Spinal Mobilization With Arm Movement and Positional SNAGS in Cervical Radiculopathy Patients

NCT05191537 | Completed

• 1 other identifier: REC/Lhr/21/0127 Maryam
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Data will be collected in Hussain Memorial Hospital by taking informed consent. Randomised clinical trial is conducted taking thirty patients of both genders with confirmed diagnoses of cervical radiculopathy, their ages ranged from 25 to 60. A cluster of winner to rule out patient with cervical radiculopathy. They will be randomly assigned into two groups by the lottery method. Group A will receive conventional treatment and of spinal mobilization with arm movement (intervention 1) Group B will receive conventional treatment and positional SNAGs (intervention 2). The treatment will be conducted at a frequency of three sessions per week for four weeks. Two values will be taken, one as baseline and the other at end of the session. Then follow up the patient to rule out which intervention is more effective than the other. Neck Disability Index, Numeric Pain Rating Scale and ROM will be used to measure outcomes.

Conditions

Radiculopathy, Cervical

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  The numeric pain rating scale (NPRS) is a measurement scale that is used to measure a characteristic or attitude of pain. it is a 0-10 point scale. 0 mean no pain and 10 mean unbearable pain. Change from Baseline for pain Assessment at 4 weeks.

  4 weeks.

• Neck Disability Index(NDI)

  NDI questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. It had 10 sections with total 50 scores. The test can be interpreted as a raw score, with a maximum score of 50, or as a percentage. 0 points or 0% means : no activity limitations , 50 points or 100% means complete activity limitation. Change from Baseline for disability Assessment at 4 weeks.

  4 weeks.

• Inclinometer for range of motion

  It's a range measuring tool used for the Range of Motion of neck flexion, extension and rotation. If the angle increases its mean improving. Change from Baseline for Range of Motion Assessment at 4 weeks.

  4 weeks.

Study Arms (2)

spinal mobilization with arm movement

EXPERIMENTAL

conventional treatment and of spinal mobilization with arm movement

Other: shoulder Mobilization with arm movement

positional SNAGs

ACTIVE COMPARATOR

conventional treatment and positional SNAGs

Other: Sustained Natural Apophyseal Glides

Interventions

Sustained Natural Apophyseal Glides OTHER

The patient sits well supported in a chair. The cervical spine and head are set in a neutral position. A painless passive posterior to anterior (PA) glide is applied in the plane of the facets on either the spinous process or the articular pillar/cervical lamina. While the glide is sustained the patient actively moves their neck in the direction that previously produced the symptoms. If symptom-free, the patient applies over-pressure further into the movement restriction. 3-6 repetitions are performed

positional SNAGs

shoulder Mobilization with arm movement OTHER

The patient is seated. The therapist contacts the length of the spinous process with the medial aspect of the thumb. A transverse glide is applied by the therapist's index finger against the thumb contacting the spinous process. The direction of the glide is to the contralateral side of the pain. While the mobilisation is sustained the patient moves their arm through a pain-free abduction range. 3-5 sets of 6-10 repetitions may be performed.

spinal mobilization with arm movement

Eligibility Criteria

• Age: 25 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Symptoms duration more than 6 months.
• Age 25 -60
• The patient has confirm the diagnosis of Radiculopathy of cervical origin,
• VAS more than 5

You may not qualify if:

• Malignancy
• Infection (such as osteomyelitis or diskettes)
• Osteoporosis
• Inflammatory arthritis
• Fracture
• Pregnancy
• Uncontrolled hypertension or cardiovascular disease
• Carotid or vertebral artery disease.
• Trauma cases

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Hussain Memorial Hospital

Lahore, Punjab Province, 54700, Pakistan

Location

Related Publications (4)

• Krivickas LS, Wilbourn AJ. Peripheral nerve injuries in athletes: a case series of over 200 injuries. Semin Neurol. 2000;20(2):225-32. doi: 10.1055/s-2000-9832.

  PMID: 10946743 BACKGROUND

• Hee HT, Castro FP Jr, Majd ME, Holt RT, Myers L. Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: analysis of complications and predictive factors. J Spinal Disord. 2001 Dec;14(6):533-40. doi: 10.1097/00002517-200112000-00013.

  PMID: 11723406 BACKGROUND

• Anandkumar S. The effect of sustained natural apophyseal glide (SNAG) combined with neurodynamics in the management of a patient with cervical radiculopathy: a case report. Physiother Theory Pract. 2015 Feb;31(2):140-5. doi: 10.3109/09593985.2014.971922. Epub 2014 Oct 20.

  PMID: 25329587 BACKGROUND

• Shafique S, Ahmad S, Shakil-Ur-Rehman S. Effect of Mulligan spinal mobilization with arm movement along with neurodynamics and manual traction in cervical radiculopathy patients: A randomized controlled trial. J Pak Med Assoc. 2019 Nov;69(11):1601-1604. doi: 10.5455/JPMA.297956..

  PMID: 31740863 BACKGROUND

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• muhammad sanaullah, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 29, 2021
• First Posted: January 13, 2022
• Study Start: December 1, 2021
• Primary Completion: April 1, 2022
• Study Completion: April 10, 2022
• Last Updated: November 28, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)