This study explores the effectiveness of Neuromuscular Re-education compared to conventional therapies in managing pain, range of motion, and disability in patients with Cervical Radiculopathy
Participants of Age between 30 and 50 years old.
Participants of both gender included.
Participants having Unilateral upper extremity pain, paresthesia, or numbness
Positive Spurling's test
Participants having prior cervical spine surgery.
Participants with Cervical vertebral fracture
Participants with severe osteoporosis, rheumatic disease, shoulder disease, or infection will be excluded.
Participants with vertebro-basilar artery insufficiency and diabetic neuropathy
Parallel
Neuromuscular Re education
Other interventionA. Postural training and functional task simulation(chin tuck, Shoulder blade squeeze, reaching, carrying, lifting tasks) Proprioceptive tasks( single leg stance with head movement), deep cervical strengthening. 3 sessions per week, 30 minutes per session (10 mint each component),10 repetition per set, 2 set, 10 second Resting interval Resting period: 1 mint to next exercise
Conventional Physical Therapy
Other intervention* TENS and hot pack for 10 to 15 minutes * Manual therapy techniques (e.g., mobilizations grade II). 5 to 10 repetition * Cervical isometric exercises 10 reps * General education on posture and ergonomics guidelines * Frequency: 3 sessions per week * Duration: 50 minutes per session, 10 mint each component * Repetition: 10 repetition per set, 2 set , 10 second resting interval * Resting period: 1 mint to next exercise
Goniometer
A goniometer is used to measure cervical range of motion (ROM) by aligning its fulcrum over a bony landmark (like the C7 vertebrae or external auditory meatus) and its arms with other bony landmarks (such as the nose, acromion, or sternal notch) to measure the angle of movement in degrees.
NDI (Neck Disability Index)
The NDI is a 10-item questionnaire that assesses how neck pain affects daily activities(28). The Neck Disability Index (NDI) measures neck-specific disability through a 10-item questionnaire assessing pain and daily activities like personal care, lifting, and concentration. Scores range from 0-50 (or 0-100%), with higher scores indicating greater disability
Numeric Pain Rate Scale
The Numerical Pain Rating Scale (NPRS) has been used to assess the level of pain patients experience. It can be used to assess pain either verbally or through a self completion questionnaires. Patients are asked to circle a number on a scale that best describes the pain the experience. Patients are asked to recall from the pain scale from 0 to 10. 0 equals No pain, 1-3 equals Mild pain, 4-6 equals Moderate pain, 7-9 equals Severe pain, and 10 equals Very Severe pain. NPRS shows strong test-retest score even in illiterate and literate patients
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