Background: Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability. Objectives: This study was conducted to show the effect of the combined application of intermittent cervical traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design. Methods: Fifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR Hreflex latency was measured pre-and post-treatment. Results: Statistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in comparison to pretreatment (t = 5.447, p value = 0.0001*). Conclusion: Simultaneous application of intermittent cervical traction and median nerve mobilization are effective in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.

Physical therapist at outpatient clinic of faculty of physical therapy, cairo university, giza, egypt. 2. Department of physical therapy for musculoskeletal disorders and its surgery, faculty of physical therapy, cairo university, giza, egypt. 3. Department of orthopaedic surgery and traumatology, faculty of medicine, cairo university, cairo, egypt.

Background: Kinesio Taping is a therapeutic tool used for treatment of musculoskeletal disorders. However, there is little scientific evidence that describes its clinical efficacy. Aim of Study:To investigate the effect of KT on radicular pain, sciatic nerve mobility, and functional disability in patients with unilateral sciatica.Methods: This study was conducted from July 2017 to February 2018 on thirty patients (11 females, 19 males) with unilateral sciatica caused by lumbar disc herniation (LDH). Their age ranged from 30-40 years. All patients were referred by orthopedic surgeons who are responsible for diagnosis based on clinical and radiological examination. All patients were randomly allocated into 2 groups: Group (A) included 15 patients received Kinesio tape (KT) plus neural mobilization, group (B) included 15 patients received neural mobilization only, for 2 sessions per week for 3 weeks.Methods: Visual Analogue Scale (VAS) was used to assess radicular pain. Universal goniometer was used to assess sciatic nerve mobility via range of motion of hip flexion testing. Oswestry disability questionnaire (ODI) was used to assess Functional status.Results: Showed that both groups had improvement of the radicular pain (p=0.001 *), sciatic nerve mobility (p-value =0.0001*), and functional disability (p-value=0.0001 *). To favor of KT group except in sciatic nerve mobility was insignificant between groups. Conclusion:It can be concluded that KT added to neural mobilization are effective treatment for unilateral sciatica caused by lumbar disc herniation.

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Purpose: To investigate the effectiveness of contrast water immersion therapy on ankle posture stability in patients with a lateral ankle sprain Methods: Thirty patients, grade I and II lateral ankle sprain, their age ranged between 18 to 35 years, they were randomly divided into two equal groups using coin flip. Interventions: Group (A) received a selected physical therapy program for ankle sprain patients. Group (B) Received contrast water immersion for 16 min in addition to the same selected physical therapy program received by group (A) for 4 weeks. For both groups, Biodex balance system was used to measure static balance before and after the treatment period. Results: Analysis of data using ANOVA test show that there were a significant decrease in the overall stability index, Mediolateral stability index, and Anteroposterior stability index of the study group compared with that of the control group post-treatment Conclusion: It's concluded that contrast water immersion for fifteen minutes in patients with lateral ankle sprain had a significant effect on static balance.