Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Cervical Radiculopathy

Study Overview
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Brief Summary
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this project was a Quasi-Experimental Trial. conducted to compare the Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Terms of Joint Position Sense and Pain in Cervical Radiculopathy . so that we can have best treatment option for patients with cervical radiculopathy

Detailed Description
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non probability convenient sampling was done. patients following eligibility criteria from Madina Teaching Hospital FSD and Kadijatulkubra hospital Chiniot. Non Probability Convenient sampling was done. Sample size was calculated with G power. 28 Participants were randomly allocated in two groups equally via convenient sampling method. Baseline assessment was done initially. Group A was given neural glides and Group B was given PNF along with conventional physiotherapy treatment (hot pack and traction). Duration of research was almost 6 months. Intervention was applied for 4 weeks, 3 sessions per week. Pre and Post treatment readings were taken in 1st and 4th week session Assessment was done via Numeric Pain Rating Scale; NDI, CVA and JPE as subjective measurements. All participants were provided written informed consent prior to commencement of the procedures. They were free to quit the treatment at any stage of research. Data was analyzed by using SPSS version 23.

Official Title
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Effects of Neural Glides Versus Proprioceptive Neuromuscular Facilitation in Terms of Joint Position Sense and Pain in Cervical Radiculopathy

Conditions
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Cervical Radiculopathy

Intervention / Treatment
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* Other: Neural Glide
* Other: Rhythmic stabilization technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with unilateral upper extremity pain, parenthesis, or numbness. Neck Disability Index (NDI) score of 10/50 points or greater. Numeric pain rating scale scoring (moderate pain). Craniovertebral angle measured less than 49 with forward head posture. Positive distraction test, Upper limb tension test, spurling test. Exclusion Criteria: Any red flags (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis etc. Central nervous system involvement. History of whiplash injury within the previous 6weeks. Prior surgery to the cervical or thoracic spine from 6 months ago.

Ages Eligible for Study
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Minimum Age: 25 Years
Maximum Age: 45 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Neural glide<br>Neural mobilization of median nerve which includes gliding and sliding was given | Other: Neural Glide<br>* hot pack and cervical traction is applied for 10-15 min.Group A received Neural mobilization of median nerve which includes gliding and sliding was given,therapist stood on the patient & affected side besides the patient, patient'S shoulder was depressed with one hand and elbow was moved in 90 degree flexion, forearm supination, extend the wrist and fingers with other hand. Then patient arm was moved into 90 degree abduction and then sliding or gliding of nerve was applied. Sliding was applied with elbow extension and wrist flexion and elbow flexion with wrist extension. 6 sets were performed. Each set was performed for 60 seconds, for alternative days in week for 4 weeks and then progressed to gliding/tensioning technique when symptoms improved<br>|
| Experimental: Rhythmic stabilization technique<br>Proprioceptive Neuromuscular Facilitation (Rhythmic stabilization technique will be Given) | Other: Rhythmic stabilization technique<br>* This group was receiving (PNF) Rhythmic stabilization technique with base line treatment. Subject was lying in spine position on the treatment table and therapist resist an isometric contraction of agonist muscle group.pt maintain this position for 10 sec without trying to move and 12-15 repetitions were performed with 30 sec rest. Each therapeutic session treatment was focused on facilitation of neck stabilizers, improving neck stability, coordination, decreasing pain and improving postural control<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain by numeric pain rating scale | 0-10 , 0 minimum 10 maximum pain | 2 months | 
| Functional disability by NECK DISABILITY INDEX | This means that the overall score range is between 0 and 50, 0 being no to little pain and discomfort while 50 being the severest degree of pain and disability with complete activity limitation. | 2 months |