Global Postural Re-Education And Neck Isometric Exercises In Cervical Radiculopathy RADICULOPATHY

Study Overview
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Brief Summary
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Cervical radiculopathy is a common neurological disorder that is caused by compression of the nerve, inflammation of nerve roots, or space-occupying lesions. Cervical radiculopathy is the most common health-related problem worldwide. The conservative approach like education, specific exercises, and spinal manipulation is usually given for chronic cases with good outcomes.

Detailed Description
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Cervical Radiculopathy is a condition in which a nerve is entrapped between the bones and causes numbness and tingling. Neck isometric exercises are a basic treatment plan for strength training. Global postural reeducation is a technique the manual cervical traction along with body alignment that helps to reduce symptoms more rapidly. This whole procedure is completed more easily, without a machine and satisfying for the patient.

Official Title
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Effects Of Global Postural Re-Education And Neck Isometric Exercises In Patients With Cervical Radiculopathy

Conditions
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Cervical Radiculopathy

Intervention / Treatment
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* Other: Neck Isometrics Exercises
* Other: Global Posture Re-Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 to 35 years. Both genders, Males and females One-sided upper limb pain or numbness Any 2 out of 4 tests are positive Spurling test, Distraction test, Ipsilateral cervical traction test, and Upper Limb test Exclusion Criteria: Bilateral upper limb pain Previous history of cervical surgery Cervical spine Injection therapy in the past 2 weeks Being Pregnant women

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 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 |
| --- | --- |
| Active Comparator: Neck Isometrics Exercises<br>This group of participants will receive neck isometric exercises along with routine physical therapy and a hot pack. In this regimen, the patient is commanded to apply minimal resistance on the physiotherapist's hand in front, back, and lateral positions. This resistance is applied for 10 sec with a 15 sec hold with 10-15 repetitions. The protocol will be given to the participants for two weeks. Each session will be of 40 minutes. | Other: Neck Isometrics Exercises<br>* Isometric exercises are tightening (contractions) of a specific muscle or group of muscles. During isometric exercises, the muscle doesn't noticeably change length. The affected joint also doesn't move. Isometric exercises help maintain strength.<br>|
| Experimental: Global Posture Re-Education<br>This group of participants will receive the Global Posture Re-Education technique with a hot pack. The protocol will be given to the participants for two weeks (1 session on an alternative day with the home plan). Each session will be of 40 minutes. | Other: Global Posture Re-Education<br>* Global postural rehabilitation (GPR) is an approach that considers the body in its overall aspect. This technique aims to relax the envelope of the muscles (fascia) while relaxing the muscle chains to reduce the strain on the joints. The end result is a more suitable posture and less pain.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Intensity | Neck pain will be assessed utilizing the 10cm Visual Analogue Scale. The members will register their current pain level by selecting any from 0(no pain) to 10(unbearable pain) presented ahead a level line. | Pain intensity will be measured at baseline, and change in pain intensity will be measured at 1st week, and 2nd week of treatment.. | 
| Level of Functional Disability | The level of Functional disability will be measured by using the neck disability index. It contains 10 readings including pain intensity, personal care, headache, lifting, reading, concentration, work, driving sleeping, and recreation. The questions are measured on a 6-point scale from 0 (no disability) to 5 (full disability). The numeric response for each item is summed for a score varying from 0 to 50. | Change in Functional Status will be measured at baseline, at first week, and at second week of treatment. |