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The goal of this clinical trial is to investigate the effect of Mulligan mobilization with arm movement on nerve conduction velocity in patients with unilateral cervical radiculopathy. The main questions it aims to answer are :
The course of treatment involves 6 sessions over the course of 3 weeks participants will be divided into 2 groups : Control group : recieves only Conventional treatment Experimental group : recieves Conventional treatment and Mulligan mobilization with arm movement .
Full description
the aim of our study is to examine the effect of Mulligan mobilization with arm movement on cervical radiculopathy using nerve conduction studies , in addition to the original measures of previous studies (pain level, cervical ROM and neck disability scale) .
Delimitations :
Inclusion Criteria
Individuals will be enrolled into the study if they are :
Exclusion Criteria .
Outcome measure would include:
A) The primary outcome measure will be NCV velocity, for the median nerve (latency, amplitude, Duration , F-wave and nerve conduction velocity of motor nerve action potentials and sensory nerve action potentials (SNAPs)) .
B) Secondary outcome measures will include:
Pain intensity, assessed using the Visual Analog Scale (VAS) .
Functional disability, evaluated using the Neck Disability Index (NDI) .
Cervical range of motion, measured using a CROM goniometer to assess flexion, extension, lateral flexion, and rotation.
The course of treatment involves 6 sessions over the course of 3 weeks .
pre-treatment for both groups :
participants will be divided into 2 groups :
Group A- Control group:
During each session : only Conventional treatment will be provided , includes : hot pack for 10 minutes, active ranges of motion (AROMs) with 3 sets of 10 repetitions and isometrics for each movement repeated 20 times with the hold of 6 to 10 seconds in each repetition.
Group B- Experimental group- Mulligan mobilization group:
During each session :
Patient position : Sitting upright on chair
Therapist position : Standing behind the patient .
Hand placement : Approach the desired level of spinous process from medial aspect of the thumb of one hand, which may be reinforced by the index finger of the other hand.
Mobilization Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, patient performs the offending movements (flexion/abduction/horizontal adduction/horizontal abduction)
Enrollment
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Inclusion criteria
• diagnosed with cervical radiculopathy .
Exclusion criteria
• History of trauma, dislocation and subluxation of upper extremity
Primary purpose
Allocation
Interventional model
Masking
40 participants in 2 patient groups
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Central trial contact
Elgazar
Data sourced from clinicaltrials.gov
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