Nervous System Diseases cervical radiculopathy
Conditions
Interventions
cervical mobilization and core strengthening exercises
cervical mobilization, core strengthening exercises, and cognitive behavioral therapy
Sponsors
faculty of physical therapy
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: CR due to spondylotic changes or bony spur formation. Patients have a unilateral C5-6 or C6-7, cervical spondylosis confirmed by imaging (computed tomography and/or magnetic resonance imaging). C6 or C7 dermatomal numbness, current continuous or intermittent pain or discomfort which has persisted for more than 3 months, diminished deep tendon reflexes in the affected arm, and no spinal deformity according to cervical spine derangement classifications. At least 3 positive tests of the clinical prediction rules which included the presence of four positive examination findings (Spurling test, upper limb tension test, cervical distraction test, and less than 60° cervical rotation towards the symptomatic side).
Exclusion criteria
Exclusion criteria: Previous fracture or subluxation of the cervical spine, malignity, spinal tumour, spinal infection, previous surgery in the cervical spine. Drug abuse and diagnosed psychiatric disease. cognitive impairment (deficits in higher reasoning, forgetfulness, learning disabilities, concentration difficulties, decreased intelligence and other reductions in mental functions). Any signs or symptoms of medical "red flags" (e.g., tumor, fracture, rheumatoid arthritis, osteoporosis, and prolonged steroid use). A history of previous cervical or thoracic spine surgery, signs or symptoms of upper motor neuron disease, vestibulobasilar insufficiency, amyotrophic lateral sclerosis, and myelopathy. Bilateral upper extremity radicular symptoms. The complete loss of sensation along the involved nerve root.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The Pain anxiety symptom scale (PASS) Arabic version | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain level and Functional status: Neck Disability Index (NDI) Arabic version;Cervical Active Range of Motion: measurements of flexion, extension, lateral flexion, and rotation will be taken with the subject in sitting position using a universal inclinometer placed on top of the subject¿s head | — |
Countries
Egypt
Contacts
Public ContactSalah Eldin Basst Ahmed
Lecturer at Basic Science Department, Faculty of Physical Therapy, Cairo University
Outcome results
None listed