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The primary objective of this research was to conduct a comparative analysis of the outcomes following McKenzie therapy and neural mobilization in individuals diagnosed with cervical radiculopathy
In this RCT, 28 individuals meeting the standard criteria for cervical radiculopathy were recruited and randomly assigned to one of two groups (n=14 each). Group A underwent McKenzie exercises, while Group B received the Neural Flossing technique. To ensure consistency, both groups were provided with identical baseline care, including hot packs, TENS, and postural education. The treatment protocol consisted of three sessions weekly for a total of four weeks
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| McKenzie Exercises | Experimental | Group A will be treated with McKenzie Exercises to for cervical radiculopathy |
|
| Neural Flossing | Active Comparator | Group B will be treated with Neural flossing technique for cervical radiculopathy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| McKenzie Exercise | Other | Group A will be treated with Baseline therapy including Hot pack and basic postural correctional training along with McKenzie Exercises for 2-3 sessions per week for 4 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale | It is used to measure pain and has a scale of 0-100 mm where 0 means No pain and 100 means Worst imaginable pain. | 4 weeks |
| Neck Disability Index | Functional disability was evaluated using the Neck Disability Index (NDI), a 10-item questionnaire designed to measure the impact of neck pain on daily activities. Each item was scored from 0 to 5, with a total aggregate score of 50. The NDI has demonstrated high internal consistency and reliability in populations with cervical radiculopathy, with a score reduction of 5 points representing a clinically meaningful improvement." | 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Rimza Safdar, Doctor of Physical Therapy | Elite College of Management Sciences, Gujranwala | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Al-Raee Trust Hospital, Gujranwala | Gujranwala | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17204882 | Background | Abbed KM, Coumans JV. Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation. Neurosurgery. 2007 Jan;60(1 Supp1 1):S28-34. doi: 10.1227/01.NEU.0000249223.51871.C2. | |
| 29493937 | Background | Margetis K, Donnally III CJ. Cervical Myelopathy. 2025 Aug 2. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK482312/ |
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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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| Neural Flossing | Other | Group B will be treated with Baseline therapy including Hot pack and basic postural correctional training along with Neural Flossing Technique for 2-3 sessions per week for 4 weeks. |
|
| Background | Savva, C., Giakas, G., Efstathiou, M., Karagiannis, C., & Mamais, I. (2016). Effectiveness of neural mobilization with intermittent cervical traction in the management of cervical radiculopathy: a randomized controlled trial. International Journal of Osteopathic Medicine, 21, 19-28 |
| 28453446 | Background | Kim DG, Chung SH, Jung HB. The effects of neural mobilization on cervical radiculopathy patients' pain, disability, ROM, and deep flexor endurance. J Back Musculoskelet Rehabil. 2017 Sep 22;30(5):951-959. doi: 10.3233/BMR-140191. |
| 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. |