Comparison of Static and Dynamic Opening With Neural Sliding in Cervical Radiculopathy

Riphah International University

Status: Completed

Conditions: Cervical; Cervical Radiculopathy

Treatments: Other: dynamic opener with slider + Conventional PT; Other: static opening with slider+ Conventional PT

Study type: Interventional

Funder types: Other

Identifiers

NCT06154993

S22C08G30001

Details and patient eligibility

About

The aim of this randomized controlled trial is to determine the effects of static and dynamic opening with neural sliding in patients with cervical radiculopathy for reducing pain, enhancing cervical range of motion and improve functional status.

Full description

Static opener is a neurodynamic technique for cervical radiculopathy for reducing pressure on the nervous system that causes intervertebral foramina to remain in the open position for a certain period. This enables blood flow to return to neural tissue so that oxygenation is improved, along with slider mobilization will reduce symptoms and give better healing to the inflamed nerve. when the intervertebral foramina remain open for a considerable amount of time axoplasmic flow is reestablished, oxygenation is improved, increases blood flow along with venous return and nerve gets more nutrients and all the inflammatory exudate is taken off resulting for early improvement.

Dynamic opener is a neurodynamic technique in opening direction to repetitively open and close the intervertebral foramina and produces oscillatory movements that cause pumping effect on the nerve and help to drain edema due to inflammation and help reduce pain and increase the range also.

Enrollment: 36 patients

Sex: All

Ages: 35 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• : • Spurling +ive

  • Distraction test +ive (alleviate symptoms)
  • Pain, paresthesia and numbness in Rt/Lt UL in dermatomal pattern of median nerve
  • MRI confirmed spondylosis or disc herniation
  • Age 35-60

Exclusion criteria

• • Cervical spine fracture

  • RA
  • Cervical myelopathy
  • Systemic neurological conditions
  • Osteoporosis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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36 participants in 2 patient groups

static opener with slider + Conventional PT

Experimental group

Description:

Patient supine Maintaining neck flexion + contralateral flexion and rotation and applying median nerve slider mobilization while maintaining the neck static in mentioned position. Conventional PT includes hot pack for 10 mins and cervical isometrics.

Treatment:

Other: static opening with slider+ Conventional PT

dynamic opener with slider + Conventional PT

Experimental group

Description:

Patient supine Neck flexion + contralateral flexion and rotation. And sliding the median nerve along with neck movement from contralateral flexion+rotation to neutal position in repetitive manner, by releasing tension from median nerve when bringing neck in neutral to ease tension from affected side. Conventional PT includes hot pack for 10 mins and cervical isometrics.

Treatment:

Other: dynamic opener with slider + Conventional PT