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This study evaluates the effectiveness of two treatment interventions in patients with cervical radiculopathy. One group will receive a concurrent approach using traction and neuromobilizations. The other group will receive the sequential approach of traction and neuromobilizations
Physical therapists routinely use cervical traction and manual therapy in patients with cervical radiculopathy. The standard of care is a sequential approach in which the patients receive interventions successively. This study will provide the standard of care approach for one group while the other group receives the concurrent approach in which the patient will have neuromobilizations while they are receiving mechanical traction. Both groups will also receive exercise and manual therapy to the cervical and thoracic spine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Concurrent traction | Experimental | Concurrent traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session |
|
| Sequential traction | Active Comparator | Sequential traction and neuromobilization technique at each scheduled session Active exercise program (4-5 exercises) at each session Manual therapy to cervical and thoracic spine at each session |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| concurrent traction and neuromobilization technique | Other | participant will be on a mechanical traction machine with an on:off cycle. During the on cycle, the primary researcher will be performing a neuromobilization technique on the symptomatic arm. Patients will also receive exercise and manual therapy |
| Measure | Description | Time Frame |
|---|---|---|
| changes in pain | Measured using the Numeric pain rating scale. Minimum score is 0 and maximum score is 10. 0 describes no pain and 10 describes worst pain imaginable. | after 4 weeks of intervention |
| changes in function | Measured using the Neck Disability Index. The Neck Disability Index has a minimum score of 0 and maximum score of 50. It is typically expressed as a percentage by multiplying the score by 2. Higher scores represent greater disability. | After 4 weeks of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in treatment time between the groups | average minutes in treatment in each group | 4 weeks of intervention |
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Inclusion criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Patrick Christianson | Contact | 574-485-6082 | christiansonpj@uindy.edu | |
| James Bellew, EdD | Contact | 317-788-3522 | bellew@uindy.edu |
| Name | Affiliation | Role |
|---|---|---|
| James Bellew, EdD | University of Indianapolis | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Michiana Orthopaedics and Sports Physical Therapy | Recruiting | Mishawaka | Indiana | 46544 | United States |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Sep 27, 2021 | |
| Reset | Oct 25, 2021 |
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Two groups receiving interventions
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| sequential traction and neuromobilization technique | Other | Participants will receive neuromobilzation techniques followed by supine cervical traction |
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| active exercise program | Other | Participants will have 4-5 exercises to perform at each session |
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| manual therapy to cervical and thoracic spine | Other | Lateral glides to cervical spine and thoracic manipulations |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Sep 27, 2021 | Oct 25, 2021 |
| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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