) and Active Strength Training) individually on three separate but equal groups of participants. It will determine the most effective intervention and which intervention is superior to the other for treating cervical radiculopathy and to assist future practitioners and researchers.

Enrollment: 51 patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with cervical radiculopathy due to muscle tightness or spasm (Diagnosed by Spurling's Test)
• Having complaint more than 2 months

Exclusion criteria

• Past history of cervical surgery
• Past history of cervical trauma
• Any inflammatory disease
• Tumor or Carcinoma
• Disco genic/ disc herniation or stenosis cause of radiculopathy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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51 participants in 3 patient groups

Manual Cervical Traction

Experimental group

Description:

The patient is in supine lying. The head and neck of patient are held in the hands of the practitioner, and then a gentle traction of a pulling force is applied. Intermittent periods of traction can be applied, holding each position for about 10 seconds. Traction is usually applied at about 20-30 degrees of neck flexion.

Treatment:

Other: Manual Cervical Traction

Passive Accessory Intervertebral Movements

Experimental group

Description:

Patient lying in prone. Therapist stands to side of patient placing their pisiform/ulnar surface of hand over the selected spinous process (SP) with their wrist in full extension. Other hand placed on top of hand to reinforce. Therapist's shoulders should be directly above the SP with elbows slightly bent. Therapist uses their body weight to apply a PA force to the selected SP by leaning their body over their arms and performing rocking movements to provide oscillatory movements of the vertebra.

Treatment:

Other: Passive Accessory Intervertebral Movements

Active Strength Training

Experimental group

Description:

The progression of exercises will be done using different colours of Thera-band indicating varied resistance

Treatment:

Other: Active Strength Training