Effect of Core Stabilization Exercises on Patients With Cervical Radiculopathy

Effect of Lumbar Core Stabilization Exercises on Craniovertebral Angle and Functional Outcome in Patients With Cervical Radiculopathy

The goal of this clinical trial is to evaluate the effect of core stabilization exercise on functional outcome and craniovertebral angle which is the angle of forward head , in adults with cervical radiculopathy. The main questions it aims to answer are:

• Is there a significant effect of core stabilization exercises (CSEs) on craniovertebral angle (CVA) in patients with cervical radiculopathy?
• Is there a significant effect of core stabilization exercises (CSEs) on functional outcome in patients with cervical radiculopathy? Researchers will compare effect of adding core stabilization exercises to conventional physical therapy program (TENS, hot pack, US, manual therapy and strengthening exercises) Vs conventional physical therapy program alone to see if there is a beneficial effect of adding core stabilization exercises to physical therapy program Participants in study group will perform core stabilization exercises in addition to conventional PT program while participants in control group will receive conventional PT program

Inclusion Criteria:

1. Patients with Posterolateral cervical disc proplapse at level of C5-C6 and C6-C7 levels
2. Neck Disability Index (NDI) score exceeding 20%.
3. Neck pain of mild to moderate intensity (VAS ≥ 3).
4. Their symptoms lasting for a duration exceeding six weeks
5. Three out of four elements are positive in the following tests: spurling test, distraction test, upper limb tension test, shoulder abduction test.
6. Body mass index should not exceed 30 kg/m².
7. Patients complaining from neck pain and unilateral radicular pain, parathesia, motor manifestations or hyporeflexia
8. Their age will range from 35 to 50 years.
9. Their craniovertebral angle is less than 49 degrees.
10. Their mean of cervical joint position error is larger than 4.5 degrees.

Exclusion Criteria:

1. Cervical mylopathy or spinal tumors
2. History of cervical spine surgeries
3. Cervical fractures
4. Vertebrobasilar insufficiency (VBI)
5. Bone Infection