Spinal Mobilization With Arm Movement and Positional SNAGS in Cervical Radiculopathy Patients

Riphah International University

Status: Completed

Conditions: Radiculopathy, Cervical

Treatments: Other: Sustained Natural Apophyseal Glides; Other: shoulder Mobilization with arm movement

Study type: Interventional

Funder types: Other

Identifiers

NCT05191537

REC/Lhr/21/0127 Maryam

Details and patient eligibility

About

Data will be collected in Hussain Memorial Hospital by taking informed consent. Randomised clinical trial is conducted taking thirty patients of both genders with confirmed diagnoses of cervical radiculopathy, their ages ranged from 25 to 60. A cluster of winner to rule out patient with cervical radiculopathy. They will be randomly assigned into two groups by the lottery method. Group A will receive conventional treatment and of spinal mobilization with arm movement (intervention 1) Group B will receive conventional treatment and positional SNAGs (intervention 2). The treatment will be conducted at a frequency of three sessions per week for four weeks. Two values will be taken, one as baseline and the other at end of the session.

Then follow up the patient to rule out which intervention is more effective than the other. Neck Disability Index, Numeric Pain Rating Scale and ROM will be used to measure outcomes.

Full description

the objective of the study is To compare the effect of spinal mobilization with arm movement and positional SNAGs on pain and disability in cervical radiculopathy patients.

The study design will be Randomized ClinicalTrial The sampling Technique will be Consecutive sampling technique

Tool:

The Neck Disability Index (NDI): used for measuring functional improvement in the neck.

Numeric Pain Rating Scale (NPRS): used for measuring pain.

Inclinometer: used for measuring Range of motion of cervical region.

Data will be collected in Hussain Memorial Hospital by taking informed consent. Randomised clinical trial is conducted taking thirty patients of both genders with confirmed diagnoses of cervical radiculopathy, their ages ranged from 25 to 60. A cluster of winner criteria will be used to rule out patient with cervical radiculopathy. They will be randomly assigned into two groups by the lottery method. Group A will receive conventional treatment and of spinal mobilization with arm movement (intervention 1) Group B will receive conventional treatment and positional SNAGs (intervention 2). The treatment will be conducted at a frequency of three sessions per week for four weeks. Two values will be taken, one as baseline and the other at end of the session.

Then follow up the patient to rule out which intervention is more effective than the other. Neck Disability Index, Numeric Pain Rating Scale and ROM will be used to measure outcomes.

Enrollment: 30 patients

Sex: All

Ages: 25 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

INCLUSION CRITERIA

• Symptoms duration more than 6 months.
• Age 25 -60
• The patient has confirm the diagnosis of Radiculopathy of cervical origin,
• VAS more than 5
• A cluster of Wainner 3 positive out of 4 EXCLUSION CRITERIA
• Malignancy
• Infection (such as osteomyelitis or diskettes)
• Osteoporosis
• Inflammatory arthritis
• Fracture
• Pregnancy
• Uncontrolled hypertension or cardiovascular disease
• Carotid or vertebral artery disease.
• Trauma cases

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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30 participants in 2 patient groups

spinal mobilization with arm movement

Experimental group

Description:

conventional treatment and of spinal mobilization with arm movement

Treatment:

Other: shoulder Mobilization with arm movement

positional SNAGs

Active Comparator group

Description:

conventional treatment and positional SNAGs

Treatment:

Other: Sustained Natural Apophyseal Glides