McKenzie Exercises Along With Neurodynamic Mobilization Exercises in Patients With Cervical Radiculopathy

February 17, 2026 updated by: Riphah International University

Effects of McKenzie Exercises Along With Neurodynamic Mobilization Exercises on Pain, Range of Motion and Functional Disability in Patients With Cervical Radiculopathy

This studt was conducted to determine the effects of McKenzie Exercises along with Neurodynamic Mobilization exercises on Pain, Range of Motion and Functional Disability in patients with Cervical Radiculopathy.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

46

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 Province
      • Lahore, Punjab Province, Pakistan, 540000
        • Sehat Medical Complex

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:

  • Age limit 35-50 Years.
  • Both male and female participants.
  • Median nerve related symptoms.
  • Participants presenting with unilateral C5-C7 cervical radiculopathy associated with a posterolateral cervical disc bulge were included in the study.
  • Ipsilateral neck rotation, Spurling's test, median nerve neurodynamic testing, and ULNTT were considered positive if they reproduced unilateral C5-C7 radicular arm pain and negative if they did not.
  • Pain reported as greater than 4-9/10 on the NPRS, persisting for more than 3 months.
  • Neck Disability Index score 20-80.
  • Participants demonstrating moderate restriction in cervical range of motion, defined as flexion <40°, extension <50°, lateral flexion <35°, and rotation <70°, were included.

Exclusion Criteria:

  • A cervical spine fracture.
  • Spondylolisthesis, subluxation, and cervical instability
  • Radicular symptoms in both upper extremities.
  • TB, cancer, heart illness, osteoporosis.
  • Prolapsed intervertebral disc, neurological problems, any trauma or localized infection in the neck area.
  • Upper motor neuron disease, cervical stenosis, and bone and joint metabolic diseases.
  • Hyperelasticity and Thoracic outlet syndrome
  • Hyper lordotic if exceeds than normal angle
  • Psychiatric conditions including sadness and phobia/obsession.
  • Individuals who have had cervical spine surgery within a year.

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: Neurodynamic Mobilization exercises with Standardized Physiotherapy treatment
Other: Neural Mobilization exercises:
The neural mobilization approach used in this group involved moving the median nerve for ten repetitions, each held for three seconds.
Other: Standard Treatment

Hot pack for 10 minutes. TENS for 10 minutes. Cervical traction for 15 minutes 7% of body weight with 4 seconds hold to progression to 7 seconds hold and 5 second rest.

Superficial neck muscles (upper trapezius, Levator scapulae, Pect. Major) stretching for 3 times with 30 seconds hold and Neck isometrics 10 times with 6 seconds hold .
Experimental: McKenzie exercises along with Neurodynamic Mobilization exercises with Standardi
Other: Neural Mobilization exercises:
The neural mobilization approach used in this group involved moving the median nerve for ten repetitions, each held for three seconds.
Other: Standard Treatment

Hot pack for 10 minutes. TENS for 10 minutes. Cervical traction for 15 minutes 7% of body weight with 4 seconds hold to progression to 7 seconds hold and 5 second rest.

Superficial neck muscles (upper trapezius, Levator scapulae, Pect. Major) stretching for 3 times with 30 seconds hold and Neck isometrics 10 times with 6 seconds hold .

Other: McKenzie Exercises

First Week: The patient is lying supine with their head retracted or their chin tucked. For a little flexion, place a little pillow beneath the occiput. Patient pulls head and neck posteriorly, maintaining end position for 1 second, then relaxes.

Second Week: Patient in sitting position. Progression with neck extension and chin tuck. Therapist applies overpressure at end of motion.

Third Week: Patient in supine, head extended beyond couch edge. Therapist performs retraction and extension exercises with traction, maintaining traction through full range of motion.

Fourth Week: Patient in sitting. Progression with combined movements: retraction with lateral flexion, neck rotation, and final combination of retraction and neck flexion with overpressure. 3-4 sets and 10-15 repititions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Neck Disability Index
Time Frame: From enrollment to the end of treatment at 4 weeks
The Neck Disability Index (NDI) is a self-administered tool that is employed to evaluate the functional impairment in people with neck pains. The instrument consists of ten questions which refer to daily activities; every question will be rated out of 0-5 scale, and finally there will be a total mark out of 0 -50. High scores indicate an increased amount of disability hence making NDI useful in assessing the impact of neck discomfort on the quality of life of patients and guide therapeutic decision making. When used in measuring functional disability in cervical radiculopathy, the NDI demonstrates strong levels of reliability. The psychometric integrity of the instrument is also supported by internal consistency where a Cronbach alpha of between approximately 0.80 and 0.90 is shown. 0-4: Minimal Disability, 5-14: Mild Disability, 15-24: Moderate Disability, 25-34: Severe Disability, 35-50: Complete Disability
From enrollment to the end of treatment at 4 weeks
Numeric Pain Rating Scale
Time Frame: From enrollment to the end of treatment at 4 weeks
The Numerical Pain Rating Scale (NPRS) is used to assess a patient's level of pain, ranging from 0 to 10, whereas 0 denotes "no pain" and 10 represents the "worst imaginable pain." It is widely used tool in both clinical and research settings. The National Pain Research Scale (NPRS) has good test-retest reliability as revealed by the correlation coefficients of 0.95 to 0.96 and thus validates the reliability and consistency of the pain intensity measures.
From enrollment to the end of treatment at 4 weeks
ROM Cervical Spine (Flexion)
Time Frame: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer
From enrollment to the end of treatment at 4 weeks
ROM Cervical Spine (Extension)
Time Frame: From enrollment to the end of treatment at 4 weeks.
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 4 weeks.
ROM Cervical Spine (Lateral Flexion)
Time Frame: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 4 weeks
ROM Cervical Spine (Rotations)
Time Frame: From enrollment to the end of treatment at 4 weeks
Changes in cervical spine flexion ROM at baseline and 4th week of intervention was measured using goniometer.
From enrollment to the end of treatment at 4 weeks

Collaborators and Investigators

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

Sponsor

Riphah International University

Investigators

  • Study Chair: Naila Kanwal, Riphah International University

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 1, 2024

Primary Completion (Actual)

February 1, 2025

Study Completion (Actual)

March 1, 2025

Study Registration Dates

First Submitted

February 17, 2026

First Submitted That Met QC Criteria

February 17, 2026

First Posted (Actual)

February 23, 2026

Study Record Updates

Last Update Posted (Actual)

February 23, 2026

Last Update Submitted That Met QC Criteria

February 17, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/RCR&AHS/24/0178

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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