Effects of Slider Versus Tensioners Nerve Gliding in Cervical Radiculopathy.

September 3, 2024 updated by: Riphah International University

Effects of Slider Versus Tensioners Nerve Gliding Technique Along With Mulligan Spinal Mobilization on Pain, Range of Motion and Disability in Patients With Cervical Radiculopathy.

This study will be a randomized clinical trial in which Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization will be applied on the individuals with cerviculorediculopathy and changes will be recorded using different methods and tools. Convenient sampling technique will be used to collect the data. The sample size of 40 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.20 patients will be allocated in each group A will be treated with Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique; Group B will be treated with Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique .Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI) and goniometer will be used as Data collecting tools. After data collection from defined study setting, data will be entered and analyzed.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Neck pain is widespread and causes significant pain and disability. In the setting of cervical radiculopathy, because the nerve root of a spinal nerve is compressed It is frequently caused by cervical disc herniation and cervical spondylitis. Compression can result from intervertebral disc herniation, osteophyte formation, or other mass effects near the exit foramen of the cervical spine. This results in lower motor neurons symptoms and often presents with arm pain, weakness, and/or sensory loss, with or without associated neck pain. The most common causes of cervical radiculopathy are cervical disc herniation and cervical spondylosis.

The main aim of our study to determine which combination of techniques Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization is more effective on Pain, Range of Motion and Disability in patients with Cervical Radiculopathy.

Combination of mulligan mobilization with slider and tensioners techniques to determine which combination of technique is more helpful in reducing overall disease burden and will help in increasing Quality of life.Bothcombination combination are checked individually before but their effects are not compared previously.

Study Type

Interventional

Enrollment (Actual)

42

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab
      • Lahore, Punjab, Pakistan, 54000
        • Sehat Medical Compolex

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria: • Patient with cervical radiculopathy

  • Both gender Age
  • Participants having range 20-60 years both male and female are included.
  • Unilateral neck pain refers to upper extremity from 2-3 weeks.
  • Positive upper limb tension test, spurling test, cervical distraction test and ipsilateral cervical rotation less than 60.
  • NDI less than 50%
  • NPRS less than 3 more than 7

Exclusion Criteria:

  • Inflammation malignancy, neurological disorder
  • Metabolic disorders
  • Neck pain associated with headache and facial pain
  • VBI, vertigo, dizziness, motor imbalance, vertebral impairment, pregnancy, skin allergy
  • History of recent surgery, trauma and fractures of cervical spine, dislocation, subluxation of upper limb,
  • rheumatoid arthritis, osteoporosis, spondylolistheasis, cervical surgeries skin allergy, referred pain in patient with cardiac ischemia
  • Patients having any other therapeutic intervention or medical treatment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
Therapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes the median nerve by performing desired neurodynamic sliding movement. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Other: Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
In this group 21 patients will perform Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique.Protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Patient is sitting in the chair / plinth. Therapist's standing behind the patient.
Experimental: Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
Therapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes nerve by performing desired neurodynamic gliders movement and progressing to tensioners. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Other: Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
In this group 21 patients will perform Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique.Protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Patient is sitting in the chair / plinth. Therapist's standing behind the patient.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Numeric Pain Rating Scale
Time Frame: 4 Weeks
NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.
4 Weeks
Neck disability index
Time Frame: 4 Weeks
.The NDI consists of ten questions. Each question has six different assertions expressing progressive levels of pain or limitation in activities. Item scores range from 0 (no pain or limitation) to 5 (as much pain as possible or maximal limitation). The total NDI score ranges from 0 to 5 points. Higher scores indicate greater disability.
4 Weeks
Goniometer
Time Frame: 4 Weeks
Active Range of Motion of the patient will be assessed using a universal standard goniometer for cervical flexion, extension, side flexion (left and right), rotation (left and right). The data will be collected at baseline cervical goniometry.
4 Weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Investigators

  • Principal Investigator: Muhammad sanaullah, MS, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 23, 2023

Primary Completion (Actual)

June 1, 2024

Study Completion (Actual)

June 1, 2024

Study Registration Dates

First Submitted

March 25, 2024

First Submitted That Met QC Criteria

March 25, 2024

First Posted (Actual)

April 1, 2024

Study Record Updates

Last Update Posted (Actual)

September 4, 2024

Last Update Submitted That Met QC Criteria

September 3, 2024

Last Verified

September 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR & AHS/23/0199 iram

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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