Musculoskeletal Diseases Nervous System Diseases
Conditions
Interventions
Group A Conventional Treatment
Group B Mulligan Mobilization with Movement
Group C Cervical stabilization exercises
Sponsors
Faculty of Physical Therapy at Cairo University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Their ages range from 30 to 45 years. Neck pain for more than two months radiating unilaterally down to one arm over the dermatomal distributions of C6 and/or C7 nerve roots with or without restricted cervical spine mobility. The Neck Disability Index more than 20%. Positive 3 out of 4 elements of the following: spurling test, distraction test and upper limb tension test and ipsilateral cervical rotation less than 60 degrees
Exclusion criteria
Exclusion criteria: Temporomandibular joint problems. Primary upper extremity problem of local origin. Neurological deficits, Cognitive problems, vertebral fractures and previous history of spine surgery. Neck pain with vertigo or with bilateral upper limbs referred pain. Clinical instability, recent trauma and vertebrobasilar insufficiency. Structural abnormalities of the spine, osteoporosis, and spasmodic torticollis. Inflammatory or other specific disorders of spina such as ankylosing spondylitis and rheumatoid arthritis. Subjects with known pregnancy or systemic disorders as diabetes mellitus. Subjects with neck pain receiving physical therapy treatment continued in the last three months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| X-ray machine and computerized software to obtain sagittal cervical parameters through lateral view standing x-ray for cervical spine;Neck disability index (NDI) to determine baseline measurements for subjects with neck symptoms and to quantify functional disabilities | — |
Secondary
| Measure | Time frame |
|---|---|
| Biofeedback pressure unit to measure muscle activation and endurance of deep neck flexors through cranio-cervical flexion test.;A visual analog scale (VAS) to determine the intensity of neck pain. ;Cervical range of motion device (CROM) to obtain ROM of cervical spine. | — |
Countries
Egypt
Contacts
Public ContactEbtesam Mohamed Fahmy
Professor of Neurology Faculty of Medicine Cairo University
Outcome results
None listed