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The purpose of the study is to investigate the effect of different angles of decompression on the Flexor Carpi Radialis (FCR) H-Reflex in patients with cervical radiculopathy
Cervical traction has long been defined as a distracting force that separate the cervical segments and relieve nerve roots compression. Yet, there is lack of knowledge that reports the effects of different traction decompression angles and determines the proper angle of pull among different angles of decompression system
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| traction therapy from neutral position | Active Comparator | Patients in this group will receive traction decompression from neutral neck position with rope angle (0°) |
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| traction therapy from lateral bending | Active Comparator | patients will undergo traction decompression from (30°) lateral bending of the neck toward the non-affected side |
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| traction from flexion with lateral bending and rotation | Active Comparator | patients will be treated with traction decompression from (15°) neck flexion, (30°) lateral bending toward non- affected side and (15°) rotation to the affected side. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical Traction from different angles | Other | Intermittent traction will be applied, maximum force will be 16 kg, minimum force will be 12 kg, traction cycle of each minute consists of 20 seconds static traction at the maximum force then released down to the minimum force for 20 seconds then repeated for 20 seconds static traction. Traction session time will be 15 minutes, and the traction force will be increased progressively with speed (50%) of increment of force |
| Measure | Description | Time Frame |
|---|---|---|
| The Flexor Carpi radialis H-reflex | The peak-to-peak amplitudes of four FCR-HR traces will be measured and averaged for each patient | Changes from Baseline to 6-weeks after treatment |
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Inclusion Criteria:
Exclusion Criteria:
- Patients will be excluded from the study if they have upper cervical spine disc pathology, cord compression and upper motor neuron symptoms, curvature abnormalities of the neck including reversed curve (kyphotic) and deformities, cervical rib syndrome, double crush syndrome, diabetic neuropathy, text neck, short neck (churchill neck), marked facet joint, neuro-central joint arthropathic pathology, osteoporotic patients.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Abeer F Hanafy, PhD | Contact | 01063044443 | abeerfarag22@gmail.com | |
| Mahmoud M Aly, Master | Contact | 0237617691 | dr3mpt@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Samiha H 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 |
| Shaymaa M Abdelmeged, PhD | Lecturer at Department of Physical Therapy for Neuromuscular Disorder and its Surgery, Faculty of Physical Therapy, Cairo University. |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29492054 | Background | Khan RR, Awan WA, Rashid S, Masood T. A randomized controlled trial of intermittent Cervical Traction in sitting Vs. Supine position for the management of Cervical Radiculopathy. Pak J Med Sci. 2017 Nov-Dec;33(6):1333-1338. doi: 10.12669/pjms.336.13851. | |
| 17697801 | Background | Liu J, Ebraheim NA, Sanford CG Jr, Patil V, Elsamaloty H, Treuhaft K, Farrell S. Quantitative changes in the cervical neural foramen resulting from axial traction: in vivo imaging study. Spine J. 2008 Jul-Aug;8(4):619-23. doi: 10.1016/j.spinee.2007.04.016. Epub 2007 Jun 21. |
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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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One independent variable with many levels.
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patients with cervical radiculopathy, caused by cervical paramedian disc protrusion at C5-C6 or C6-C7 levels will participate in the study. They will be assigned randomly into three equal groups; A, B and C.
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| Study Director |
| Salam M Elhafez, Prof. | Professor and Head of Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Egypt | Study Chair |