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Effects of Mulligan Belt Traction Versus Fisted Traction in Patients With Lower Cervical Spine Radiculopathy

1. juni 2026 opdateret af: Riphah International University

Effects of Mulligan Belt Traction Versus Fisted Traction on Pain, Range of Motion and Disability Level in Patients With Lower Cervical Spine Radiculopathy

Individuals with a lower cervical spine radiculopathy diagnosis will undergo screening to determine their eligibility based on inclusion and exclusion criteria. Eligible participants will be asked for their informed consent

Studieoversigt

Status

Aktiv, ikke rekrutterende

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Participants will receive a unique identifying code to maintain confidentiality and be formally enrolled in the study upon obtaining informed consent. Following that, they will have baseline evaluations for outcome factors such as neck disability index, range of motion using goniometry and pain using a numerical pain rating scale. After completing the baseline evaluation, participants will be divided into two groups: Group A will receive a Mulligan Belt Traction, while Group B will receive a Fisted Traction. Every participant will get treatment for four weeks, with three sessions per week. At the conclusion of the intervention period, a post-intervention assessment will be carried out Randomization:Random allocation of participants into the two groups, Group A and Group B, will be performed by a lottery method. The participants of Group A will be managed by Mulligan Belt Traction while in Group B, participants will receive Fisted Traction. The physiotherapists will provide both interventions during a specified time period.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

44

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:• Age 25-60 years

  • Both Male and Female
  • Clinically or radiologically diagnosed lower cervical radiculopathy(C5-C7)
  • Neck pain radiating to the arm and hand
  • Positive Spurling's Test or Upper Limb Tension test
  • Subacute to chronic phase (>4 weeks to 6< weeks)
  • Moderate pain (VAS> 4/10)
  • Evident by a score on Neck Disability Index (NDI >20%)
  • Able and willing to give informed consent and follow the protocol
  • Cervical spine active range of motion (CSAROM) Exclusion Criteria:• Cervical Fracture
  • Thoracic outlet syndrome or carpal tunnel syndrome
  • History of previous cervical surgery
  • Osteoporosis of cervical spine
  • Sign of myelopathy
  • Severe cervical disc herniation with cord compression
  • Red flag signs (Rheumatoid arthritis, history of trauma, ankylosing spondylitis, prolonged steroid used and malignancy

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: conventional group
Conventional physiotherapy which include cervical traction, hot pack and isometric strengthening exercises for lower cervical radiculopathy
Andet: muligan belt traction

Patient Position:

  • The Patient lies supine on the treatment table.
  • Head in neutral or slightly flexed position (according to comfort and symptoms).
  • Arms rest by the sides.

Therapist Position:

  • Therapist stands at the head end of table, therapist places the middle finger on the concerned cervical segment.
  • To maintain joint contact and control movement at the level.

Belt Placement:

  • The Mulligan belt is positioned at an angle to apply gentle traction targeting the lower cervical spine (C5-C7) (16)
  • Make sure there is no pressure on the throat or jaw.

Application of Traction:

  • While maintaining contact at the target segment, therapist leans backward, to apply gentle sustained and controlled traction (distraction force) along the line of the cervical spine.
  • This help to open up the intervertebral foramen, reduce nerve compression and restore normal joint mechanics. (17)

Duration:

• Traction is applied for 10-30 seconds per repetition, repeated 3-5 times per session base

Andet: Fisted traction

Sit upright in a chair with back support.

• Keep your spine straight and head in a neutral position.

Hand Placement:

  • One fist is placed at the upper chest\sternum, acting as a fulcrum.
  • A towel is used between the fist and chest for comfort and positioning.(18)
  • The opposite hand is placed around the back of head (occiput).

Traction Technique:

  • The head is pulled forward and down, guiding cervical flexion over the fist.
  • Maintain for 10-15 seconds, repeat 5-10 times, depending on comfort.
Aktiv komparator: conventional therapy
Conventional physiotherapy which include cervical traction, hot pack and isometric strengthening exercises for lower cervical radiculopathy
Andet: muligan belt traction

Patient Position:

  • The Patient lies supine on the treatment table.
  • Head in neutral or slightly flexed position (according to comfort and symptoms).
  • Arms rest by the sides.

Therapist Position:

  • Therapist stands at the head end of table, therapist places the middle finger on the concerned cervical segment.
  • To maintain joint contact and control movement at the level.

Belt Placement:

  • The Mulligan belt is positioned at an angle to apply gentle traction targeting the lower cervical spine (C5-C7) (16)
  • Make sure there is no pressure on the throat or jaw.

Application of Traction:

  • While maintaining contact at the target segment, therapist leans backward, to apply gentle sustained and controlled traction (distraction force) along the line of the cervical spine.
  • This help to open up the intervertebral foramen, reduce nerve compression and restore normal joint mechanics. (17)

Duration:

• Traction is applied for 10-30 seconds per repetition, repeated 3-5 times per session base

Andet: Fisted traction

Sit upright in a chair with back support.

• Keep your spine straight and head in a neutral position.

Hand Placement:

  • One fist is placed at the upper chest\sternum, acting as a fulcrum.
  • A towel is used between the fist and chest for comfort and positioning.(18)
  • The opposite hand is placed around the back of head (occiput).

Traction Technique:

  • The head is pulled forward and down, guiding cervical flexion over the fist.
  • Maintain for 10-15 seconds, repeat 5-10 times, depending on comfort.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Neck Disability Index
Tidsramme: baseline to 4 week
The NDI contains 10 items - 7 relating to activities of daily living, 2 relating to pain and 1 relating to concentration items is scored from 0-5, and the total score is expressed as a percentage (total possible score, 100%), with higher scores corresponding to greater disability. Scoring the NDI: 0 - 4 = No disability 5 - 14 = Mild disability 15 - 24 = Moderate disability 25 - 34 = Severe disability 35 or over = Complete disability
baseline to 4 week
Numeric pain rating scale
Tidsramme: baseline to 4 week
The NPRS is a reliable and effective tool for measuring pain. A straight line is drawn on the evaluation sheet, labeled from '0' to '10', where '0' represents no pain and '10' indicates the worst possible pain. Patients are asked to mark a point on the line that reflects the intensity of pain they are experiencing at the time of assessment
baseline to 4 week
Cervical Range of Motion
Tidsramme: baseline to 4 week

Cervical Flexion (Looking Down) Position: The patient sits upright. Goniometer Axis: Placed at the external auditory meatus (ear). Stationary Arm: Kept perpendicular to the floor. Moving Arm: Aligned with the base of the nose. Normal Range: 0 to 45 degrees 2 Cervical Extension (Looking Up) Position: Patient remains seated upright. Goniometer Axis: Centered at the external auditory meatus. Stationary Arm: Vertical, perpendicular to the floor. Moving Arm: Follows the line of the nose. Normal Range: 0 to 45 degrees

3. Cervical Lateral Flexion (Side Bending) Position: Patient sits straight. Goniometer Axis: Over the C7 spinous process. Stationary Arm: Aligned vertically along the spine. Moving Arm: Follows the midline of the head toward the occipital bone. Normal Range: 0 to 45 degrees 4.Cervical Rotation (Turning Head Side to Side) Position: Patient remains upright. Goniometer Axis: Placed at the top center of the head. Stationary Arm: Imaginary line between both shoulder tips.
baseline to 4 week

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Riphah International University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

2. juli 2025

Primær færdiggørelse (Anslået)

6. august 2026

Studieafslutning (Anslået)

4. september 2026

Datoer for studieregistrering

Først indsendt

1. juni 2026

Først indsendt, der opfyldte QC-kriterier

1. juni 2026

Først opslået (Faktiske)

5. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • REC/RCR&AHS/25/0210

Plan for individuelle deltagerdata (IPD)

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INGEN

IPD-planbeskrivelse

nill

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Kliniske forsøg med Cervikal Radikulopati

Kliniske forsøg med muligan belt traction

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