Prediction of Cervical Radiculopathy Success With PNF and Mobilization

Study Overview
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Brief Summary
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The goal of this predictive interventional study is todetrmine clinical predictors for success with combined proprioceptive neuromusclualr faciitaion (PNF) and passive mobilization ain patients with cervical radiculopathy (CR).

Detailed Description
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This study will answer the question, what are the factors affecting success with PNF and mobilization for patients with CR? No control group. The goal of this new study is to see the effect of age, duration of symptoms, forward posture angle and neck disability index response to passive mobilization combined with the PNF technique

Official Title
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Identifying Patients With Cervical Radiculopathy Responding to Proprioceptive Neuromuscular Facilitation Exercises Combined With Passive Cervical Mobilization: Clinical Prediction Rule

Conditions
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Cervical Radiculopathy

Intervention / Treatment
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* Other: Proprioceptive neuromuscular facilitation
* Other: Passive mobilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants with cervical radiculopathy. Age ranges between 40 and 60 years old. Minimum score (3 out of 10-point) on a visual analog scale (VAS) Orthopedic clinical confirmation reveals a history of neck pain. Exclusion Criteria: Whiplash injury. Previous Cervical surgery. Pain less than three months. Mechanical and non-specific neck pain. Pregnancy. Bilateral arm pain. Inflammatory arthritides. Osteoporosis. Symptoms of vertebrobasilar insufficiency.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 60 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: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PNF plus mobilization<br>This single group will receive passive mobilization and proprioceptive neuromuscular facilitation for cervical region. | Other: Proprioceptive neuromuscular facilitation<br>* Contract relax technique for each neck motion for three repetitions.<br>* Other names: PNF;Other: Passive mobilization<br>* To restore normal joint play, postero-anterior passive joint mobilization of cervical spine segments and cervicothoracic junction in limited motion will be applied.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical pain | Score on numeric pain rating scale (points) | 6 weeks | 
| Cervical disability | Disability will be measured with Northwick Park neck pain Questionnaire. | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical proprioception | Cervical joint position error will be measured with laser pointer. | 6 weeks |