Neurodynamic Mobilization for Cervical Radiculopathy (NDM-CR)
Effectiveness of Adding Neurodynamic Mobilization to Conventional Physiotherapy in Patients With Cervical Radiculopathy: A Randomized Controlled Trial
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Detaljert beskrivelse
Cervical radiculopathy is a condition where a nerve in the neck becomes irritated or compressed. This can cause neck pain, pain that spreads into the arm, numbness, tingling, and difficulty performing daily activities. It can significantly affect a person's quality of life.
This study investigated whether adding a specific physiotherapy technique called neurodynamic mobilization to standard physiotherapy could improve recovery in patients with cervical radiculopathy.
A total of 50 participants took part in the study. They were randomly divided into two groups. One group received standard physiotherapy treatment only, while the other group received standard physiotherapy combined with neurodynamic mobilization techniques.
Both treatment programs were carried out over five weeks, with a total of 10 treatment sessions.
Participants were evaluated before and after treatment to measure pain levels and how much their neck condition affected daily activities. Pain was measured using a simple rating scale, and disability was measured using a questionnaire.
The results showed that both groups improved over time. However, the group that received the additional neurodynamic mobilization experienced greater reductions in pain and better improvement in daily function compared to the group that received standard physiotherapy alone.
The study suggests that adding neurodynamic mobilization may enhance the effectiveness of physiotherapy for people with cervical radiculopathy.
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Beirut
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Jounieh, Beirut, Libanon, 0000
- Lebanese German University
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
Inclusion Criteria:
- Adults aged 18-65 years.
- Diagnosis of cervical radiculopathy.
- pain radiating to the upper limb.
- Presence of at least one neurological sign, including: Sensory deficit, or Muscle weakness, or Diminished reflexes.
Exclusion Criteria:
- Previous cervical spine surgery.
- Cervical myelopathy.
- Cervical fractures.
- Tumors affecting the cervical spine.
- Inflammatory disorders.
- Any contraindication to physiotherapy interventions.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: Conventional Physiotherapy
Participants received conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities aimed at reducing pain and improving function.
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Conventional physiotherapy consisted of a standardized rehabilitation program including therapeutic exercises, manual therapy techniques, and physical modalities.
Therapeutic exercises focused on cervical range of motion, strengthening, and postural correction.
Manual therapy included soft tissue techniques and joint mobilization of the cervical spine.
Physical modalities were applied to reduce pain and improve function.
The intervention was delivered over 5 weeks, with a total of 10 sessions.
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Eksperimentell: Conventional Physiotherapy + Neurodynamic Mobilization
Participants received conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities aimed at reducing pain and improving function.
In addition, neurodynamic mobilization techniques targeting cervical nerve roots were applied to improve neural mobility and reduce mechanosensitivity.
The intervention was delivered over 5 weeks, with a total of 10 sessions.
Techniques included neurodynamic sliding mobilization performed within pain-free or low-pain ranges, individually adapted to patient symptoms.
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Conventional physiotherapy consisted of a standardized rehabilitation program including therapeutic exercises, manual therapy techniques, and physical modalities.
Therapeutic exercises focused on cervical range of motion, strengthening, and postural correction.
Manual therapy included soft tissue techniques and joint mobilization of the cervical spine.
Physical modalities were applied to reduce pain and improve function.
The intervention was delivered over 5 weeks, with a total of 10 sessions.
Neurodynamic mobilization consisted of specific neural tissue mobilization techniques targeting the affected cervical nerve roots.
The techniques were applied in addition to conventional physiotherapy and aimed to restore normal neural mobility and reduce mechanosensitivity.
Treatment was delivered over 5 weeks (10 sessions).
Each session included standardized neurodynamic sliding techniques performed within pain-free or low-pain ranges, combined with conventional physiotherapy interventions including therapeutic exercises, manual therapy, and physical modalities.
The intervention was individually tailored based on patient symptoms and clinical presentation.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Pain Intensity
Tidsramme: Baseline and after 5 weeks of intervention.
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Pain intensity will be assessed using the Visual Analogue Scale (VAS), a validated self-reported measure of pain severity.
The scale ranges from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
Higher scores indicate greater pain intensity.
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Baseline and after 5 weeks of intervention.
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Functional Disability
Tidsramme: Baseline and after 5 weeks of intervention.
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Functional disability will be assessed using the Neck Disability Index (NDI), a validated questionnaire designed to evaluate the impact of neck pain on daily activities.
The NDI consists of 10 items, with total scores ranging from 0 to 50.
Higher scores indicate greater neck-related disability.
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Baseline and after 5 weeks of intervention.
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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studiestol: Samir Matar, Professor, Lebanese German University
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- LGU-DPT-RCT-2024-01
- pk4fs (Registeridentifikator: Open Science Framework OSF)
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IPD-planbeskrivelse
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