Effectiveness of neural mobilization with intermittent cervical traction in the management of cervical radiculopathy: A randomized controlled trial

Savva, Christos; Efstathiou, Michalis; Karagiannis, Christos; Mamais, Ioannis

doi:10.1016/j.ijosm.2016.04.002

Cited by 19 publications

(29 citation statements)

References 38 publications

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“…When combined treatment is provided it shows promising results. The study by Savva et al has demonstrated improvement in grip strength, pain, disability, and cervical range of motion when people with cervical radiculopathy were treated with neural mobilization and cervical traction [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

Rafiq

Zafar

Gilani

et al. 2022

BioMed Research International

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Purpose. Cervical radiculopathy is disorder of cervical spinal nerve root affecting large number of population. Previously many studies are conducted to design suitable protocol for management of this disorder, but they lack in quality. The purpose of this study was to compare the effects of neural mobilization and cervical isometrics on health-related quality of life and deep flexors endurance in cervical radiculopathy. Methods. A double-blinded randomized clinical trial was conducted at Mayo Hospital, Lahore, Pakistan. Eighty-eight patients within the age range of 35-50 years were included in the study after taking their consent. In the experimental group ( n = 44 ), median nerve mobilization was applied along with cervical isometric exercises. The control group ( n = 44 ) performed cervical isometric exercises alone. Muscle endurance was measured by craniocervical flexion test and quality of life on 36 items short form health survey SF-36 scale. Measurements were taken at baseline, at 2nd week, and at 4th week. For missing data, intention-to-treat analysis was used. Results. Within-group comparison with Friedman test showed a significant difference between pre, mid, and posttreatment scores on craniocervical flexion test and in all domains of SF 36 in both groups. While between-group comparison with Mann–Whitney U test showed all variables were similar at baseline but after 4 weeks there was a statistically significant improvement in craniocervical flexion test scores and all domains of SF 36 in the experimental group. But domain of pain showed mean rank of 49.43 after 4 weeks in the experimental group and 39.57 in the control group with p = 0.065 and d = 0.579 , while for all the other 7 domains values were p < .05 and d > 0.25 . Conclusion. Neural mobilization combined with cervical isometrics shows significant effects in improving quality of life and deep flexors endurance in patients with cervical radiculopathy than cervical isometrics alone.

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Section: Discussionmentioning

confidence: 99%

Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

Rafiq

Zafar

Gilani

et al. 2022

BioMed Research International

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“…(27,28) Similarly, nerve glides technique was performed in order to improve nerve sliding as well to inhibit the mechanosensitivity of the affected cervical nerve root. (1) Sleijser-Koeharst et al proposed a five-variable model in order to identify the subjects with cervical radiculopathy who were most likely to achieve the poor recovery with conservative treatment.…”

Section: Discussionmentioning

confidence: 99%

“…it can also be caused due to tumors, trauma, synovial cysts, meningeal cysts, dural arteriovenous fistula or tortous vertebral arteries. (1) (2) Herniated disc causes 21.9 % of CR cases. A herniated disc can causes nerve damage both by mechanical and chemical pathways.…”

mentioning

confidence: 99%

“…(11) Savva et al conducted a combined study among the subjects of Cervical Radiculopathy where neural mobilization was given which increased the nerve sliding as well as modulated the mechanosensitivity of the affected cervical nerve root while maintaining the cervical traction which had elongated the cervical neural foramina and had decreased the intradiscal pressure. (1) Although the effect of cervical traction and TENS has been recognized in many studies, the effect of both modalities applied simultaneously has not been previously investigated. Therefore, the objective of this case study is to present the effect of cervical traction combined with TENS on pain and disability in a patient experiencing CR.…”

mentioning

confidence: 99%

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Combination of Cervical Traction with Transcutaneous Electrical Nerve Stimulation on Patient with Cervical Radiculopathy:A Case Report

2022

IJPOT

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Cervical radiculopathy is the result of cervical nerve root pathology with the sensory, motor and reflexes changes that may lead to chronic pain and disability. Although, conservative interventions including cervical traction, TENS and exercises have been previously shown to be effective in reducing pain and disability caused by cervical radiculopathy, the combined effect of the same has not been documented.The purpose of this study is to present the effect of cervical traction combined with TENS followed by exercises on pain and disability in a patient with cervical radiculopathy. A 34-year-old man presented with an acute history of neurological cervicobrachial pain and whose diagnosis was confirmed with cervical radiculopathy as per the clinical prediction rule. Cervical traction and TENS was applied simultaneously followed by exercises to reduce the patient's pain and disability measured at baseline and after 1 week using the Numeric Pain Rating Scale, the Neck Disability Index and the Patient-Specific Functional Scale. Improvements in all outcome measures were noted over a period of one week. Results showed that the patient's pain had almost disappeared and he was able to return to job without difficulties and limitations. In conclusion, the findings of this study support that the application of cervical traction combined with TENS can produce significant improvements in terms of pain and disability in cervical radiculopathy.

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“…Hal ini didukung oleh penelitian yang dilakukan oleh Savva et al, dalam studinya menggunakan 42 sampel cervical radiculopathy (21 sampel mendapatkan mobilisasi saraf dan 21 sampel mendapatkan intervensi konvensional) menunjukkan bahwa terdapat peningkatan yang signifikan pada ROM cervical ke arah fleksi (p= 0,039), lateral fleksi kontralateral (0,024) dan ipsilateral (0,012, serta rotasi kontralateral (p = 0,005) dan ipsilateral (0,02) dan peningkatan yang kurang signifikan pada ekstensi cervical (p = 0,072). 15 Namun hasil penelitian ini bertolak belakang dengan studi eksperimental yang dilakukan oleh Salian yang membuktikan efektivitas pemberian neurodynamic pada sisi kontralateral pada 30 sampel asimptomatis yang terdiagnosis dengan cervical radiculopathy. 9 Dalam penelitiannya menunjukkan bahwa terjadinya peningkatan ROM cervical ke arah fleksi, ekstensi, lateral fleksi, serta rotasi kanan dan kiri yang signifikan (p<0,05) sebelum dan setelah intervensi upper limb neurodynamic kontralateral jika dibandingkan dengan neurodynamic ipsilateral saja.…”

Section: Cervical Radiculopathyunclassified

Upper Limb Neurodynamic Bilateral Lebih Menurunkan Skor Nyeri Dan Tension Nervus Medianus Dibandingkan Dengan Upper Limb Neurodynamic Ipsilateral Pada Penderita Cervical Radiculopathy

Kinandana

Suyasa

Wahyuddin

et al. 2020

spj

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Pendahuluan: Cervical radiculopathy merupakan suatu kondisi klinis dimana terjadinya kompresi pada akar saraf yang menyebabkan perubahan fisiologis pada jaringan saraf. Tujuan Penelitian: membuktikan upper limb neurodynamic bilateral lebih menurunkan nyeri, meningkatkan range of motion (ROM) cervical, dan ekstensi elbow pada penderita cervical radiculopathy jika dibandingkan dengan neurodynamic ipsilateral. Metode: Penelitian ini merupakan penelitian eksperimental dengan rancangan pre dan post-test control group design menggunakan 24 orang sampel yang dibagi ke dalam 2 kelompok. Pada Kelompok 1 diberikan upper limb neurodynamic ipsilateral sedangkan Kelompok 2 diberikan intervensi upper limb neurodynamic bilateral. Intervensi diberikan sebanyak 12 kali. Pengukuran skor nyeri menggunakan numerical pain rating scale (NPRS) dan ROM cervical menggunakan goniometer dan tension nervus medianus diukur melalui ROM ekstensi elbow. Hasil: Perbedaan yang bermakna antara kedua kelompok didapatkan pada pengukuran skor nyeri dengan nilai p = 0,000 (p<0,05) pada pengukuran nyeri diam dan saat neurodynamic testing. Perbedaan yang bermakna juga ditemukan pada pengukuran ekstensi elbow dengan nilai p = 0,000 (p<0,05). Perbedaan yang tidak bermakna ditemukan pada pengukuran ROM cervical (ekstensi, rotasi, dan lateral fleksi ipsilateral) dengan nilai p = 0,377; 0,110; dan 0,342 secara berurutan (p > 0,05). Kesimpulan: upper limb neurodynamic bilateral lebih menurunkan skor nyeri dan menurunkan tension nervus medianus dibandingkan dengan upper limb neurodynamic ipsilateral dan tidak lebih meningkatkan ROM cervical pada penderita cervical radiculopathy. Kata kunci: nyeri, ROM cervical, ROM ekstensi elbow, neurodynamic ipsilateral, neurodynamic bilateral, cervical radiculopathy

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Effectiveness of neural mobilization with intermittent cervical traction in the management of cervical radiculopathy: A randomized controlled trial

Cited by 19 publications

References 38 publications

Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

Effects of Neurodynamic Mobilization on Health-Related Quality of Life and Cervical Deep Flexors Endurance in Patients of Cervical Radiculopathy: A Randomized Trial

Combination of Cervical Traction with Transcutaneous Electrical Nerve Stimulation on Patient with Cervical Radiculopathy:A Case Report

Upper Limb Neurodynamic Bilateral Lebih Menurunkan Skor Nyeri Dan Tension Nervus Medianus Dibandingkan Dengan Upper Limb Neurodynamic Ipsilateral Pada Penderita Cervical Radiculopathy

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