Cervical Radiculopathy
Conditions
Keywords
Functional disability, Mobility, McKenzie exercises, Neurodynamic mobilization, Pain
Brief summary
This studt was conducted to determine the effects of McKenzie Exercises along with Neurodynamic Mobilization exercises on Pain, Range of Motion and Functional Disability in patients with Cervical Radiculopathy.
Interventions
OTHERNeural Mobilization exercises:
The neural mobilization approach used in this group involved moving the median nerve for ten repetitions, each held for three seconds.
OTHERStandard Treatment
Hot pack for 10 minutes. TENS for 10 minutes. Cervical traction for 15 minutes 7% of body weight with 4 seconds hold to progression to 7 seconds hold and 5 second rest. Superficial neck muscles (upper trapezius, Levator scapulae, Pect. Major) stretching for 3 times with 30 seconds hold and Neck isometrics 10 times with 6 seconds hold .
OTHERMcKenzie Exercises
First Week: The patient is lying supine with their head retracted or their chin tucked. For a little flexion, place a little pillow beneath the occiput. Patient pulls head and neck posteriorly, maintaining end position for 1 second, then relaxes. Second Week: Patient in sitting position. Progression with neck extension and chin tuck. Therapist applies overpressure at end of motion. Third Week: Patient in supine, head extended beyond couch edge. Therapist performs retraction and extension exercises with traction, maintaining traction through full range of motion. Fourth Week: Patient in sitting. Progression with combined movements: retraction with lateral flexion, neck rotation, and final combination of retraction and neck flexion with overpressure. 3-4 sets and 10-15 repititions.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
35 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Age limit 35-50 Years. * Both male and female participants. * Median nerve related symptoms. * Participants presenting with unilateral C5-C7 cervical radiculopathy associated with a posterolateral cervical disc bulge were included in the study. * Ipsilateral neck rotation, Spurling's test, median nerve neurodynamic testing, and ULNTT were considered positive if they reproduced unilateral C5-C7 radicular arm pain and negative if they did not. * Pain reported as greater than 4-9/10 on the NPRS, persisting for more than 3 months. * Neck Disability Index score 20-80. * Participants demonstrating moderate restriction in cervical range of motion, defined as flexion \<40°, extension \<50°, lateral flexion \<35°, and rotation \<70°, were included.
Exclusion criteria
* A cervical spine fracture. * Spondylolisthesis, subluxation, and cervical instability * Radicular symptoms in both upper extremities. * TB, cancer, heart illness, osteoporosis. * Prolapsed intervertebral disc, neurological problems, any trauma or localized infection in the neck area. * Upper motor neuron disease, cervical stenosis, and bone and joint metabolic diseases. * Hyperelasticity and Thoracic outlet syndrome * Hyper lordotic if exceeds than normal angle * Psychiatric conditions including sadness and phobia/obsession. * Individuals who have had cervical spine surgery within a year.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck Disability Index | From enrollment to the end of treatment at 4 weeks | The Neck Disability Index (NDI) is a self-administered tool that is employed to evaluate the functional impairment in people with neck pains. The instrument consists of ten questions which refer to daily activities; every question will be rated out of 0-5 scale, and finally there will be a total mark out of 0 -50. High scores indicate an increased amount of disability hence making NDI useful in assessing the impact of neck discomfort on the quality of life of patients and guide therapeutic decision making. When used in measuring functional disability in cervical radiculopathy, the NDI demonstrates strong levels of reliability. The psychometric integrity of the instrument is also supported by internal consistency where a Cronbach alpha of between approximately 0.80 and 0.90 is shown. 0-4: Minimal Disability, 5-14: Mild Disability, 15-24: Moderate Disability, 25-34: Severe Disability, 35-50: Complete Disability |
| Numeric Pain Rating Scale | From enrollment to the end of treatment at 4 weeks | The Numerical Pain Rating Scale (NPRS) is used to assess a patient's level of pain, ranging from 0 to 10, whereas 0 denotes "no pain" and 10 represents the "worst imaginable pain." It is widely used tool in both clinical and research settings. The National Pain Research Scale (NPRS) has good test-retest reliability as revealed by the correlation coefficients of 0.95 to 0.96 and thus validates the reliability and consistency of the pain intensity measures. |
| ROM Cervical Spine (Flexion) | From enrollment to the end of treatment at 4 weeks | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer |
| ROM Cervical Spine (Extension) | From enrollment to the end of treatment at 4 weeks. | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Lateral Flexion) | From enrollment to the end of treatment at 4 weeks | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Rotations) | From enrollment to the end of treatment at 4 weeks | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. |
Countries
Pakistan
Contacts
STUDY_CHAIRNaila Kanwal
Riphah International University
Outcome results
None listed