Neural Mobilization With Intermittent Cervical Traction on Grip Strength, Sleep Quality, and Quality of Life in Cervical Radiculopathy

University of Lahore

Status: Enrolling

Conditions: Cervical Radiculopathy

Treatments: Other: Neural Mobilization; Other: Neural Mobilization with Intermittent Cervical Traction

Study type: Interventional

Funder types: Other

Identifiers

NCT06043934

REC-UOL-507-08-2023

Details and patient eligibility

About

Cervical radiculopathy commonly called "pinched nerve," occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This may cause pain that radiates into the shoulder and/or arm, as well as muscle weakness and numbness.

Full description

Cervical radiculopathy (CR) is a disorder of the peripheral nervous system that affects the normal function of the cervical nerve roots (CNRs). It is frequently linked to chronic pain and daily functional limitations. The goal of the neural tissue mobilization technique is to restore the nervous system's capacity to tolerate the normal compressive, tensile, and frictional forces that are associated with day-to-day activities and to examine the neural tension in nerves and mobilize the nerves that exhibit neural tension through passive and active movements using tensioning and gliding. Cervical traction reduces pressure within the vertebral disks and unloads the structures of the spine by stretching muscles and ligaments. They are clinically important techniques that are easily understood by patients.

Enrollment: 85 estimated patients

Sex: All

Ages: 35 to 55 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Subjects of any gender
2. Age between 35 and 55 years
3. Experience of unilateral upper-extremity pain, numbness, or paranesthesia. This must include a history of neck pain associated with radicular pain below the occiput and on one side of the neck, along with a tingling sensation on the lateral aspect of the elbow joint.
4. Positive results in at least three out of four tests Spurling's test, Distraction test, Upper Limb Neurodynamic Test 1, and ipsilateral cervical rotation of less than 60°, according to a clinical prediction rule.

Exclusion criteria

1. History of previous cervical or thoracic spine surgery

2. Bilateral upper-extremity symptoms

3. Signs or symptoms of upper motor neuron disease

4. Medical "red flags" (e.g. tumor, fracture, rheumatoid arthritis, osteoporosis, prolonged steroid use)

5. Injections in cervical spine in the past 2 weeks

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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85 participants in 2 patient groups

Neural Mobilization with Intermittent Cervical Traction

Experimental group

Description:

Patients in this experimental group will receive neural mobilization with intermittent cervical traction and routine physical therapy.

Treatment:

Other: Neural Mobilization with Intermittent Cervical Traction

Neural Mobilization

Active Comparator group

Description:

Patients in this control group will receive neural mobilization and routine physical therapy.

Treatment:

Other: Neural Mobilization