Effect of Soft Tissue Mobilization With and Without Neural Mobilization in Cervical Radiculopathy

Cervical Radiculopathy Clinical Trial

Official title:

Effect of Soft Tissue Mobilization With and Without Neural Mobilization in Cervical Radiculopathy

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03652831
• Other study ID #: IIRS-IUISB/Mphil/002
• Status: Not yet recruiting
• Phase: N/A
• Start date: August 2018
• Est. completion date: March 2019

Study information

• Verified date: August 2018
• Source: Isra University
• Contact: Noor Ul Ain, Mphil-OPT
• Phone: 0333-5292822
• Email: Noorabid2015[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will evaluate effect of soft tissue mobilization with and with out neural mobilization in cervical radiculopathy, half of the subjects will receive treatment of soft tissue mobilization along with neural mobilization whereas half of the subjects will receive only soft tissue mobilization.

Description:

soft tissue mobilization and neural mobilization both treatments are used to treat cervical radiculopathy but they work differently.

Soft tissue mobilization include traction which decompresses the nerve and stretches the surrounding muscles along with help to reduce pain and tingling sensation. whereas hot pack helps to increase blood circulation and warm up muscles and isometric exercises provide strengthening and build endurance.

Neural mobilization technique is different for all 3 nerves i.e Radial, ulnar and median. neural mobilization technique target the single nerve which is being compressed and showing symptoms.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: March 2019
• Est. primary completion date: February 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 55 Years

Eligibility

Inclusion Criteria:

• Patients with age 18 to 55years

• Patients having pain more than 3months

• Radiating pain in one of the upper limb

• Spurling's test positive

Exclusion Criteria:

• Traumatic injury of upper limb or cervical spine

• Vertebral artery test positive(dizziness, vomiting, diplopia, drop attacks etc)

• Patient asymptomatic for pain but symptomatic for tingling and paraesthesia

• Circulatory disturbance of upper extremity

• Known history of high level of spinal cord injury and malignancy

• Thoracic Outlet syndrome

Related Conditions & MeSH terms

• Cervical Radiculopathy
• Radiculopathy

Intervention

Other:
• Soft Tissue Mobilization with Neural Mobilization
Cervical Traction for 15mints 7%of body weight with 7 second hold time and 5 second rest time. Hot Pack for 10mints Post isometric relaxation technique. The post-isometric relaxation technique begins by placing the muscle in a stretched position. Then an isometric contraction is exerted against minimal resistance. Relaxation and then gentle stretch follow as the muscle releases. Frequency for PIRs 3sets of 5 repetitions and duration of 10minute. Neural mobilization technique includes Median, Radial and Ulnar nerve mobilization. Frequency for neural mobilization is 3 sets of 10 repetitions for each and duration of 15minute. Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 50mints each session)
• Soft Tissue Mobilization without Neural Mobilization
Cervical Traction for 15mints 7%of body weight with 7 second hold time and 5 second rest time. Hot Pack for 10mints Post isometric relaxation technique. The post-isometric relaxation technique begins by placing the muscle in a stretched position. Then an isometric contraction is exerted against minimal resistance. Relaxation and then gentle stretch follow as the muscle releases. Frequency for PIRs 3sets of 5 repetitions and duration of 10minutes Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 35mints each session)

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Isra University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Pain intensity in one of the upper limb is measured by Numeric pain scale in which "0" shows No pain while "10" shows worst pain.	4weeks
Secondary	Recurrence of pain and Neck disability	Neck disability index scale used to measure ability to manage neck pain in everyday life in terms of: Pain intensity, Personal care, Lifting, Reading, Headaches, and Concentration. In which "0" shows disability and "5" shows normal.	4weeks
Secondary	Neck Range of Motion	Range of motion of the cervical spine and upper extremity (any of the upper limb) measured by Goniometer. Values deviated from standard values are considered as abnormal. The DASH Outcome Measure is scored as: the disability/symptom section (30 items, scored 1-5) where "1" shows No difficulty and "5" shows maximal difficulty	4weeks