What is the Preferred Angle of Traction to Decompress Cervical Nerve Roots?

NCT03898739 | Unknown

• 1 other identifier: Traction decompression angle
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the study is to investigate the effect of different angles of decompression on the Flexor Carpi Radialis (FCR) H-Reflex in patients with cervical radiculopathy

Conditions

Cervical Radiculopathy

Keywords

Traction; Decompression angles

Outcome Measures

Primary Outcomes (1)

• The Flexor Carpi radialis H-reflex

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

  Changes from Baseline to 6-weeks after treatment

Study Arms (3)

traction therapy from neutral position

ACTIVE COMPARATOR

Patients in this group will receive traction decompression from neutral neck position with rope angle (0°)

Other: Cervical Traction from different angles

traction therapy from lateral bending

ACTIVE COMPARATOR

patients will undergo traction decompression from (30°) lateral bending of the neck toward the non-affected side

Other: Cervical Traction from different angles

traction from flexion with lateral bending and rotation

ACTIVE COMPARATOR

patients will be treated with traction decompression from (15°) neck flexion, (30°) lateral bending toward non- affected side and (15°) rotation to the affected side.

Other: Cervical Traction from different angles

Interventions

Cervical Traction from different angles OTHER

Intermittent traction will be applied, maximum force will be 16 kg, minimum force will be 12 kg, traction cycle of each minute consists of 20 seconds static traction at the maximum force then released down to the minimum force for 20 seconds then repeated for 20 seconds static traction. Traction session time will be 15 minutes, and the traction force will be increased progressively with speed (50%) of increment of force

traction from flexion with lateral bending and rotation; traction therapy from lateral bending; traction therapy from neutral position

Eligibility Criteria

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

You may qualify if:

• Patients will be included in the study if they have C5-C6 and C6-C7 paramedian disc protrusion manifested by unilateral symptoms in C6-C7 roots dermatome and myotomes of the upper extremities, second grade of disc bulge (2-3mm) which was detected from T2 axial view of MRI, and diagnosed as cervical disc protrusion (C5- C7) for at least three months.

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, osteoporotic patients.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (2)

• Khan RR, Awan WA, Rashid S, Masood T. A randomized controlled trial of intermittent Cervical Traction in sitting Vs. Supine position for the management of Cervical Radiculopathy. Pak J Med Sci. 2017 Nov-Dec;33(6):1333-1338. doi: 10.12669/pjms.336.13851.

  PMID: 29492054 BACKGROUND

• Liu J, Ebraheim NA, Sanford CG Jr, Patil V, Elsamaloty H, Treuhaft K, Farrell S. Quantitative changes in the cervical neural foramen resulting from axial traction: in vivo imaging study. Spine J. 2008 Jul-Aug;8(4):619-23. doi: 10.1016/j.spinee.2007.04.016. Epub 2007 Jun 21.

  PMID: 17697801 BACKGROUND

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Samiha H 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

• Shaymaa M Abdelmeged, PhD

  Lecturer at Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University.

  STUDY DIRECTOR

• Salam M Elhafez, Prof.

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

  STUDY CHAIR

Central Study Contacts

Abeer F Hanafy, PhD

CONTACT

01063044443; abeerfarag22@gmail.com

Mahmoud M Aly, Master

CONTACT

0237617691; dr3mpt@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: patients with cervical radiculopathy, caused by cervical paramedian disc protrusion at C5-C6 or C6-C7 levels will participate in the study. They will be assigned randomly into three equal groups; A, B and C.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Biomechanics

Model Details: One independent variable with many levels.

Study Record Dates

• First Submitted: March 30, 2019
• First Posted: April 2, 2019
• Study Start: April 1, 2019
• Primary Completion: August 1, 2019
• Study Completion: September 1, 2019
• Last Updated: April 2, 2019

Record last verified: 2019-03