Spinal Mobilization and PNF Comparison on Pain, Disability in Patients With Cervical Radiculopathy

NCT06866821 | Completed

• 1 other identifier: Muhammad Azeem
• Study Type: interventional
• Target: 38
• Locations: 1 country
• Sites: 1

Brief Summary

As in this modern era of digitalization; mobile phones, touch pads and computers devices use is increasing, neck pain that radiates into upper limb is also becoming common due to such devices long term use in bad postures or positions for more workload. The resulted findings could significantly contribute to the refinement of rehabilitation interventions, offering a more holistic and tailored approach for addressing cervical radiculopathy sensory and motor symptoms, ultimately improving individuals daily living activities and life quality. It will be helpful for physiotherapists to find evidence about comparison of mulligan's spinal mobilization along with arm movement with proprioceptive neuromuscular facilitation technique on pain, disability and range of motion in patients with cervical radiculopathy. It will be beneficial for patients also to improve pain, activities of daily living and working tasks in a comfortable position.

Conditions

Cervical Radiculopathy

Keywords

Cervical Radiculopathy; Pain; Range of Motion; Distraction; Proprioceptive Neuromuscular Facilitation

Outcome Measures

Primary Outcomes (3)

• Pain by Numeric Pain Rating Scale

  This was used for pain intensity assessment. Patient rested on stool or chair and ordered to score resting pain extent in between 0 and 10 range; 0 means without pain and 10 means much high pain as possible in 10cm numbers line.

  6 weeks

• Neck level of disability by Neck Disability Index

  Neck disability Index was used for functional disability of neck assessment. NDI is a 10-items questionnaire that assesses the effect of neck signs and symptoms on daily living functional activities. Every item is marked from range 0 to 5, along with total score from 0 to 50 range and maximum scores means maximum disability. NDI has reliability acceptable in the self-perceptual disability assessment and an MCID (minimal clinically important difference) of 8.5 points in cervical radiculopathy patients.

  6 weeks

• Cervical Range of Motion by Goniometer

  Goniometer was used for active cervical spine range of the motion (flexion, extension, rotation, side bending) assessment. Side bending, rotation measured on the symptomatic and asymptomatic both sides.

  6 weeks

Study Arms (2)

Experimental Group (SMWAM's and PNF C-R Technique)

EXPERIMENTAL

Experimental group received Mulligan's Spinal Mobilization with Arm Movements and Proprioceptive Neuromuscular Facilitation contract-relax technique.

Other: SMWAM's and PNF C-R Technique

Control Group (PNF C-R Technique and PT Protocol)

EXPERIMENTAL

Control group received Proprioceptive Neuromuscular Facilitation Contract-relax Technique and Physical Therapy protocol.

Other: PNF C-R Technique and PT Protocol

Interventions

SMWAM's and PNF C-R Technique OTHER

Treatment provided 3 days every week in 6 total weeks with 1 meeting per day, 3 bunches of 10 times repeat and resting period of one minute among bunches. This group received Mulligan's spinal mobilization with arm movement and proprioceptive neuromuscular facilitatin contract-relax technique. Previous to mobilization, all patients got hot pack (10 minutes) and active range of motion warm up exercises (2 sets of 10 repetitions) and did isometric neck exercise as a home plan of care. Mobilisation (22) was done depending on the side of involvement, the corresponding spinous process would be mobilised combined with different movements of shoulder (flexion/ abduction/ horizontal abduction/ horizontal adduction). Proprioceptive neuro-muscular facilitation contract relax technique performed with 3 repetitions in each cervical movement (flexion, extension, lateral flexion and rotation) (27).

Experimental Group (SMWAM's and PNF C-R Technique)

PNF C-R Technique and PT Protocol OTHER

Treatment provided 3 days every week in 6 weeks with 1 meeting per day, 5 clusters of 3 times repeat and resting period of one minute among clusters. Regime of training involved PNF (proprioceptive neuromuscular facilitation) contract-relax method along with the standard physical therapy protocol which includes passive stretching (3 sets of 10 repetitions) and isometric strengthening exercises (2 sets of 10 repetitions). Proprioceptive neuro-muscular facilitation contract relax technique performed with 3 repetitions in each cervical movement (flexion, extension, lateral flexion and rotation) (27).

Control Group (PNF C-R Technique and PT Protocol)

Eligibility Criteria

• Age: 21 Years - 50 Years
• Gender Eligibility Details: Males and Females
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both males, females of 21 years to 50 years old
• Patients already diagnosed by orthopedicians
• Patients with positive screening (upper limb tension, spurling \& distraction) tests

You may not qualify if:

• History of trauma, fracture and previous surgery
• Any pathological condition, spinal instability and tumor
• VBI (Vertebral-Basillar Insufficiency) and cervical instability/spondylolisthesis

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (3)

• Kamal AS, Zakaria HM, Elsamra MK, Gaballah MA, Elrewainy RM. EFFICACY OF PROPRIOCEPTIVE TRAINING PARADIGM ON CERVICAL RADICULOPATHY. Assessment. 2023;1000(2):12.

  BACKGROUND

• Gashi AI, Kovačič T, Gashi F, Azemi A. The effect of proprioceptive neuromuscular facilitation technique on treating cervical radiculopathy. Journal of Physical Education and Sport. 2023;23(3):722-9.

  BACKGROUND

• Taneja D, Saharan A, Ranjeeta W, Sharma M, Saharan M, Dubey S, et al. Effect of Mulligan's Smwam among Subjects with UnilateralCervical Radiculopathy. Eduzone: International Peer Reviewed/Refereed Multidisciplinary Journal. 2023;12(1):11-22.

  BACKGROUND

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

• Muhammad Azeem

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: March 4, 2025
• First Posted: March 10, 2025
• Study Start: January 12, 2024
• Primary Completion: February 21, 2025
• Study Completion: February 21, 2025
• Last Updated: March 12, 2025

Record last verified: 2025-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)