Comparison of Mulligan’s Spinal Mobilization with Proprioceptive Neuromuscular Facilitation Technique on Pain, Disability and Range of Motion in Patients with Cervical Radiculopathy: A Randomized Clinical Trial
Abstract
Background: Cervical radiculopathy involves response, motion and sensational changes e.g. radiating pain, paresthesia, numbness that can be raised by bad positions and motions of neck.
Objective: To determine spinal mobilization and proprioceptive neuro-muscular facilitation comparison on the pain, level of disability and movements ranges in cervical radiculopathy individuals.
Methodology: The 38 subjects (determined by G*Power 3.1.9.7) divided in 2 groups by lottery method. Control group got Mulligan’s spinal mobilization with arm movements (6 glides three sets) and experimental group received Proprioceptive neuro-muscular facilitation contract relax technique, passive stretching (3 bunches of 10 times repeat) and isometric exercises (2 clusters of 10 times repeat). Numeric pain rating scale for the pain, neck disability index for the level of disability and goniometer for the range of motion outcome measures included. Data analysis was achieved by SPSS (statistical package for social sciences) version 26. (Clinical Trial Registry Number: NCT06866821)
Results: There were 15 males (39.5%), 23 females (60.5%) with right side involved in 24 (63.2%) and left side involved in 14 (36.8%) individuals. The mean, standard deviation of age was 33.95±7.935 years and of duration symptoms were 8.08±1.402 months. There was statistically significant enhancement in NPRS, NDI and cervical ROM pre & post mean values more in experimental group as compared to control group with P value <0.001.
Conclusion: The individuals managed by proprioceptive neuromuscular facilitation contract relax technique, passive stretching and isometric strengthening exercises had significantly better relief in the pain, level of disability and change in cervical ranges of movements than control group.
Keywords: Cervical Radiculopathy, Pain, Range of motion, Distraction and Proprioceptive neuromuscular facilitation.
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