What is the Preferred Angle of Traction to Decompress Cervical Nerve Roots?

Cairo University (CU)

Status: Unknown

Conditions: Cervical Radiculopathy

Treatments: Other: Cervical Traction from different angles

Study type: Interventional

Funder types: Other

Identifiers

NCT03898739

Traction decompression angle

Details and patient eligibility

About

The purpose of the study is to investigate the effect of different angles of decompression on the Flexor Carpi Radialis (FCR) H-Reflex in patients with cervical radiculopathy

Full description

Cervical traction has long been defined as a distracting force that separate the cervical segments and relieve nerve roots compression. Yet, there is lack of knowledge that reports the effects of different traction decompression angles and determines the proper angle of pull among different angles of decompression system

Enrollment: 45 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients will be included in the study if they have C5-C6 and C6-C7 paramedian disc protrusion manifested by unilateral symptoms in C6-C7 roots dermatome and myotomes of the upper extremities, second grade of disc bulge (2-3mm) which was detected from T2 axial view of MRI, and diagnosed as cervical disc protrusion (C5- C7) for at least three months.

Exclusion criteria

• Patients will be excluded from the study if they have upper cervical spine disc pathology, cord compression and upper motor neuron symptoms, curvature abnormalities of the neck including reversed curve (kyphotic) and deformities, cervical rib syndrome, double crush syndrome, diabetic neuropathy, text neck, short neck (churchill neck), marked facet joint, neuro-central joint arthropathic pathology, osteoporotic patients.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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45 participants in 3 patient groups

traction therapy from neutral position

Active Comparator group

Description:

Patients in this group will receive traction decompression from neutral neck position with rope angle (0°)

Treatment:

Other: Cervical Traction from different angles

traction therapy from lateral bending

Active Comparator group

Description:

patients will undergo traction decompression from (30°) lateral bending of the neck toward the non-affected side

Treatment:

Other: Cervical Traction from different angles

traction from flexion with lateral bending and rotation

Active Comparator group

Description:

patients will be treated with traction decompression from (15°) neck flexion, (30°) lateral bending toward non- affected side and (15°) rotation to the affected side.

Treatment:

Other: Cervical Traction from different angles