- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04896749
Role of Nerve Mobilizations in Decreasing Pain and Disability Among Patients With Cervical Radiculopathy
Role of Nerve Mobilizations in Decreasing Pain and Disability Among Patients With Cervical Radiculopathy: A Randomized Controlled Trial
Objective of the study is to find out the effectiveness of nerve mobilization in patients with cervical radiculopathy. It is a single blinded randomized controlled trial using non-probability convenient sampling. Data is collected from University Physical therapy and Rehabilitation Clinic, University of Lahore, Pakistan.
Alternate hypothesis: There is a significant role of nerve mobilizations in decreasing pain and disability among patients with cervical radiculopathy.
Null hypothesis: There is no significant role of nerve mobilizations in decreasing pain and disability among patients with cervical radiculopathy.
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Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Punjab
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Lahore, Punjab, Pakistan, 54000
- University Physical Therapy and Rehabilitation Clinic
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Male and female patients with age between 20 to 45 years
- Patients having pain for more than 4 months
- Patients having positive upper limb neurodynamic test
- Patient with positive spurling test.
Exclusion Criteria:
- Patients with trauma of upper limb and cervical spine
- Dizziness
- Upper limb circulatory disturbance
- Malignancy
- Patients with bilateral symptoms
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group A/ Nerve mobilization group
In this group, patients will receive nerve mobilization exercises along with routine physical therapy.
Patients will also be given home plan for cervical isometric exercises.
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Moist pack all over cervical spine for 10 minutes. TENS for 10 minutes at frequency of 60 Hz with 2 electrodes. Cervical traction for 10 minutes with 7 sec hold and 5 sec rest time. Cervical isometric exercises with 7 sec hold and 30 repetitions in each direction twice a day. Median, ulnar and radial nerve stretch with 3 sets of 10 repetitions , with 3 sec hold at final stretched position. Following nerve mobilizations are used in experimental group/group A: Median Nerve: Glenohumeral abduction, wrist extension, supination, glenohumeral lateral rotation, elbow extension, neck lateral bending to opposite side. Radial Nerve: Glenohumeral depression, elbow extension, whole arm internal rotation, wrist flexion Ulnar Nerve: Wrist extension, forearm pronation elbow flexion, glenohumeral lateral rotation, glenohumeral depression, shoulder abduction each with 3 sets of 10 repetitions , with 3 sec hold at final stretched position. |
Active Comparator: Group B/ Conventional physical therapy group
In this group, patients will receive routine physical therapy and also given home plan for cervical isometric exercises
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Moist pack for 10 minutes.
TENS for 10 minutes at frequency of 60 Hz with 2 electrodes.
Cervical traction for 10 minutes with 7 sec hold and 5 sec rest time.
Cervical isometric exercises with 7 sec hold and 30 repetitions in each direction twice a day.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Upper extremity functional index (assessing change in ability to do activities with upper limb at baseline and at 4th week of treatment)
Time Frame: Baseline and at 4th week
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It is a patient reported outcome measure used to assess the functional impairment in individuals with upper limb dysfunction.
Total score is 80. Greater the score, better the condition of patients.
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Baseline and at 4th week
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Numeric pain rating scale (to assess change in pain at between baseline and at 4th week of treatment)
Time Frame: Baseline and at 4th week
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Used for scoring pain level of individual. it is scored 0 to ten.Zero being the lowest pain level, 10 being worst pain level.The patient is asked to make three pain ratings, corresponding to the pain experienced over the past 24 hours. The average of the 3 ratings was used to represent the patient's level of pain over the previous 24 hours. |
Baseline and at 4th week
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Neck Disability Index scale (to assess the change in disability due to neck pain at baseline and at 4th week of treatment)
Time Frame: Baseline and at 4th week
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This scale is used for accessing how the neck pain is affecting the ability to manage everyday life activities.The NDI can be scored as a raw score or doubled and expressed as a percent.
Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'.
Points of total 10 questions are summed to a total score.Greater score indicates greater disability.
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Baseline and at 4th week
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Momna Asghar, MSPTN, University of Lahore
- Study Chair: Muhammad Haider Ullah Khan, MSPTN, University of Lahore
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB-UOL-FAHS/719-VI/2020
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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