Clinical trial NCT05191537: Spinal Mobilization With Arm Movement and Positional SNAGS in Cervical Radiculopathy Patients
Official title: Comparison of Spinal Mobilization With Arm Movement and Positional SNAGS on Pain and Disability in Cervical Radiculopathy Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Radiculopathy, Cervical
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-01-13
Enrollment: 30
Sex: ALL
Minimum age (years): 25
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: INCLUSION CRITERIA

* Symptoms duration more than 6 months.
* Age 25 -60
* The patient has confirm the diagnosis of Radiculopathy of cervical origin,
* VAS more than 5
* A cluster of Wainner 3 positive out of 4 EXCLUSION CRITERIA
* Malignancy
* Infection (such as osteomyelitis or diskettes)
* Osteoporosis
* Inflammatory arthritis
* Fracture
* Pregnancy
* Uncontrolled hypertension or cardiovascular disease
* Carotid or vertebral artery disease.
* Trauma cases

Primary outcomes:
measure: Numeric Pain Rating Scale (NPRS)
timeFrame: 4 weeks.
measure: Neck Disability Index(NDI)
timeFrame: 4 weeks.
measure: Inclinometer for range of motion
timeFrame: 4 weeks.
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Hussain Memorial Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: muhammad sanaullah, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Krivickas LS, Wilbourn AJ. Peripheral nerve injuries in athletes: a case series of over 200 injuries. Semin Neurol. 2000;20(2):225-32. doi: 10.1055/s-2000-9832.
citation: Hee HT, Castro FP Jr, Majd ME, Holt RT, Myers L. Anterior/posterior lumbar fusion versus transforaminal lumbar interbody fusion: analysis of complications and predictive factors. J Spinal Disord. 2001 Dec;14(6):533-40. doi: 10.1097/00002517-200112000-00013.
citation: Anandkumar S. The effect of sustained natural apophyseal glide (SNAG) combined with neurodynamics in the management of a patient with cervical radiculopathy: a case report. Physiother Theory Pract. 2015 Feb;31(2):140-5. doi: 10.3109/09593985.2014.971922. Epub 2014 Oct 20.
citation: Shafique S, Ahmad S, Shakil-Ur-Rehman S. Effect of Mulligan spinal mobilization with arm movement along with neurodynamics and manual traction in cervical radiculopathy patients: A randomized controlled trial. J Pak Med Assoc. 2019 Nov;69(11):1601-1604. doi: 10.5455/JPMA.297956..