Efficacy of Adding Neural Mobilization Techniques in Patients with Cervical Radiculopathy

Launched by CAIRO UNIVERSITY · Oct 27, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the effects of two different techniques, called slider and tensioner neural mobilization, when added to regular physical therapy for patients with cervical radiculopathy. This condition involves pain and other symptoms that occur when nerves in the neck are compressed or irritated. The researchers want to see which technique helps improve pain, movement in the neck, hand strength, and nerve function in the arm.

To be eligible for the trial, patients should have had ongoing pain for more than three months, along with symptoms like weakness or numbness in one arm. They should also have specific test results that indicate nerve issues. Participants will receive physical therapy that includes one of the two techniques being studied. This study is not yet recruiting, but if you or someone you know experiences these symptoms, it’s important to stay informed about future opportunities to get involved.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Current continuous or intermittent pain that has persisted for more than 3 months.
• • 2. Motor, reflex, and/ or sensory changes in the upper limb.
• • 3. Diminished deep tendon reflexes in the affected arm.
• • 4. Paresthesia or numbness along the course of the nerve.
• • 5. A positive Upper Limb Neural Tension 1 (ULNT) test for the median nerve, Spurlings test, compression test, cervical distraction test, less than 60° cervical rotation towards the symptomatic side, and Valsalva maneuver.
• • 6. Unilateral affection in the upper limb.
• Exclusion Criteria:
• • 1. History of surgical procedures for pathologies giving rise to neck pain or CTS.
• • 2. Clinical signs or symptoms of medical red flags; (infection, cancer, and cardiac involvement).
• • 3. Patients with neck pain for signs and symptoms of serious pathology, upper cervical ligamentous insufficiency, unexplained cranial nerve dysfunction, and fracture.
• • 4. Any systematic disease such as rheumatism and tuberculosis, cervical myelopathy, or multiple sclerosis.
• • 5. Systemic disease is known to cause generalized peripheral neuropathy as diabetes mellitus.
• • 6. Upper Motor neuron disease such as stroke and amyotrophic lateral sclerosis (ALS).
• • 7. Complete loss of sensation along the involved nerve root.
• • 8. Primary report of bilateral radiating arm pain.
• • 9. Inability to tolerate the planned intervention.
• • 10. Pregnant woman.
• • 11. Thoracic outlet syndrome
• • 12. Pronator teres syndrome