Association Between Neck Disability Index Categories and Multidirectional Range of Motion in Patient With Cervical Radiculopathy

NCT ID: NCT07152522

Last Updated: 2025-09-03

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 80 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2025-03-15
• Study Completion Date: 2025-07-25

Brief Summary

This study aims to investigate the association between NDI categories (None, Mild, Moderate, Severe) and ROM in six directions: flexion, extension, right and left side bending, and right and left rotation. Additionally, it seeks to identify which movements are most affected by neck disability and explore their predictive value for overall ROM changes.

Detailed Description

Neck pain is a prevalent musculoskeletal condition that affects a significant portion of the population, with substantial implications for daily functioning and quality of life. The Neck Disability Index (NDI) is a widely used tool to assess the severity of neck pain and its impact on functional activities. Understanding how neck disability correlates with physical impairments, such as reduced range of motion (ROM), is crucial for effective diagnosis and management of this condition.

Despite the established relationship between neck pain and functional limitations, there is limited research quantifying the specific impact of varying levels of neck disability on multidirectional ROM. Furthermore, key directions of movement most affected by neck pain remain underexplored, limiting the ability of clinicians to target interventions effectively.

Scope and Limitations This cross-sectional study focuses on ROM measurements and their relationship with NDI categories. While providing valuable insights, it does not assess changes over time or include other factors such as muscle strength or pain intensity. Addressing these aspects in future research can provide a more comprehensive understanding of neck pain and its implications.

This cross-sectional study included 80 patients diagnosed with neck pain. Participants were categorized into four groups based on their Neck Disability Index (NDI) scores: None, Mild, Moderate, and Severe. Inclusion criteria required participants to have chronic neck pain, while individuals with systemic diseases or comorbid conditions affecting mobility were exclude.

Neck range of motion (ROM) was measured in six directions: flexion, extension, right and left side bending, and right and left rotation. ROM was assessed using a standardized goniometer, and all measurements were performed by the same trained examiner to ensure consistency. NDI scores were obtained through a validated self-reported questionnaire.

Conditions

Cervical Radiculopathy

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: CROSS_SECTIONAL

Study Groups

cervical radiculopathy with not affected NDI

cross sectional observational

Intervention Type: OTHER

the therapist measured ROM in six directions: flexion, extension, right and left side bending, and right and left rotation to investigate the association between NDI and ROM of cervical spine

cervical radiculopathy with mild NDI

cross sectional observational

Intervention Type: OTHER

the therapist measured ROM in six directions: flexion, extension, right and left side bending, and right and left rotation to investigate the association between NDI and ROM of cervical spine

cervical radiculopathy with moderate NDI

cross sectional observational

Intervention Type: OTHER

the therapist measured ROM in six directions: flexion, extension, right and left side bending, and right and left rotation to investigate the association between NDI and ROM of cervical spine

cervical radiculopathy with severe NDI

cross sectional observational

Intervention Type: OTHER

the therapist measured ROM in six directions: flexion, extension, right and left side bending, and right and left rotation to investigate the association between NDI and ROM of cervical spine

Interventions

cross sectional observational

the therapist measured ROM in six directions: flexion, extension, right and left side bending, and right and left rotation to investigate the association between NDI and ROM of cervical spine

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Both male & female

2. Aged 25-60

3. BMI 18.5: 25

4. With cervical radiculopathy that persist for more than 3 months

Exclusion Criteria

1. Prior surgery to the cervicothoracic spine

2. Bilateral symptoms

3. Signs of upper motor neuron impairments

4. Cervical spine injection in the previous 4 weeks

5. Current use of steroidal anti-inflammatory drugs

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Aida Amir Nassif Naguib

Lecturer of physical therapy, Basic Science department

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of physical therapy

Giza, Cairo University, Egypt

Countries

Egypt

Other Identifiers

FPTBSUREC/0505/2325

Identifier Type: -

Identifier Source: org_study_id