Comparison of Static and Dynamic Opening With Neural Sliding in Cervical Radiculopathy

NCT06154993 | Completed

• 1 other identifier: S22C08G30001
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this randomized controlled trial is to determine the effects of static and dynamic opening with neural sliding in patients with cervical radiculopathy for reducing pain, enhancing cervical range of motion and improve functional status.

Conditions

Cervical; Cervical Radiculopathy

Keywords

cervical radiculopathy; static opener; dynamic opener; slider neurodynamic

Outcome Measures

Primary Outcomes (3)

• neck disability index

  Most used questionnaire for disability in patient related to any musculoskeletal neck condition. It has 7 items for daily living, 2 for pain and 1 for concentration. Each item is rated from 0 to 5. Total score is presented in percentage. Higher score tells greater disability while 0 means no disability. Total score is 50.

  4 weeks

• visual analogue scale

  VAS is a commonly used assessment tool for pain intensity ranging from 0 to 100mm on a horizontal scale while patient marks a vertical line to rank his/her pain. 0-4mm no pain 5-44mm mild pain 45-74mm moderate pain 75-100mm severe pain

  4 weeks

• inclinometer

  A device used to check range of motion based on gravity.

  4 weeks

Study Arms (2)

static opener with slider + Conventional PT

EXPERIMENTAL

Patient supine Maintaining neck flexion + contralateral flexion and rotation and applying median nerve slider mobilization while maintaining the neck static in mentioned position. Conventional PT includes hot pack for 10 mins and cervical isometrics.

Other: static opening with slider+ Conventional PT

dynamic opener with slider + Conventional PT

EXPERIMENTAL

Patient supine Neck flexion + contralateral flexion and rotation. And sliding the median nerve along with neck movement from contralateral flexion+rotation to neutal position in repetitive manner, by releasing tension from median nerve when bringing neck in neutral to ease tension from affected side. Conventional PT includes hot pack for 10 mins and cervical isometrics.

Other: dynamic opener with slider + Conventional PT

Interventions

static opening with slider+ Conventional PT OTHER

Patient supine Maintaining neck flexion + contralateral flexion and rotation and applying median nerve slider mobilization while maintaining the neck static in mentioned position. Frequency: 3 sets of 10 reps with 5 sec hold for 3 times/week for 4 weeks Conventional PT includes hot pack for 10 mins and cervical isometrics. Frequency: 3 sets of 10 reps with 5 sec hold for 3 times/week for 4 weeks. Duration: 30-40 mins

static opener with slider + Conventional PT

dynamic opener with slider + Conventional PT OTHER

Patient supine Neck flexion + contralateral flexion and rotation. And sliding the median nerve along with neck movement from contralateral flexion+rotation to neutal position in repetitive manner, by releasing tension from median nerve when bringing neck in neutral to ease tension from affected side. Conventional PT includes hot pack for 10 mins and cervical isometrics. Frequency: 3 sets of 10 reps with 5 sec hold for 3 times/week for 4 weeks. Duration: 30-40 mins

dynamic opener with slider + Conventional PT

Eligibility Criteria

• Age: 35 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• : • Spurling +ive
• Distraction test +ive (alleviate symptoms)
• Pain, paresthesia and numbness in Rt/Lt UL in dermatomal pattern of median nerve
• MRI confirmed spondylosis or disc herniation
• Age 35-60

You may not qualify if:

• Cervical spine fracture
• Cervical myelopathy
• Systemic neurological conditions
• Osteoporosis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

RehabWrox

Islamabad, Federal, 44150, Pakistan

Location

Pakistan Railway General Hospital

Rawalpindi, Punjab Province, 04616, Pakistan

Location

MeSH Terms

Conditions

Radiculopathy

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases

Study Officials

• Affan Iqbal, Phd*

  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: November 24, 2023
• First Posted: December 4, 2023
• Study Start: August 3, 2023
• Primary Completion: December 1, 2023
• Study Completion: February 1, 2024
• Last Updated: April 29, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)