This study evaluated whether adding mobilization and myofascial techniques targeting the lumbar and sacroiliac regions to cervical-focused manual therapy provides additional clinical benefits in individuals with cervical radiculopathy. Changes in pain, disability, cervical range of motion, and sacroiliac joint (SIJ) clinical findings were assessed. The study also examined whether changes in SIJ clinical findings were associated with changes in cervical clinical outcomes, thereby exploring the relationship between cervical and lumbopelvic responses to an extended regional manual therapy approach.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
42
Manual therapy targeting the cervical region was administered to individuals with cervical radiculopathy. The intervention consisted of cervical-focused manual therapy techniques aimed at addressing pain, mobility limitations, and clinical symptoms associated with cervical radiculopathy. All interventions were delivered by the same clinician with 21 years of clinical experience in manual therapy.
Additional manual therapy targeting the lumbar and sacroiliac regions was administered in combination with cervical-focused manual therapy. The intervention included mobilization and myofascial techniques directed at the lumbar and sacroiliac regions. This extended regional approach was designed to evaluate whether treatment beyond the cervical region provides additional effects on cervical clinical outcomes and sacroiliac joint clinical findings. All interventions were delivered by the same clinician with 21 years of clinical experience in manual therapy.
Fenerbahce University
Ataşehir, Istanbul, Turkey (Türkiye)
Cervical Radiculopathy Impact Scale (CRIS)
Cervical Radiculopathy Impact Scale (CRIS)
Time frame: Baseline and immediately after the intervention
Neck Disability Index (NDI)
Neck-related disability will be assessed using the Neck Disability Index (NDI), a 10-item self-reported questionnaire. The total score ranges from 0 to 50, with higher scores indicating greater neck-related disability. The validated Turkish version will be used.
Time frame: Baseline and immediately after completion of the intervention protocol
Short-Form McGill Pain Questionnaire (SF-MPQ)
Pain will be assessed using the Short-Form McGill Pain Questionnaire (SF-MPQ). The questionnaire includes 15 pain descriptors comprising 11 sensory and 4 affective items. Each descriptor is rated from 0 (none) to 3 (severe), with higher scores indicating greater pain severity. The validated Turkish version will be used.
Time frame: Baseline and immediately after completion of the intervention protocol
Active Cervical Flexion Range of Motion
Active cervical flexion range of motion will be measured in degrees using a Baseline® digital goniometer. Participants will actively move through their available cervical flexion range using standardized positioning and anatomical landmarks. Higher values indicate greater cervical flexion range of motion.
Time frame: Baseline and immediately after completion of the intervention protocol
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.