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This studt was conducted to determine the effects of McKenzie Exercises along with Neurodynamic Mobilization exercises on Pain, Range of Motion and Functional Disability in patients with Cervical Radiculopathy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neurodynamic Mobilization exercises with Standardized Physiotherapy treatment | Active Comparator |
| |
| McKenzie exercises along with Neurodynamic Mobilization exercises with Standardi | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neural Mobilization exercises: | Other | The neural mobilization approach used in this group involved moving the median nerve for ten repetitions, each held for three seconds. |
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| Measure | Description | Time Frame |
|---|---|---|
| Neck Disability Index | The Neck Disability Index (NDI) is a self-administered tool that is employed to evaluate the functional impairment in people with neck pains. The instrument consists of ten questions which refer to daily activities; every question will be rated out of 0-5 scale, and finally there will be a total mark out of 0 -50. High scores indicate an increased amount of disability hence making NDI useful in assessing the impact of neck discomfort on the quality of life of patients and guide therapeutic decision making. When used in measuring functional disability in cervical radiculopathy, the NDI demonstrates strong levels of reliability. The psychometric integrity of the instrument is also supported by internal consistency where a Cronbach alpha of between approximately 0.80 and 0.90 is shown. 0-4: Minimal Disability, 5-14: Mild Disability, 15-24: Moderate Disability, 25-34: Severe Disability, 35-50: Complete Disability | From enrollment to the end of treatment at 4 weeks |
| Numeric Pain Rating Scale | The Numerical Pain Rating Scale (NPRS) is used to assess a patient's level of pain, ranging from 0 to 10, whereas 0 denotes "no pain" and 10 represents the "worst imaginable pain." It is widely used tool in both clinical and research settings. The National Pain Research Scale (NPRS) has good test-retest reliability as revealed by the correlation coefficients of 0.95 to 0.96 and thus validates the reliability and consistency of the pain intensity measures. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Flexion) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Extension) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Naila Kanwal | Riphah International University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sehat Medical Complex | Lahore | Punjab Province | 540000 | Pakistan |
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| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| D010146 | Pain |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
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| Standard Treatment | Other | Hot pack for 10 minutes. TENS for 10 minutes. Cervical traction for 15 minutes 7% of body weight with 4 seconds hold to progression to 7 seconds hold and 5 second rest. Superficial neck muscles (upper trapezius, Levator scapulae, Pect. Major) stretching for 3 times with 30 seconds hold and Neck isometrics 10 times with 6 seconds hold . |
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| McKenzie Exercises | Other | First Week: The patient is lying supine with their head retracted or their chin tucked. For a little flexion, place a little pillow beneath the occiput. Patient pulls head and neck posteriorly, maintaining end position for 1 second, then relaxes. Second Week: Patient in sitting position. Progression with neck extension and chin tuck. Therapist applies overpressure at end of motion. Third Week: Patient in supine, head extended beyond couch edge. Therapist performs retraction and extension exercises with traction, maintaining traction through full range of motion. Fourth Week: Patient in sitting. Progression with combined movements: retraction with lateral flexion, neck rotation, and final combination of retraction and neck flexion with overpressure. 3-4 sets and 10-15 repititions. |
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| ROM Cervical Spine (Lateral Flexion) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| ROM Cervical Spine (Rotations) | Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer. | From enrollment to the end of treatment at 4 weeks |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |