Manual Cervical Traction and Natural Apophyseal Glides for Cervical Radiculopathy Patients

NCT04915222 | Completed DMC

• 1 other identifier: 129/RC/KEMU
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Cervical Radiculopathy is a clinical disorder of nerve root, and often is due to compressive or inflammatory pathology. There are number of different procedures which have been suggested for decreasing pain and disability in patients but manual therapy has been validated the effective technique. The objective of current research was to assess the comparative effectiveness of the Manual Cervical Traction and the Natural Apophyseal Glides on pain and disability among Cervical Radiculopathy patients. A parallel design, randomized controlled trial was performed on 72 patients in physiotherapy department, Mayo Hospital Lahore. Participants were randomly allocated into two groups after baseline testing. Group A received natural apophyseal glides and baseline treatment and group B received manual cervical traction and baseline treatment. Treatment period was of 3 weeks with 3 weekly sessions on alternate basis. Assessment was done before treatment at baseline and then by second and third week using numeric pain rating scale and neck disability index. SPSS version 25 was used to analyzed the data.

Conditions

Cervical Radiculopathy

Keywords

Cervical radiculopathy; manual traction; neck pain

Outcome Measures

Primary Outcomes (2)

• Change from Baseline in Numeric Pain Rating Scale

  Pain intensity was measured using numeric pain rating scale

  Baseline and 3 weeks

• Change from Baseline in Neck Disability Index

  Functional ability was measured using neck disability index

  Baseline and 3 weeks

Study Arms (2)

Natural apophyseal glides

EXPERIMENTAL

This group receives natural apophyseal glides along with conventional physical therapy and manual techniques as treatment for 3 sessions per week on alternate days for 3 weeks

Other: Natural apophyseal glides

Cervical manual traction

ACTIVE COMPARATOR

This group receives cervical manual traction along with conventional physical therapy and manual techniques as treatment for 3 sessions per week on alternate days for 3 weeks

Other: Cervical manual traction

Interventions

Natural apophyseal glides OTHER

Patients received conventional therapy and NAGS with 2-3 hertz (less than 6 repetitions) in 3 sets for 3 weeks. The conventional therapy included hot pack, Neck range of motion exercises, neck strengthening and stabilization exercises. The hot pack is a form of thermo therapywas applied for 10 to 15 minutes and was applied at each visit during 3 sessions per week for total 3 weeks. The strengthening and stabilization exercises are form of therapeutics exercise are prescribed at 15 to 20 times per session for total 3 weeks. Intensity of exercise may rise gradually according to patient tolerance and muscular strength.

Natural apophyseal glides

Cervical manual traction OTHER

Patients received cervical manual traction (CMT) along with traditional therapy. Treatment frequency was 3 sessions per week for total three weeks duration. CMT applied was intermittent type traction.8 to 10 kg force was applied at an angle of 20 to 25 degree from horizontal. 5sets of cervical traction are performed. In every set traction is given for 1 minute with rest period of 20 seconds. The total time of traction session was 10 minute. The conventional therapy included hot pack, Neck range of motion exercises, neck strengthening and stabilization exercises. The hot pack is a form of thermo therapywas applied for 10 to 15 minutes and was applied at each visit during 3 sessions per week for total 3 weeks. The strengthening and stabilization exercises are form of therapeutics exercise are prescribed at 15 to 20 times per session for total 3 weeks. Intensity of exercise may rise gradually according to patient tolerance and muscular strength.

Cervical manual traction

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects with clinically and radiologically diagnosed cervical radicular disease
• Subjects with difficulties in carrying out daily activities due to radicular pain
• Subject with bilateral/unilateral or both radicular pain
• Both male, female patients between 20 and 60 years with the radicular pain

You may not qualify if:

• Subjects having the mechanical cervical pain or the nonspecific pain of neck
• Subjects having cervical myelopathy
• Patients having any spine surgery or any malignancy
• Subjects having pain because of postural imbalances

Sponsors & Collaborators

• University of Lahore: lead
• King Edward Medical University: collaborator

Study Sites (1)

Physiotherapy Department of Mayo Hospital

Lahore, Punjab Province, 54000, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy; Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Mariam Ghazanfar

  University of Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer

Model Details: Single center, parallel group randomized controlled trial of 72 participants.

Study Record Dates

• First Submitted: May 31, 2021
• First Posted: June 7, 2021
• Study Start: September 10, 2018
• Primary Completion: March 15, 2019
• Study Completion: March 15, 2019
• Last Updated: June 7, 2021

Record last verified: 2021-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)