Global Postural Re-Education And Neck Isometric Exercises In Cervical Radiculopathy RADICULOPATHY

Effects Of Global Postural Re-Education And Neck Isometric Exercises In Patients With Cervical Radiculopathy

Cervical radiculopathy is a common neurological disorder that is caused by compression of the nerve, inflammation of nerve roots, or space-occupying lesions. Cervical radiculopathy is the most common health-related problem worldwide. The conservative approach like education, specific exercises, and spinal manipulation is usually given for chronic cases with good outcomes.

Study Overview

• Status: Completed
• Conditions: Cervical Radiculopathy
• Intervention / Treatment: Other: Neck Isometrics Exercises; Other: Global Posture Re-Education

Detailed Description

Cervical Radiculopathy is a condition in which a nerve is entrapped between the bones and causes numbness and tingling. Neck isometric exercises are a basic treatment plan for strength training. Global postural reeducation is a technique the manual cervical traction along with body alignment that helps to reduce symptoms more rapidly. This whole procedure is completed more easily, without a machine and satisfying for the patient.

• Study Type: Interventional
• Enrollment (Actual): 85
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 5400
      • The University of Lahore

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. 18 to 35 years.
2. Both genders, Males and females
3. One-sided upper limb pain or numbness
4. Any 2 out of 4 tests are positive Spurling test, Distraction test, Ipsilateral cervical traction test, and Upper Limb test

Exclusion Criteria:

1. Bilateral upper limb pain
2. Previous history of cervical surgery
3. Cervical spine
4. Injection therapy in the past 2 weeks
5. Being Pregnant women

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Neck Isometrics Exercises; This group of participants will receive neck isometric exercises along with routine physical therapy and a hot pack. In this regimen, the patient is commanded to apply minimal resistance on the physiotherapist's hand in front, back, and lateral positions. This resistance is applied for 10 sec with a 15 sec hold with 10-15 repetitions. The protocol will be given to the participants for two weeks. Each session will be of 40 minutes.	Other: Neck Isometrics Exercises; Isometric exercises are tightening (contractions) of a specific muscle or group of muscles. During isometric exercises, the muscle doesn't noticeably change length. The affected joint also doesn't move. Isometric exercises help maintain strength.
Experimental: Global Posture Re-Education; This group of participants will receive the Global Posture Re-Education technique with a hot pack. The protocol will be given to the participants for two weeks (1 session on an alternative day with the home plan). Each session will be of 40 minutes.	Other: Global Posture Re-Education; Global postural rehabilitation (GPR) is an approach that considers the body in its overall aspect. This technique aims to relax the envelope of the muscles (fascia) while relaxing the muscle chains to reduce the strain on the joints. The end result is a more suitable posture and less pain.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Intensity	Neck pain will be assessed utilizing the 10cm Visual Analogue Scale. The members will register their current pain level by selecting any from 0(no pain) to 10(unbearable pain) presented ahead a level line.	Pain intensity will be measured at baseline, and change in pain intensity will be measured at 1st week, and 2nd week of treatment..
Level of Functional Disability	The level of Functional disability will be measured by using the neck disability index. It contains 10 readings including pain intensity, personal care, headache, lifting, reading, concentration, work, driving sleeping, and recreation. The questions are measured on a 6-point scale from 0 (no disability) to 5 (full disability). The numeric response for each item is summed for a score varying from 0 to 50.	Change in Functional Status will be measured at baseline, at first week, and at second week of treatment.

Collaborators and Investigators

• Sponsor: University of Lahore
• Investigators: Study Chair: Ashfaq Dr Ahmed, PhD, The University of Lahore

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2023
• Primary Completion (Actual): October 1, 2023
• Study Completion (Actual): October 15, 2023

Study Registration Dates

• First Submitted: August 31, 2023
• First Submitted That Met QC Criteria: August 31, 2023
• First Posted (Actual): September 8, 2023

Study Record Updates

• Last Update Posted (Actual): March 28, 2025
• Last Update Submitted That Met QC Criteria: March 27, 2025
• Last Verified: August 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neuromuscular Diseases; Peripheral Nervous System Diseases; Radiculopathy
• Other Study ID Numbers: REC-UOL-487-08-2023

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Sharing Time Frame: It will be shared soon after publication
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No