Neuromuscular Re-education on Pain, ROM and Disability in Cervical Radiculopathy

Riphah International University52 enrolled

Overview

This study explores the effectiveness of Neuromuscular Re-education compared to conventional therapies in managing pain, range of motion, and disability in patients with Cervical Radiculopathy

The study identifies a gap in the current literature surrounding the effectiveness of neuromuscular re-education interventions in targeting pain reduction, disability improvement, and enhancement of range of motion for CR patients. Previous studies emphasize conventional methods, such as proprioceptive neuromuscular facilitation and manual therapy, with a general focus on motor control and postural re-education. However, the precise benefits of structured NMR exercises tailored to CR symptoms, particularly targeting proprioceptive training and functional task simulation, are less explored, especially compared to traditional interventions like heat/cold application or general strengthening

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Cervical Radicular Pain

Interventions

Neuromuscular Re educationOTHER

A. Postural training and functional task simulation(chin tuck, Shoulder blade squeeze, reaching, carrying, lifting tasks) Proprioceptive tasks( single leg stance with head movement), deep cervical strengthening. 3 sessions per week, 30 minutes per session (10 mint each component),10 repetition per set, 2 set, 10 second Resting interval Resting period: 1 mint to next exercise

Conventional Physical TherapyOTHER

* TENS and hot pack for 10 to 15 minutes * Manual therapy techniques (e.g., mobilizations grade II). 5 to 10 repetition * Cervical isometric exercises 10 reps * General education on posture and ergonomics guidelines * Frequency: 3 sessions per week * Duration: 50 minutes per session, 10 mint each component * Repetition: 10 repetition per set, 2 set , 10 second resting interval * Resting period: 1 mint to next exercise

Eligibility

Sex: ALLMin age: 30 YearsMax age: 50 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Participants of Age between 30 and 50 years old. * Participants of both gender included. * Participants having Unilateral upper extremity pain, paresthesia, or numbness * Participants with Four positive findings required: * Positive Spurling's test * Positive distraction test * Positive upper limb tension test * Ipsilateral cervical rotation less than 60 degrees * Participants must have experienced pain for at least 3 months. * Participants must have a pain score of 4 to 6 on the 0-10 scale Exclusion Criteria: * Participants having prior cervical spine surgery. * Participants with Cervical vertebral fracture * Participants with severe osteoporosis, rheumatic disease, shoulder disease, or infection will be excluded. * Participants with vertebro-basilar artery insufficiency and diabetic neuropathy

Locations (1)

National hospital sialkot

Sialkot, Punjab Province, Pakistan

RECRUITING

Outcomes

Primary Outcomes

Goniometer

A goniometer is used to measure cervical range of motion (ROM) by aligning its fulcrum over a bony landmark (like the C7 vertebrae or external auditory meatus) and its arms with other bony landmarks (such as the nose, acromion, or sternal notch) to measure the angle of movement in degrees.

Time frame: 8th Week

NDI (Neck Disability Index)

The NDI is a 10-item questionnaire that assesses how neck pain affects daily activities(28). The Neck Disability Index (NDI) measures neck-specific disability through a 10-item questionnaire assessing pain and daily activities like personal care, lifting, and concentration. Scores range from 0-50 (or 0-100%), with higher scores indicating greater disability

Time frame: 8th week

Numeric Pain Rate Scale

The Numerical Pain Rating Scale (NPRS) has been used to assess the level of pain patients experience. It can be used to assess pain either verbally or through a self completion questionnaires. Patients are asked to circle a number on a scale that best describes the pain the experience. Patients are asked to recall from the pain scale from 0 to 10. 0 equals No pain, 1-3 equals Mild pain, 4-6 equals Moderate pain, 7-9 equals Severe pain, and 10 equals Very Severe pain. NPRS shows strong test-retest score even in illiterate and literate patients

Time frame: 8th week

Central Contacts

Munaab Khan, PhD

CONTACT

+923367993611 muneeb.khan@riphah.edu.pk

Data from ClinicalTrials.gov

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