Spinal Mobilization With Arm Movement and Positional SNAGS in Cervical Radiculopathy Patients
Condition: Radiculopathy, Cervical
MeSH terms: Radiculopathy
Study type: Interventional

Summary: 
      Data will be collected in Hussain Memorial Hospital by taking informed consent. Randomised
      clinical trial is conducted taking thirty patients of both genders with confirmed diagnoses
      of cervical radiculopathy, their ages ranged from 25 to 60. A cluster of winner to rule out
      patient with cervical radiculopathy. They will be randomly assigned into two groups by the
      lottery method. Group A will receive conventional treatment and of spinal mobilization with
      arm movement (intervention 1) Group B will receive conventional treatment and positional
      SNAGs (intervention 2). The treatment will be conducted at a frequency of three sessions per
      week for four weeks. Two values will be taken, one as baseline and the other at end of the
      session.

      Then follow up the patient to rule out which intervention is more effective than the other.
      Neck Disability Index, Numeric Pain Rating Scale and ROM will be used to measure outcomes.
    

Detailed description: 
      the objective of the study is To compare the effect of spinal mobilization with arm movement
      and positional SNAGs on pain and disability in cervical radiculopathy patients.

      The study design will be Randomized ClinicalTrial The sampling Technique will be Consecutive
      sampling technique

      Tool:

      The Neck Disability Index (NDI): used for measuring functional improvement in the neck.

      Numeric Pain Rating Scale (NPRS): used for measuring pain.

      Inclinometer: used for measuring Range of motion of cervical region.

      Data will be collected in Hussain Memorial Hospital by taking informed consent. Randomised
      clinical trial is conducted taking thirty patients of both genders with confirmed diagnoses
      of cervical radiculopathy, their ages ranged from 25 to 60. A cluster of winner criteria will
      be used to rule out patient with cervical radiculopathy. They will be randomly assigned into
      two groups by the lottery method. Group A will receive conventional treatment and of spinal
      mobilization with arm movement (intervention 1) Group B will receive conventional treatment
      and positional SNAGs (intervention 2). The treatment will be conducted at a frequency of
      three sessions per week for four weeks. Two values will be taken, one as baseline and the
      other at end of the session.

      Then follow up the patient to rule out which intervention is more effective than the other.
      Neck Disability Index, Numeric Pain Rating Scale and ROM will be used to measure outcomes.
    

Intervention name(s): Sustained Natural Apophyseal Glides; shoulder Mobilization with arm movement
Intervention type(s): Other; Other
Intervention description(s): The patient sits well supported in a chair. The cervical spine and head are set in a neutral position. A painless passive posterior to anterior (PA) glide is applied in the plane of the facets on either the spinous process or the articular pillar/cervical lamina. While the glide is sustained the patient actively moves their neck in the direction that previously produced the symptoms. If symptom-free, the patient applies over-pressure further into the movement restriction. 3-6 repetitions are performed; The patient is seated. The therapist contacts the length of the spinous process with the medial aspect of the thumb. A transverse glide is applied by the therapist's index finger against the thumb contacting the spinous process. The direction of the glide is to the contralateral side of the pain. While the mobilisation is sustained the patient moves their arm through a pain-free abduction range. 3-5 sets of 6-10 repetitions may be performed.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment