Median Nerve Flossing Technique in Patients With Cervical Radiculopathy

Riphah International University

Status: Not yet enrolling

Conditions: Cervical Radiculopathy

Treatments: Other: Conventional physical therapy; Other: Median nerve flossing technique and conventional physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07062718

REC/RCR & AHS/24/0169

Details and patient eligibility

About

Cervical radiculopathy is a condition of cervical spinal nerve roots which occurs as a result of compression and inflammatory pathology from a space occupying lesion. Nerve flossing technique is a quick mobilization of the strained nerves which will reduce pain .This study aim to determine the effects of nerve flossing technique on pain, range of motion and disability in patients with cervical radiculopathy.

Full description

This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and Shalamar Hospital(physiotherapy department) Lahore. Non-probability convenient sampling will be used to collect the data. Sample size of 38 subjects with age group between 30 to 50 years will be taken. Data will be collected from the patients having unilateral median nerve symptoms of cervical radiculopathy. Outcome measures will be taken using Numeric pain rating scale(NPRS) for pain, Neck disability index (NDI) and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two group by convenience sampling. Both the Groups will receive Transcutaneous electrical nerve stimulation (TENS), Hot Pack, cervical isometric and cervical stretching , while Group A will receive conventional treatment and Group B will receive an additional nerve flossing technique. Outcome measures, Numeric Pain Rating scale (NPRS) for pain ,Neck Disability Index (NDI) for disability and Universal Goniometer for range of motion will be measured at baseline and after 3 weeks of treatment total 12 sessions(4 sessions per week ).Data analysis will be done by SPSS version 21.0.

Enrollment: 38 estimated patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:• Both male and female gender were included

• Participants with 30 to 50 years of age group were taken in this study (Gore et al., 2020)
• Patients with positive Spurling test ,cervical distraction ,cervical rotation test were included
• Participants with positive Upper limb neural tension test for median nerve were taken into consideration
• Patients who are having radicular symptoms and pain for more than 3 months were included

Exclusion Criteria:

• Systematic disorders affecting musculoskeletal disorders e.g. Ankylosing spondylitis,rheumatic arthritis etc.
• Patient with primary shoulder or upper limb pain origin
• Patients with severe malignancy,COPD ,isch

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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38 participants in 2 patient groups

Median nerve flossing technique and conventional physical therapy

Active Comparator group

Description:

Nerve flossing will be started from root along brachial plexus,median nerve root. Before starting the procedure ,subjects will be shown the flossing technique as it will be performed actively by the subjects. Each flossing will be performed with 10 repetitions starting from neck,arm,elbow,wrist and whole nerve flossing (12). It will be a 3 week treatment with 4 session per week (12 sessions) (12).

Treatment:

Other: Median nerve flossing technique and conventional physical therapy

Conventional physical therapy

Active Comparator group

Description:

The subjects in this group will be treated with TENS and hot pack. All the subjects will be screened according to the inclusion and exclusion criteria .Written informed consent will be taken from all the subjects before the treatment. The subjects will be allowed to withdraw the treatment any time.The subjects will be divided into 2 groups through convenience sampling.All the subjects from both group will be given trancutaneous electric nerve stimulation TENS ,hot pack, isometrics and stretching as a conventional physical therapy followed by respective group techniques The session will last for 20 -25 minutes , TENS pad will be placed in the suboccipital region and the trapezius unilaterally with hot pack simultaneously for 10 minutes

Treatment:

Other: Conventional physical therapy