Effectiveness of Cervical Traction and Neural Mobilization in Patients With Cervical Radiculopathy

NCT03015493 | Unknown

• 1 other identifier: CHR7
• Study Type: interventional
• Target: 50
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the study is to examine the effects of cervical traction with or without the addition of neural mobilization, in patients with cervical radiculopathy

Conditions

Cervical Radiculopathy

Keywords

Neck pain; Neurodynamics; Spinal manipulative therapy

Outcome Measures

Primary Outcomes (1)

• Neck Disability Index

  Change from baseline after 4 weeks

Secondary Outcomes (4)

• Numeric Pain Rating Scale

  Change from baseline after 4 weeks

• Patient-Specific Functional Scale

  Change from baseline after 4 weeks

• Grip strength measurement using a dynamometer

  Change from baseline after 4 weeks

• Measurement of cervical spine active range of motion using a universal goniometer

  Change from baseline after 4 weeks

Study Arms (3)

Neural mobilization and traction

EXPERIMENTAL

Patients in this group are treated with neural mobilization techniques combined with cervical traction

Other: Neural mobilization combined with traction

Traction group

EXPERIMENTAL

Patients in this group are treated with cervical traction

Other: Traction

Control group

NO INTERVENTION

Patients in this group comprise the control group and are not treated with any intervention

Interventions

Neural mobilization combined with traction OTHER

Neural mobilization techniques combined with cervical traction for the cervical nerve roots

Neural mobilization and traction

Traction OTHER

Traction techniques for the cervical spine

Traction group

Eligibility Criteria

• Age: 22 Years - 71 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Unilateral sensory and motor deficits including sharp pain, muscle weakness and numbness in the upper arm
• A positive result in a minimum three of four tests (Spurling's test, Distraction test, Upper Limb Neurodynamic Test 1 and ipsilateral cervical rotation of less than 60) of a clinical prediction rule. This clinical prediction rule has demonstrated 94% specificity (95% = 0.88 to 1.00), 24% sensitivity (95% = 0.05 to 0.43) and a positive likelihood ratio of 6.1 (95% = 2.0 to 18.6) when 3 of 4 items were positive

You may not qualify if:

• A current history of cervical myelopathy or signs of upper motor neuron disease
• Bilateral CR or other musculoskeletal conditions in the affected limb.
• Receive of any prescription or over-the-counter analgesia or anti-inflammatory medication during the prior two weeks

Sponsors & Collaborators

• Christos Savva: lead

Related Publications (1)

• Young IA, Michener LA, Cleland JA, Aguilera AJ, Snyder AR. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009 Jul;89(7):632-42. doi: 10.2522/ptj.20080283. Epub 2009 May 21.

  PMID: 19465371 RESULT

MeSH Terms

Conditions

Radiculopathy; Neck Pain

Interventions

Traction

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Orthopedic Procedures; Surgical Procedures, Operative

Study Officials

• Chritos Savva, PhD

  European University Cyprus

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: January 6, 2017
• First Posted: January 10, 2017
• Study Start: May 1, 2016
• Primary Completion: February 1, 2017
• Study Completion: February 1, 2017
• Last Updated: January 16, 2017

Record last verified: 2017-01