Effects of Cervical Lateral Glide Along With Thoracic Mobilizations in Patients With Neurogenic Cervicobrachial Pain.
Condition: Cervicobrachial Syndrome
Study type: Interventional

Summary: 
      In the scientific literature, cervicobrachial pain is the presence of pain in the neck that
      radiates or refers to the arm. It is considered as common spine disorder with upper quadrant
      pain due to muscles, joints or intervertebral discs. This study aims to compare the effects
      of direct neural tissue technique that is cervical lateral glide mobilization along with
      indirect neural tissue mobilization technique that is thoracic mobilization on pain, range of
      motion, endurance of neck flexors and functional ability in patients with cervicobrachial
      pain.
    

Detailed description: 
      The exact incidence of cervicobrachial pain syndrome is not known due to the paucity of
      population-based studies, patients suffering the symptoms of this condition frequently attend
      for physiotherapy.

      In the scientific literature, cervicobrachial pain is the presence of pain in the neck that
      radiates or refers to the arm. It is considered as common spine disorder with upper quadrant
      pain due to muscles, joints or intervertebral discs. Upper quadrant discomfort involves neck,
      shoulder, arm, upper back but neural tissue sensitivity to mechanical stimuli portrays to be
      the essential element of cervicobrachial pain. It generally refers to neck pain that along
      with paresthesia is radiating to one upper extremity and leading to muscle imbalances. Elvey
      planned some clinical tests to recognize the problems of neurogenic disorders that are
      responsive to non-intrusive physical therapy treatment. The acceptability of these tests from
      effective treatments has not been adequately proven yet.

      According to the literature cervical lateral glide is considered as first line treatment in
      reducing pain and improving upper limb function and is specifically very effective in
      patients of cervicobrachial pain syndrome. Cervical lateral glide has hypoalgesic effect on
      neck and arm pain. It is thought that this technique stimulates cervical afferents which can
      affect pain processes at spinal cord and cortical levels. A study was conducted in which
      passive techniques for mobilizing neural tissue and cervical spine were given as direct
      manual therapy treatment. Thoracic mobilization corresponds to indirect neural mobilization
      that is effective in reducing pain and functional limitations when incorporated with cervical
      spine mobilization that is referred as direct neural mobilization in patients of
      cervicobrachial pain. Evidence suggests that improvement in cervical stability and thoracic
      mobility achieved through manual therapy is significant in reducing neck pain and improving
      functional motion This study would help to investigate the delineation between specific and
      non-specific components of manual therapy. This study aims to compare the effects of direct
      neural tissue technique that is cervical lateral glide mobilization along with indirect
      neural tissue mobilization technique that is thoracic mobilization on pain, range of motion,
      endurance of neck flexors and functional ability in patients with cervicobrachial pain.
    

Intervention name(s): cervical lateral glide; thoracic mobilization technique
Intervention type(s): Other; Other
Intervention description(s): A cervical segmental contralateral lateral glide treatment technique is performed at 1 or more motion segments of the cervical spine (C5-T1), including the level(s) of the segmental motion restriction. With the patient in a supine position, the therapist cradled the head and neck above, and including, the level to be treated and performed a lateral translatory movement away from the involved side while minimizing gross cervical side flexion or rotation.; Participants in group B will be given cervical lateral glide along with thoracic mobilization technique in prone position.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Pain; Range of motion; Cervicobrachial pain; Cervical lateral glide; Thoracic mobilization