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This study will evaluate Effects of Neural Mobilization with or without Soft Tissue Mobilization in Cervical Radiculopathy, half of the subjects will receive treatment of Neural Mobilization along with Soft Tissue Mobilization whereas half of the subjects will receive only Neural Mobilization.
Neural mobilization and Soft Tissue Mobilization both treatments are used to treat Cervical Radiculopathy but they work differently.
Neural mobilization technique is different for all 3 nerves i.e Radial, ulnar and median. Neural Mobilization Technique target the single nerve which is being compressed and showing symptoms.
Soft Tissue Mobilization include traction which decompresses the nerve and stretches the surrounding muscles along with help to reduce pain and tingling sensation. whereas hot pack helps to increase blood circulation and warm up muscles and isometric exercises provide strengthening and build endurance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neural Mobilization with Soft Tissue Mobilization | Experimental | Neural Mobilization with Soft Tissue Mobilization group will be assessed by spurling's test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Neural mobilization Techniques which involve Median, Radial and Ulnar Nerve Mobilization and Post Isometric Relaxation Techniques. Frequency for Neural mobilization is 3 sets of 10 repetitions for each and duration of 15minute. Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 40mints each session) |
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| Neural mobilization without Soft Tissue Mobilization | Active Comparator | Neural Mobilization without Soft Tissue Mobilization group will be assessed by spurling's test and than will involved in treatment protocol i.e Cervical Traction, Hot packs, Neural Mobilization Participant will be scheduled to attend 12 treatment session (3 sessions every week for 4 weeks, 30mints each session) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neural Mobilization with Soft Tissue Mobilization | Other | Cervical Traction for 10mints 7%of body weight with 7 second hold time and 5 second rest time. Hot Pack for 10mints. Neural mobilization technique includes Median, Radial and Ulnar nerve mobilization. Frequency for neural mobilization is 3 sets of 10 repetitions for each and duration of 10minute. •Post isometric relaxation technique |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Pain Numeric Scale | Pain intensity in one of the upper limb is measured by Numeric pain scale in which "0" | 4weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Disability Index | Neck disability index scale used to measure ability to manage neck pain in everyday life in terms of: Pain intensity, Personal care, Lifting, Reading, Headaches, and Concentration. In which "0" shows disability and "5" shows normal. | 4weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Noor Ul Ain, MPhilOPT | Contact | 0333-5292822 | Noorabid2015@gmail.com | |
| Waqar Ahmed Awan, Ph D Rehab | Contact | 03335348846 | wawan01@hotmail.com |
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| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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Subjects will be assigned randomly into two groups: Neural Mobilization with Soft tissue mobilization and Neural mobilization without Soft tissue mobilization.A coin will be flipped at start of data collection for the first patient to be assigned odd number and included in Neural mobilization with Soft tissue mobilization group. Later on odd and even numbered subjects will be included in specific group.
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| Neural Mobilization without Soft Tissue Mobilization | Other | Cervical Traction for 10mints 7%of body weight with 7 second hold time and 5 second rest time.
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