Health TrialsbyHealthPanel

Mulligan Mobilization & Stretching Effects of Cervical

ConditionCervical Radiculopathy
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-50
SponsorRiphah International University

About this trial

1. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing pain in individuals with cervical radiculopathy. 2. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing disability in individuals with cervical radiculopathy. 3. To evaluate the effectiveness of mulligan mobilization and stretching exercises at improving ranges in individuals with cervical radiculopathy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants falling in this category would be recruited into the study.

Both genders

Age between 20-50 years

Subjects with neck pain radiating down to the arm

Disqualifiers

Participant failing to fall in this category would be excluded of the study.

Systemic disease potentially affecting the musculoskeletal system Patients experiencing primary shoulder or upper extremity problem of local origin

Patients with any cardiovascular disorders and respiratory disorders

Patients with any other pathological conditions involving cervical spine like vertebro basilar insufficiency and canal stenosis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Group A-Mulligan Mobilization

    Other intervention

    Group A will receive Mulligan mobilizations (SNAGs). Mulligan SNAGs mobilization technique was applied at level C4/5. Subjects were placed in sitting position and therapist stood behind the patient with therapist's thumbs on spinous process of particular vertebra. Mobilization was given by active movement followed by passive overpressure based on the movement restricted. The duration of treatment was three sets of ten repetitions each. Conventional treatment include the following: Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), and manual traction along with deep neck flexor, and isometric neck strengthening.

  • Group B-Stretching Exercises

    Other intervention

    Group B will receive stretching exercises. Subject was asked to lie supine on the plinth and the head was held at the edge of the plinth by the therapist. Then with one hand the therapist held the neck in cervical lateral flexion to the opposite side so as to achieve the stretching of the trapezius muscle. Myofascial release by applying sustained finger pressure for 5-10 s on the involved trapezius was given. A gentle myofascial stretching force was applied to take up slack and sustained until a release occurred. This protocol comprised four sets of 15 stretches with 3 min rest. Conventional treatment include the following: Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), manual traction along with deep neck flexor, and isometric neck strengthening.

Treatment groups

30 Participants
are divided into 2 treatment groups
Group A: Group A-Mulligan MobilizationExperimental treatment 1 intervention
Group B: Group B-Stretching ExercisesExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Change in Cervical Pain Intensity Measured by Numeric Pain Rating Scale (NPRS)

The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable") High test-retest reliability has been observed in both literate and illiterate patients with rheumatoid arthritis (r = 0.96 and 0.95, respectively) before and after medical consultation.

Time frame
4 Weeks
2

Cervical Range of Motion by Inclinometer

An inclinometer is a device used to measure angles. It is commonly used in physiotherapy to measure the range of motion (ROM) of joints and very similar to a goniometer. The digital inclinometer demonstrated excellent reliability (ICC=0.75-0.86), except for the right lateral flexion (ICC=0.74) and left rotation (ICC=0.72).

Time frame
4 Weeks
3

Cervical Disability by Neck Disability Index (NDI)

This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Score: /50 Transform to percentage score x 100 = %points. It has 7 items for daily living, 2 for pain and 1 for concentration. Each item is rated from 0 to 5. Total score is presented in percentage. Higher score tells greater disability while 0 means no disability(16).Total score is 50. In cervical radiculopathy patients it has moderate test retest reliability ICC= 0.68 (22).The NDI has a fair to moderate test-retest reliability in patients with mechanical neck pain but also for patients with cervical radiculopathy. The NDI has a good construct validity.

Time frame
4 Weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Riphah International University

Lead sponsor

Source ClinicalTrials.gov
Apply now