Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Cervical Radiculopathy

Sponsor

Riphah International University (Other)

Overall Status

Completed

CT.gov ID

NCT04824170

Collaborator

(none)

Enrollment

Location

Arms

5.5

Actual Duration (Months)

5.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

this project was a Quasi-Experimental Trial. conducted to compare the Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Terms of Joint Position Sense and Pain in Cervical Radiculopathy . so that we can have best treatment option for patients with cervical radiculopathy

Condition or Disease	Intervention/Treatment	Phase
Cervical Radiculopathy	Other: Neural Glide Other: Rhythmic stabilization technique	N/A

Detailed Description

non probability convenient sampling was done. patients following eligibility criteria from Madina Teaching Hospital FSD and Kadijatulkubra hospital Chiniot. Non Probability Convenient sampling was done. Sample size was calculated with G power. 28 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given neural glides and Group B was given PNF along with conventional physiotherapy treatment (hot pack and traction). Duration of research was almost 6 months. Intervention was applied for 4 weeks, 3 sessions per week. Pre and Post treatment readings were taken in 1st and 4th week session Assessment was done via Numeric Pain Rating Scale; NDI, CVA and JPE as subjective measurements. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Study Design

Study Type:

Interventional

Actual Enrollment :

28 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

Single (Participant)

Primary Purpose:

Treatment

Official Title:

Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Terms of Joint Position Sense and Pain in Cervical Radiculopathy

Actual Study Start Date :

Jul 15, 2019

Actual Primary Completion Date :

Oct 15, 2019

Actual Study Completion Date :

Dec 30, 2019

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Neural glide Neural mobilization of median nerve which includes gliding and sliding was given	Other: Neural Glide hot pack and cervical traction is applied for 10-15 min.Group A received Neural mobilization of median nerve which includes gliding and sliding was given,therapist stood on the patient & affected side besides the patient, patient'S shoulder was depressed with one hand and elbow was moved in 90 degree flexion, forearm supination, extend the wrist and fingers with other hand. Then patient arm was moved into 90 degree abduction and then sliding or gliding of nerve was applied. Sliding was applied with elbow extension and wrist flexion and elbow flexion with wrist extension. 6 sets were performed. Each set was performed for 60 seconds, for alternative days in week for 4 weeks and then progressed to gliding/tensioning technique when symptoms improved
Experimental: Rhythmic stabilization technique Proprioceptive Neuromuscular Facilitation (Rhythmic stabilization technique will be Given)	Other: Rhythmic stabilization technique This group was receiving (PNF) Rhythmic stabilization technique with base line treatment. Subject was lying in spine position on the treatment table and therapist resist an isometric contraction of agonist muscle group.pt maintain this position for 10 sec without trying to move and 12-15 repetitions were performed with 30 sec rest. Each therapeutic session treatment was focused on facilitation of neck stabilizers, improving neck stability, coordination, decreasing pain and improving postural control

Arm

Intervention/Treatment

Experimental: Neural glide

Neural mobilization of median nerve which includes gliding and sliding was given

Other: Neural Glide

hot pack and cervical traction is applied for 10-15 min.Group A received Neural mobilization of median nerve which includes gliding and sliding was given,therapist stood on the patient & affected side besides the patient, patient'S shoulder was depressed with one hand and elbow was moved in 90 degree flexion, forearm supination, extend the wrist and fingers with other hand. Then patient arm was moved into 90 degree abduction and then sliding or gliding of nerve was applied. Sliding was applied with elbow extension and wrist flexion and elbow flexion with wrist extension. 6 sets were performed. Each set was performed for 60 seconds, for alternative days in week for 4 weeks and then progressed to gliding/tensioning technique when symptoms improved

Experimental: Rhythmic stabilization technique

Proprioceptive Neuromuscular Facilitation (Rhythmic stabilization technique will be Given)

Other: Rhythmic stabilization technique

This group was receiving (PNF) Rhythmic stabilization technique with base line treatment. Subject was lying in spine position on the treatment table and therapist resist an isometric contraction of agonist muscle group.pt maintain this position for 10 sec without trying to move and 12-15 repetitions were performed with 30 sec rest. Each therapeutic session treatment was focused on facilitation of neck stabilizers, improving neck stability, coordination, decreasing pain and improving postural control

Outcome Measures

Primary Outcome Measures

pain by numeric pain rating scale [2 months]
0-10 , 0 minimum 10 maximum pain
Functional disability by NECK DISABILITY INDEX [2 months]
This means that the overall score range is between 0 and 50, 0 being no to little pain and discomfort while 50 being the severest degree of pain and disability with complete activity limitation.

Eligibility Criteria

Criteria

Ages Eligible for Study:

25 Years to 45 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Patients with unilateral upper extremity pain, parenthesis, or numbness.
Neck Disability Index (NDI) score of 10/50 points or greater.
Numeric pain rating scale scoring (moderate pain).
Craniovertebral angle measured less than 49 with forward head posture.
Positive distraction test, Upper limb tension test, spurling test.

Exclusion Criteria:

Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis etc.
Central nervous system involvement.
History of whiplash injury within the previous 6weeks.
Prior surgery to the cervical or thoracic spine from 6 months ago.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Riphah IU	Lahore	Punjab	Pakistan	54000

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Ayesha Niaz, MS, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

Sokunbi OG, Muhwati L, Robinson P. A Randomized Controlled trials on the effects of acupuncture and proprioceptive neuromuscular facilitation (PNF) on supraspinatus tendinitis. IOSR Journal of Dental and Medical Sciences. 2014;13(11):63-9.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT04824170

Other Study ID Numbers:

REC/Lhr/19/2031 Ayesha Niaz

First Posted:

Apr 1, 2021

Last Update Posted:

Apr 14, 2021

Last Verified:

Apr 1, 2021

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Radiculopathy

Study Results

No Results Posted as of Apr 14, 2021