Mulligan Mobilization & Stretching Effects of Cervical

Effects of Mulligan Mobilization and Stretching on Cervical Radiculopathy

1. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing pain in individuals with cervical radiculopathy.
2. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing disability in individuals with cervical radiculopathy.
3. To evaluate the effectiveness of mulligan mobilization and stretching exercises at improving ranges in individuals with cervical radiculopathy.

Cervical Radiculopathy is a condition characterized by dysfunction of cervical spinal nerve roots which occurs as a result of compression or inflammatory pathology from a space occupying lesion such as a disc herniation, decreased disc height and degenerative changes of the uncovertebral joints anteriorly and zygoapophyseal joints posteriorly. Cervical radiculopathy constitutes 5%-36% of all radiculopathies. In general, rate of occurrence of cervical radiculopathy is 83/100,000 with an increased prevalence in the fifth decade of life (203/100,000).

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.

  • Both genders
  • Age between 20-50 years
  • Subjects with neck pain radiating down to the arm
  • Patients with positive findings for spurling test, Upper Limb Tension Test (ULTT), cervical distraction test and cervical rotation test towards the symptomatic side
  • Subjects who were willing to participate in the study and willing to take treatment for cervical radiculopathy.

Exclusion Criteria:

• Participant failing to fall in this category would be excluded of the study.

  • Systemic disease potentially affecting the musculoskeletal system Patients experiencing primary shoulder or upper extremity problem of local origin
  • Patients with any cardiovascular disorders and respiratory disorders
  • Patients with any other pathological conditions involving cervical spine like vertebro basilar insufficiency and canal stenosis
  • Patients having osteophytes in cervical vertebrae
  • Patients who were undergoing treatment for neck pain with other means of physiotherapy at the time of the study
  • Hypermobile joints of cervical vertebrae, Cervical fractures, spinal surgery or other spinal pathologies (i.e. ankylosing spondylitis, spondylolysthesis)
  • Peripheral nerve lesions like neurotemesis and axonotemesis