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The purpose of the study is to compare the effects of traction decompression and neck muscle stretching on the magnitude of Flexor Carpi Radialis H-Reflex(HR), Neck Disability Index (NDI), and Visual Analogue Scale (VAS) pain scores in patients with cervical radiculopathy.
Cervical traction has long been used to relieve compression of nerve roots caused by intervertebral discs. Yet, there is lack of knowledge that compares the effect of traction decompression with neck muscles stretching in patients with cervical radiculopathy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stretch | Active Comparator | Patients within Stretch Group will receive stretching protocols to the cervical musculature at the side of symptoms. |
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| Traction | Active Comparator | Patients within Traction Group will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stretching protocol | Other | Patients within Stretch Group will receive stretching protocols to the cervical musculature at the side of symptoms. Traction Group will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side. |
| Measure | Description | Time Frame |
|---|---|---|
| The Flexor Carpi radialis H-reflex | The peak-to-peak amplitudes of the four FCR-HR traces will be measured and averaged for each patient | change from Baseline after 6-week of treament |
| Measure | Description | Time Frame |
|---|---|---|
| The Visual Analogue Scale Pain Scores(VAS) | A 10-cm VAS was used for assessing pain intensity. It is a line whose ends are labeled as the extremes of pain; no pain and very extreme pain. The line is marked at intervals 1 cm each without any label. Patients will be simply asked to indicate which point along the line that best represents the intensity of perceived pain. The distance from the "no pain" end to the mark made by the patient will be measured as the patient's pain intensity score. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abeer Farag Hanafy, Lecturer | Contact | 01063044443 | abeerfarag22@gmail.com | |
| Mahmoud Mohamed Aly, Master | Contact | 0237617691 | dr3mpt@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Samiha Hafez Hassan, Prof. | Professor of Physical Therapy for Neurology, Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University. | Study Chair |
| Salam Mohamed Elhafez, Prof. | Professor and Head of Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt. |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23024624 | Background | Caridi JM, Pumberger M, Hughes AP. Cervical radiculopathy: a review. HSS J. 2011 Oct;7(3):265-72. doi: 10.1007/s11420-011-9218-z. Epub 2011 Sep 9. | |
| 18646151 | Background | Graham N, Gross A, Goldsmith CH, Klaber Moffett J, Haines T, Burnie SJ, Peloso PM. Mechanical traction for neck pain with or without radiculopathy. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD006408. doi: 10.1002/14651858.CD006408.pub2. |
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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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Patients will be randomly assigned into two groups; A and B. Patients within Group (A) will receive stretching protocols to the cervical musculature at the side of symptoms. Group (B) will be treated with traction from 15-degree flexion, 30-degree lateral bending, and 15-degree rotation toward the painful side.
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| Change from Baseline after 6-week of treament |
| The Neck Disability Index (NDI) | The NDI will be measured on a 6-point scale from 0 (no disability) to 5 (full disability). The numeric response for each item will be summed for a score varying from 0 to 50. The NDI consists of 10 sections, each section the total possible score is 5, if the first statement is marked; the section score = 0, if the last statement is marked it = 5. The patients will choose the best choice that reflect his current state. If all ten sections are completed the score is calculated by dividing the obtained score on the total number of scores e.g. if the score recorded by the patients was (40) so the NDI=(40/50)x100=80% | Change from Baseline after 6-week of treatment |
| Study Director |