Stretching Versus Traction in Patients With Cervical Radiculopathy.

NCT03888573 | Unknown

• 1 other identifier: nerve root decompression
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the study is to compare the effects of traction decompression and neck muscle stretching on the magnitude of Flexor Carpi Radialis H-Reflex(HR), Neck Disability Index (NDI), and Visual Analogue Scale (VAS) pain scores in patients with cervical radiculopathy.

Conditions

Cervical Radiculopathy

Keywords

Stretching, Traction Decompression

Outcome Measures

Primary Outcomes (1)

• The Flexor Carpi radialis H-reflex

  The peak-to-peak amplitudes of the four FCR-HR traces will be measured and averaged for each patient

  change from Baseline after 6-week of treament

Secondary Outcomes (2)

• The Visual Analogue Scale Pain Scores(VAS)

  Change from Baseline after 6-week of treament

• The Neck Disability Index (NDI)

  Change from Baseline after 6-week of treatment

Study Arms (2)

Stretch

ACTIVE COMPARATOR

Patients within Stretch Group will receive stretching protocols to the cervical musculature at the side of symptoms.

Other: Stretching protocol

Traction

ACTIVE COMPARATOR

Patients within Traction Group will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side.

Other: Stretching protocol

Interventions

Stretching protocol OTHER

Patients within Stretch Group will receive stretching protocols to the cervical musculature at the side of symptoms. Traction Group will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side.

Also known as: Traction using The Triton decompression system

Stretch; Traction

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients should have C5-C6 and C6-C7 paramedian disc protrusion manifested by unilateral symptoms in C6-C7 roots dermatome and myotomes of the upper extremities.
• They were diagnosed as cervical disc protrusion (C5- C7) for at least three months.
• All patients should have a second grade of disc bulge (2-3mm) which was detected from T2 axial view of MRI.

You may not qualify if:

• Patients will be excluded from the study if they have upper cervical spine disc pathology, cord compression and upper motor neuron symptoms, curvature abnormalities of the neck including reversed curve (kyphotic) and deformities, cervical rib syndrome, double crush syndrome, diabetic neuropathy, text neck , short neck (Churchill neck), Marked facet joint, neuro-central joint arthropathic pathology, osteoporosis.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (2)

• Caridi JM, Pumberger M, Hughes AP. Cervical radiculopathy: a review. HSS J. 2011 Oct;7(3):265-72. doi: 10.1007/s11420-011-9218-z. Epub 2011 Sep 9.

  PMID: 23024624 BACKGROUND

• Graham N, Gross A, Goldsmith CH, Klaber Moffett J, Haines T, Burnie SJ, Peloso PM. Mechanical traction for neck pain with or without radiculopathy. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006408. doi: 10.1002/14651858.CD006408.pub2.

  PMID: 18646151 BACKGROUND

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Samiha Hafez Hassan, Prof.

  Professor of Physical Therapy for Neurology, Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University.

  STUDY CHAIR

• Salam Mohamed Elhafez, Prof.

  Professor and Head of Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt.

  STUDY DIRECTOR

Central Study Contacts

Abeer Farag Hanafy, Lecturer

CONTACT

01063044443; abeerfarag22@gmail.com

Mahmoud Mohamed Aly, Master

CONTACT

0237617691; dr3mpt@yahoo.com

Study Design

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

Model Details: Patients will be randomly assigned into two groups; A and B. Patients within Group (A) will receive stretching protocols to the cervical musculature at the side of symptoms. Group (B) will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side.

Study Record Dates

• First Submitted: March 20, 2019
• First Posted: March 25, 2019
• Study Start: April 1, 2019
• Primary Completion: August 1, 2019
• Study Completion: September 1, 2019
• Last Updated: March 26, 2019

Record last verified: 2019-03