Cervical radiculopathy
Conditions
Interventions
A contra-lateral cervical lateral glide (CCLG)
mobilisation technique will be performed by a
computerized treatment plinth
the Occiflex.
during this CCLG, the longitudinal excursions of
the median nerve will be assessed at the wrist and elbow , using ultrasound imaging (USI).
Sponsors
Fysio-Experts, Research department
Eligibility
Inclusion criteria
Inclusion criteria: Patients with radiating radicular arm pain and an initial diagnosis of CR based on consistent signs and symptoms from the patient subjective history (radiating pain in the arm and peri-scapular region with either motor, reflex and/or sensory changes such as paraesthesiae or numbness) and results from a set of valid provocative tests (Spurling’s, Arm Squeeze test, traction-distraction test, Shoulder abduction relief and Upper Limb Neural tests. When possible, the diagnosis will be confirmed by diagnostic imaging through MRI or CT-myelography. The asymptomatic subjects are defined as otherwise deemed healthy subjects not to have had radiating pain in the arm or neck pain in the previous 12 months.
Exclusion criteria
Exclusion criteria: Patients will be excluded in the presence of chronic diseases, intellectual or physical disabilities making them unable to understand and adhere to the research protocol, organ failure and other serious medical conditions (systemic inflammations or disorders e.g. diabetes, tumors, etc.). Participants will also be excluded if they have a neurological condition or other systemic disorders (e.g. diabetes) that might alter the function of the nervous system or if they have a history of major trauma or surgery to the cervico-thoracic region.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We will report the degrees of contralateral cervical movement in combination with the excursions (in millimeters) of the median nerve at the wrist and the the elbow. We will also report the correlation between the degrees of contralateral cervical movement with the millimeters excursions of the median nerve at the wrist and elbow in both healthy controls and patients with cervical radiculopathy. Comparison of nerve excursions between patients with cervical radiculopathy and asymptomatic subjects. | — |
Secondary
| Measure | Time frame |
|---|---|
| In case there is a difference between patients and asymptomatic subjects, we will reassess patients at 12 weeks and attempt to correlate a decrease in signs and symptoms with an increase in median nerve excursion. | — |
Contacts
Public ContactErik Thoomes
Fysio-Experts
Outcome results
None listed