Influence of selected designed paradigm in cervical Radiculopathy / Ali Essawy Ali Mostafa ; Supervised Abdulaleem Atteya , Hoda Zakaria , Sherief Mahmoud Alshazly

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Neuromuscular and Neurosurgery

Objective: The aim of the study was to investigate the effect of neural mobilization combined with mechanical intermittent traction on neck and arm pain, cervical range of motion ROM, functional disability and hand grip strength in patients with unilateral cervical radiculopathy due to lower cervical disc. Subjects and Methods: Thirty patients of both sexes suffering from chronic unilateral cervical radiculopathy participated in the study. Their age ranged from 35 to 55 years. Patients were assigned into two equal groups: Group A. received neural mobilization and group B. received neural mobilization combined with mechanical intermittent traction. Both were given other conventional treatment. Patients were evaluated pre and post treatment for neck and arm pain, ROM, functional disability and hand grip strength. The patients were assessed clinically via visual analogue scale for pain intensity, CROM goniometer for cervical ROM, neck disability index for functional disability and hand grip dynamometer for hand grip strength before and after treatment program. Patients in two groups received three sessions per week for four weeks. Results: There was a significant decrease of neck pain, arm pain and functional disability, Also a significant increase of cervical ranges of motion in two groups. Comparison between groups post treatment showed a significant decrease in neck pain, arm pain and functional disability in group B compared to group A, a significant increase in ROM in group B compared to group A and no significant difference in hand grip strength and ipsilateral side bending ROM in group B compared to group A

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