- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05404646
Effects of Thoracic Mobility Versus Stretching Exercise Program in Patients of Cervical Radiculopathy
Effects of Thoracic Mobility Versus Stretching Exercise Program on Pain, Range of Motion and Function in Patients of Cervical Radiculopathy.
Study Overview
Status
Conditions
Detailed Description
Cervical radiculopathy is characterized by neurological dysfunction caused by compression and inflammation of the spinal nerves or nerve roots of the cervical spine. The incidence and prevalence rate of cervical radiculopathy are unclear, and epidemiological data are limited.
Depending on the segments involved and the severity of neurological dysfunction, various signs and symptoms of cervical radiculopathy may manifest as neck and unilateral arm pain with numbness, weakness, or altered reflexes. Cervical spine radiculopathy is a disabling condition that has significant negative impacts on a person's mental health, physical functioning and social participation. It is a complex presentation, associated with increased dependence on healthcare systems, and poses a substantial challenge for clinicians and patients as it does not always respond to conventional therapies Symptoms of cervical radiculopathy may include neck and upper limb pain as well as neurological signs such as muscle weakness, disturbed sensation, and decreased reflex.
Patients with cervical radiculopathy demonstrated characteristics of sensory changes such as hypoesthesia (mechanical, thermal, and vibratory) and cold and pressure pain hypersensitivity. Conservative treatment, particularly physical therapy, is generally recommended as initial treatment for patients with cervical radiculopathy. It is found that vertebral mobilization and manipulation of the cervical spine were effective in improving pain, neck movement, and function in patients with cervical radiculopathy.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Syed Shakil-ur Rehman, PhD
- Phone Number: 0320-7866611
- Email: shakil-urrehman@riphah.edu.pk
Study Locations
-
-
Punjab
-
Bahāwalnagar, Punjab, Pakistan
- District Head Quarter Bahawalnagar
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria
- Both genders
- Age 25-55 years
- Unilateral cervical ridiculer pain.
- Chronicity of pain - 4 weeks minimum.
- Met wainner et al criteria (Slump test, Distraction test, ULTT)
Exclusion Criteria:
• Fractures
- Red Flags
- Rheumatoid arthritis
- Neurologic deficit
- Injury to spinal cord
- Tumor
- Circulatory disturbances
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
Thoracic mobility exercises
|
Thoracic mobility exercises These techniques include mobilization, manipulation and glides to check and treat the joints.
Here, these techniques will be used to mobilize the thoracic spine.
In this treatment mobility exercises (Unilateral posterior anterior, Central posterior anterior and transverse glides) + hot pack (10 min) + neck stretching (neck flexors, extensors, side benders) + cervical Traction will be given to patient.
A total session time will be 45 min and thrice a week on alternate days for three weeks.
|
Experimental: Group B
Thoracic stretching exercises
|
Thoracic stretching exercises Thoracic stretching exercises.
Thoracic stretching exercises are used to correct the musculature of thoracic region.
In this treatment group stretching exercises (passive stretches and therapist facilitated exercises) +hot pack (10 min) +neck stretching (neck flexors, extensors, side benders) + tractions will be given to patient.
A total of 45 min session thrice a week on alternate days for three weeks will be given.
Only the eligible patients who fulfil the inclusion criteria will be included in the study.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Numeric Pain Rating Scale
Time Frame: 3rd Week
|
The Numeric Pain Rating Scale (NPRS) is a popular method to assess pain.
The Numeric Pain Rating Scale (NPRS), asks the patient to quantify their pain on scale from 0 to 10 using whole Arabic numbers.
On this 0 refers the no pain and 10 refers the highest pain.
|
3rd Week
|
Neck Disability index
Time Frame: 3rd Week
|
The NDI has become a standard instrument for measuring self-rated disability due to neck pain.
Each of the 10 items scores from 0 to 5. The maximum score is 50
|
3rd Week
|
Range of Motion
Time Frame: 3rd Week
|
The science of measuring the joint ranges in each plane of the joint is called goniometry.
Goniometry is a device that measures an angle or permits the rotation of an object to a definite position.
Neck flexion, extension, side bending will be assessed through it
|
3rd Week
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Syed Shakil-ur Rehman, PhD, Riphah international university
Publications and helpful links
General Publications
- Langevin P, Desmeules F, Lamothe M, Robitaille S, Roy JS. Comparison of 2 manual therapy and exercise protocols for cervical radiculopathy: a randomized clinical trial evaluating short-term effects. J Orthop Sports Phys Ther. 2015 Jan;45(1):4-17. doi: 10.2519/jospt.2015.5211.
- Kang KC, Lee HS, Lee JH. Cervical Radiculopathy Focus on Characteristics and Differential Diagnosis. Asian Spine J. 2020 Dec;14(6):921-930. doi: 10.31616/asj.2020.0647. Epub 2020 Dec 22.
- Mansfield M, Smith T, Spahr N, Thacker M. Cervical spine radiculopathy epidemiology: A systematic review. Musculoskeletal Care. 2020 Dec;18(4):555-567. doi: 10.1002/msc.1498. Epub 2020 Jul 25.
- Alshami AM, Bamhair DA. Effect of manual therapy with exercise in patients with chronic cervical radiculopathy: a randomized clinical trial. Trials. 2021 Oct 18;22(1):716. doi: 10.1186/s13063-021-05690-y.
- Liang L, Feng M, Cui X, Zhou S, Yin X, Wang X, Yang M, Liu C, Xie R, Zhu L, Yu J, Wei X. The effect of exercise on cervical radiculopathy: A systematic review and meta-analysis. Medicine (Baltimore). 2019 Nov;98(45):e17733. doi: 10.1097/MD.0000000000017733.
- Hassan F, Osama M, Ghafoor A, Yaqoob MF. Effects of oscillatory mobilization as compared to sustained stretch mobilization in the management of cervical radiculopathy: A randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(1):153-158. doi: 10.3233/BMR-170914.
- Heneghan NR, Lokhaug SM, Tyros I, Longvastol S, Rushton A. Clinical reasoning framework for thoracic spine exercise prescription in sport: a systematic review and narrative synthesis. BMJ Open Sport Exerc Med. 2020 Mar 29;6(1):e000713. doi: 10.1136/bmjsem-2019-000713. eCollection 2020.
- Ali AA, Sheikh N, Chughani V, Hussain A, Rafique M, Ismail M, et al. Comparision of Effectiveness of Isometric and Stretching Exercise in Pain Management among the Forward Head Posture Patients. Indian Journal of Physiotherapy & Occupational Therapy. 2021;15(2).
- Young IA, Pozzi F, Dunning J, Linkonis R, Michener LA. Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial. J Orthop Sports Phys Ther. 2019 May;49(5):299-309. doi: 10.2519/jospt.2019.8150. Epub 2019 Apr 25.
- Borrella-Andres S, Marques-Garcia I, Lucha-Lopez MO, Fanlo-Mazas P, Hernandez-Secorun M, Perez-Bellmunt A, Tricas-Moreno JM, Hidalgo-Garcia C. Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review. Biomed Res Int. 2021 Jun 3;2021:9936981. doi: 10.1155/2021/9936981. eCollection 2021.
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
- REC/RCR &AHS/22/0135 Iqra
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Cervical Radiculopathy
-
Riphah International UniversityRecruitingCervical Radiculopathy | CervicalPakistan
-
Cairo UniversityCompletedCervical Radiculopathy | Disc Herniation | Cervical Radiculopathy at C5 Nerve Root | Cervical Radiculopathy at C6 Nerve Root | Cervical Radiculopathy at C7 Nerve RootEgypt
-
William Beaumont HospitalsCamber Spine TechnologiesTerminatedCervical Radiculopathy | Cervical Disc DiseaseUnited States
-
Gazi UniversityRecruitingCervical Radiculopathy | Cervical Radicular Pain | Cervical Radiculitis | Cervical Root SyndromeTurkey
-
Valérie SchuermansRecruitingCervical Disc Disease | Cervical Fusion | Fusion of Spine | Cervical Spondylosis | Cervical Disc Herniation | Myelopathy Cervical | Cervical Disc Degeneration | Radiculopathy, Cervical | Myelopathy, Compressive | Radiculopathy, Cervical Region | Radiculopathy; in Spondylosis | Radiculopathy; in Intervertebral... and other conditionsNetherlands
-
Marmara UniversityNot yet recruiting
-
Linkoeping UniversityRecruitingCervical RadiculopathySweden
-
Oslo University HospitalActive, not recruiting
-
Cairo UniversityUnknownCervical Radiculopathy
-
Isra UniversityUnknown
Clinical Trials on Thoracic mobility exercises with conventional physical therapy for cervical radiculopathy
-
Riphah International UniversityCompleted
-
Government College University FaisalabadCompleted
-
Riphah International UniversityCompletedScapular DyskinesisPakistan
-
University of LahoreCompletedDiabetic NeuropathiesPakistan
-
University of LahoreRecruitingKnee OsteoarthritisPakistan
-
Riphah International UniversityCompleted
-
Riphah International UniversityCompletedCervical RadiculopathyPakistan
-
Baskent UniversityNot yet recruitingUpper Cross Syndrome
-
Foundation University IslamabadRecruiting
-
Cairo UniversityNot yet recruiting