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

1 juin 2026 mis à jour par: 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

Aperçu de l'étude

Statut

Actif, ne recrute pas

Les conditions

Intervention / Traitement

Description détaillée

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.

Type d'étude

Interventionnel

Inscription (Réel)

44

Phase

  • N'est pas applicable

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

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

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte

Accepte les volontaires sains

Non

La description

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

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Expérimental: conventional group
Conventional physiotherapy which include cervical traction, hot pack and isometric strengthening exercises for lower cervical radiculopathy
Autre: 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

Autre: 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.
Comparateur actif: conventional therapy
Conventional physiotherapy which include cervical traction, hot pack and isometric strengthening exercises for lower cervical radiculopathy
Autre: 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

Autre: 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.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Neck Disability Index
Délai: 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
Délai: 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
Délai: 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

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

Riphah International University

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

2 juillet 2025

Achèvement primaire (Estimé)

6 août 2026

Achèvement de l'étude (Estimé)

4 septembre 2026

Dates d'inscription aux études

Première soumission

1 juin 2026

Première soumission répondant aux critères de contrôle qualité

1 juin 2026

Première publication (Réel)

5 juin 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

5 juin 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

1 juin 2026

Dernière vérification

1 juin 2026

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • REC/RCR&AHS/25/0210

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

nill

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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