Effect of Simultaneous Application of Cervical Traction and Neural Mobilization for Subjects with Unilateral Cervical Radiculopathy

Raval, Virali R.; Babu, K. Vinod; Kumar, N. Sai; Ghosh, Amrita

doi:10.15621/ijphy/2014/v1i5/55287

Cited by 8 publications

(37 citation statements)

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“…Numerous studies have investigated the effect of combined techniques on pain intensity, neck disability index, and radicular symptoms [16,18,30]. To the author's knowledge, this is the first study that tried to determine the effect of the simultaneous application of intermittent cervical traction with MNNM on FCR H-reflex latency.…”

Section: Discussionmentioning

confidence: 99%

“…The traction was applied for a period of 20 min [26]. The patient could stop the traction through a bursar switch in the unaffected arm and inform the therapist about any discomfort occurred [16].…”

Section: Intermittent Cervical Tractionmentioning

confidence: 99%

“…Cervical traction is a force applied to increase the space between the cervical segments and decompress nerve roots [14]. Although there were no evidencebased parameters for intermittent traction, many studies showed a significant effect of it in reducing pain intensity and enhancing functional ability for patients with CR [15,16]. It is theorized that intermittent traction unloads the spine by stretching muscles and ligaments causing separation between articular surfaces leading to improvements in patient symptoms [17].…”

Section: Introductionmentioning

confidence: 99%

“…There were few RCTs [16,18] that studied the combined effect of cervical traction either manually or mechanically and neural mobilization on improving neck pain, neck disability, radicular symptoms, cervical spine movements, and grip strength; but to our knowledge, there were no trials that studied the effect of simultaneous application of intermittent cervical traction with MNNN on H-reflex latency of median nerve recorded from flexor carpi radialis (FCR) muscle.…”

Section: Introductionmentioning

confidence: 99%

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H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

Hegazy

Gomaa

Mageed

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Intermittent Cervical Tractionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

Hegazy

Gomaa

Mageed

et al. 2019

Egypt J Neurol Psychiatry Neurosurg

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“…Neural mobilization is no more effective (or better) than other forms of intervention to reduce nerve-related chronic musculoskeletal pain. But on the flip side of the coin, this might also suggest that neural mobilization is not worse than other forms of intervention, for example, ultrasound (29) mechanical traction (30) or joint mobilization (31) in the treatment of nerve-related chronic musculoskeletal pain. In fact, it is noteworthy that the 95% CI result indicated that the direction of summary estimate tends to favour neural tissue mobilization.…”

Section: P R O V I S I O N a L L Y A C C E P T E D F O R P U B L I C A T I O Nmentioning

confidence: 99%

The effectiveness of routine physiotherapy with and without neuromobilization in patients with shoulder impingement syndrome

et al. 2020

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Abstract Objective: The purpose of this study was to evaluate the neuromobilization (NM) on the pain and active forward flexion of participants with shoulder impingement syndrome (SIS). Methods: A randomized control trial was conducted in Social Security Hospital, Gujranwala. The duration of study was September 2016 to March 2018. A sample of 80 participants was selected and allocated in to two groups using computer generator method in simple random sampling technique. Consent was taken from patients with SIS for this trial. At the first session, participants were randomly assigned to either control group (40) or experimental group (40). After the baseline assessment routine physiotherapy was executed for both groups, while NM was provided to experimental group. Pain and active forward flexion (AFF) were evaluated on baseline, 5th week and 11th week. The data were entered and analyzed using SPSS (version 22.0). Results: The experimental group compared with control group at 11th week had lower mean pain score 2.15(1.66-2.64) vs 4.90(4.41-5.40); between group difference, 1.82; 95% confidence interval (CI), -2.38 to -1.25; P ? 0.001 and Partial ?2=0.33, similarly with AFF 147.13(142.46-151.79) vs 123.45(118.79-128.11); between group difference ,19.35; 95% CI,(12.86-25.83); P ? 0.001 and Partial ?2=0.30. Over all pain and AFF were improved among experimental group relative to control group at 11th week. Conclusion: In an experimental setting, the delivery of neuromobilization led to significantly different outcomes in participants than in control group. Clinical Trial Number: IRCT20190121042445N1. Keywords: shoulder impingement syndrome, pain, rotator cuff. Continuous...

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Cervical traction combined with neural mobilization for patients with cervical radiculopathy: A randomized controlled trial

Savva

Korakakis

Efstathiou

et al. 2021

Journal of Bodywork and Movement Therapies

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Effect of Simultaneous Application of Cervical Traction and Neural Mobilization for Subjects with Unilateral Cervical Radiculopathy

Cited by 8 publications

References 0 publications

H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

The effectiveness of routine physiotherapy with and without neuromobilization in patients with shoulder impingement syndrome

Cervical traction combined with neural mobilization for patients with cervical radiculopathy: A randomized controlled trial

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