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

NCT ID: NCT03652831

Last Updated: 2018-08-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-31

Study Completion Date

2019-03-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Cervical Radiculopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will be assigned randomly into two groups: Soft tissue mobilization with neural mobilization and Soft tissue mobilization without Neural mobilization.A coin will be flipped at start of data collection for the first patient to be assigned odd number and included in Soft tissue mobilization with Neural mobilization group. Later on odd and even numbered subjects will be included in specific group.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Soft Tissues mobilization with Neural mobilization

Soft Tissue Mobilization with Neural mobilization group will be assessed by spurling test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Post Isometric Relaxation Techniques and Neural mobilization Techniques which involve 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)

Group Type ACTIVE_COMPARATOR

Soft Tissue Mobilization with Neural Mobilization

Intervention Type OTHER

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 Tissues mobilization without Neural mobilization

Soft Tissue Mobilization with Neural mobilization group will be assessed by spurling test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Post Isometric Relaxation Techniques.

Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 35mints each session)

Group Type ACTIVE_COMPARATOR

Soft Tissue Mobilization without Neural Mobilization

Intervention Type OTHER

* 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)

Interventions

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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)

Intervention Type OTHER

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)

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Isra University

OTHER

Sponsor Role lead

Responsible Party

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Noor Abid

Research Associate

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Noor Ul Ain, Mphil-OPT

Role: CONTACT

0333-5292822

Waqar Ahmed Awan, Ph D Rehab

Role: CONTACT

03335348846

Other Identifiers

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IIRS-IUISB/Mphil/002

Identifier Type: -

Identifier Source: org_study_id

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