Effects of Neural Mobilization with and without Cervical Lateral Glide on Pain, Range of Motion and Functional Disability in Patients with Cervical Radiculopathy

Abstract

Background: The entrapment of the cervical nerves results in a clinical condition known as cervical radiculopathy.

Objective: To determine the effects of neural mobilization with and without cervical lateral glide of pain, range of motion and functional disability in patients with cervical radiculopathy

Methodology: A randomized clinical trial done in Physiotherapy Department OPD of Allied Hospital, Faisalabad. 86 cervical radiculopathy patients divided into two equal groups. Convenient sampling technique was used. Both genders of age of 25 to 45 were included. Tumors, fractures, rheumatoid arthritis, osteoporosis, and extended steroid use were excluded. The routine physical therapy, neural mobilzation along with cervical lateral gliding administered to Group A subjects. Group B received neural mobilization with routine physical therapy. Data was collected on the baseline,2nd week and then at 4^th weeks. Numeric pain rating and neck disability index, Goniometer was used for assessment.

Result: For between group analysis independent sample t-test u test used which shows there is a significant difference in before and after intervention as p-values of all outcome measures were less than 0.05 in post-intervention. Repeated measure ANOVA was used for within group comparison which shows both groups show effectiveness but group A shows more significant results as their mean differences is more than group B.

Conclusion: It is concluded that both techniques are effective but incorporating cervical lateral glides into neural mobilization has yielded more significant results in this study.

Key Term: Cervical radiculopathy, pain, range of motion and functional disability, neural mobilization.