Effects of Thoracic Screw Manipulation in Patients With Cervical Radiculopathy

NCT05749835 | Completed DMC

• 1 other identifier: HAMZA REC/Letter- 01392
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Cervical radiculopathy is a pain and/or sensorimotor deficit syndrome that is defined as being caused by compression of a cervical nerve root. The compression can occur as a result of disc herniation, Spondylosis, instability, trauma, or rarely, tumors. Thoracic spine manipulation (TSM) is defined as a high-velocity/low amplitude movement or "thrust" directed at any segment of the thoracic spine. Recent research has shown that Thoracic Joint Manipulation directed to the thoracic spine provides a therapeutic benefit to patients with neck pain and has been suggested as an appropriate strategy to minimize the risks associated with manipulation of the cervical spine

Conditions

Cervical Radiculopathy

Keywords

pain; thoracic manipulation; sustained natural epiphyseal glides; neck disability index

Outcome Measures

Primary Outcomes (3)

• NPRS (Numeric Pain Rating Scale).

  The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale from 0 to 10. "0" = no pain and "10" = the most intense pain imaginable.

  four weeks

• Inclinometer

  Inclinometers are portable, lightweight, and inexpensive pieces of equipment that are used to measure range of motion, like goniometry. Inclinometers are used as a part of a physical examination. An intraclass correlation coefficient (ICC) was found to be between 0.87-0.95.

  four weeks

• (Neck Disability Index) Urdu

  the neck disability index is a ten-item self-reported Questionnaire that assesses pain and associated disability, with a total max score of 50 points. An Urdu version of neck disability index will be used in this study. The total scores (ICC = 0.99) of the Neck Disability Index -Urdu.

  four weeks

Study Arms (2)

Thoracic Manipulation and Sustained Natural Apophyseal Glides and conventional therapy

EXPERIMENTAL

After the segmental mobility examination of thoracic spine, the therapist will apply a high-velocity, end range screw thrust to a restricted segment of the thoracic spine as described by Maitland et al

Other: Thoracic Manipulation and Sustained Natural Apophyseal Glides and conventional therapy

Sustained Natural Apophyseal Glides and conventional therapy

EXPERIMENTAL

Position of therapist: stands beside the patient, while his\\her head is cradled between your body and your right forearm (when you stand at his\\her right side). Gentle pressure is now applied in a ventral direction on the spinous process of C7 while the skull remains still due to the control of your right forearm. (The really gentle moving force to do this comes from your left arm via the thenar eminence over the little finger on the spine of C7).

Other: Sustained Natural Apophyseal Glides and conventional therapy

Interventions

Thoracic Manipulation and Sustained Natural Apophyseal Glides and conventional therapy OTHER

After the segmental mobility examination of thoracic spine, the therapist will apply a high-velocity, end range screw thrust to a restricted segment of the thoracic spine as described by Maitland.

Thoracic Manipulation and Sustained Natural Apophyseal Glides and conventional therapy

Sustained Natural Apophyseal Glides and conventional therapy OTHER

Position of therapist: stands beside the patient, while his\\her head is cradled between your body and your right forearm (when you stand at his\\her right side). Gentle pressure is now applied in a ventral direction on the spinous process of C7 while the skull remains still due to the control of your right forearm. (The really gentle moving force to do this comes from your left arm via the thenar eminence over the little finger on the spine of C7).

Sustained Natural Apophyseal Glides and conventional therapy

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients complaint from pain in the cervical spine and pain or paresthesia traveling from the neck into a specific region of the arm, forearm or hand
• Cervical Lateral flexion and rotation \<60 degree
• Positive scores on 3 of 4 clinical tests: Spurling's test, upper-limb neurodynamic test/median nerve bias, cervical distraction test, and cervical rotation toward the symptomatic side of less than 60°
• Hypomobility at T1- T5 thoracic vertebrae on springing test.

You may not qualify if:

• Participants with a history of vertebro-basilary artery insufficiency.
• Patient with history of cervical surgery or arthroplasty
• Patients with a positive history of trauma, fracture or surgery of the cervical
• spine
• Diagnosed cases of Torticollis, and scoliosis
• History of osteoporosis, Any heart disease

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

The Physiotherapy clinic Saidpur Road

Rawalpindi, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2023
• First Posted: March 1, 2023
• Study Start: February 1, 2022
• Primary Completion: July 10, 2023
• Study Completion: July 10, 2023
• Last Updated: October 12, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)