Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Neural Tissue Mobilization on Pain in Cervical Radiculopathy Patients


Affiliations
1 Consultant Physiotherapist, Wockhardt Hospitals, Rajkot, India
     

   Subscribe/Renew Journal


Background: Cervical radiculopathy is a dysfunction of a nerve ischolar_main of the cervical spine. The seventh (C7; 60%) and sixth (C6 25%) cervical nerve ischolar_mains are the most commonly affected. In the younger population, cervical radiculopathy is a result of a disc herniation or an acute injury causing foraminal impingement of exiting nerve. Disc herniation accounts for 20-25% of the cases of cervical radiculopathy. In the older patient, cervical radiculopathy is often a result of foraminal narrowing from osteophyte formation, decreased disc space, degenerative changes of the uncovertebral joints anteriorly and of the facet joint posteriorly.

Objective: To study the effectiveness of Neural tissue Mobilization in relieving pain in patients with cervical radiculopathy.

Materials & Method: Study included 30 (Thirty) patients with Chronic case of cervical radiculopathy between age group of 30-60 years. The patients were treated for a period of 10 days, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and Functional Disability was measured by Neck Disability Index Scale. Experimental group received neural mobilization and conventional therapy while control group received conventional therapy alone.

Results: The results were analyzed by Wilcoxon Signed Rank Test and paired t-test. Group A showed significant improvement in Pain (T= 120, p < 0.01) Comparision of Group A and Group B was done with Wilcoxon Rank sum test ( Mann Whitney U test ) . Results showed significant improvement in Pain (Z = 4.35 , p <0.0001) Conclusion: Neural mobilization along with other conventional therapy may be useful in bringing about improvement in pain and functional disability in patients with cervical radiculopathy.


Keywords

Neural Tissue Mobilization, VAS, IFT
Subscription Login to verify subscription
User
Notifications
Font Size


  • Dox I, Melloni B J, Eisner GM. Melloni’s Illustrated Medical dictionary. Baltimore: Williams and Wilkins Company, 1979.

  • Radhakrishnan K, Litchy WJ, O’Fallon WM, Kurland LT. Epidemic way of cervical radiculopathy. A population-based study from Rochester, Minnesota 1976 through 1990. Brain 1994;117: 325-335

  • Cote P, Cassidy D, Carroll L.; The factors associated with neck pain and its related disability in the Saskatchewan population. Spine (2000); 25: 1109–17.

  • Cote P, Cassidy J, Carroll L. The Saskatchewan health and back pain survey. The prevalence of neck pain and associated disability in Saskatchewan adults. Spine 1998; 23: 1689–98.

  • Caplan L. Management of cervical radiculopathy. Eur Neurol. 1995;35:309-320.

  • Gerard A Malanga, MD, Michael A Romello, MD, Cervical Radiculopathy e medicine article March 2008(2)

  • Heckmann J, Lang J, Zobelein I, et al. Herniated cervical intervertebral discs with radiculopathy: an outcome study of conservatively or surgically treated patients. J Spinal Disord. 1999;12:396–401

  • Y Tanaka, S.Kukbun, T Sato. Cervical radiculopathy and its unsolved problems. Current orthopedics (1998) 12, 1-6

  • Weiderholt WC. Neurology for non-neurologists. 4th edition. Philadelphia: WB. Sauders Co; 2000. P 205-11

  • Butler DS . Mobilization of the nervous system. New York :Churchill Livingstone 1991

  • Elvey RL .Painful restriction of shoulder movement: a clinical observational study. In: Proceedings ,Disorders of the knee ankle and shoulder.1979.Western Australia institute of Technology, Perth

  • Elvey RL .Treatment of arm pain associated with abnormal brachial plexus tension . Australian Journal of Physiotherapy 1986;32:224-229

  • Elvey RL, Quintner JL, Thomas AN.A clinical study of RSI. Australian family Physician 1986;15:1314-1322


Abstract Views: 2573

PDF Views: 0




  • Effect of Neural Tissue Mobilization on Pain in Cervical Radiculopathy Patients

Abstract Views: 2573  |  PDF Views: 0

Authors

Nishant H. Nar
Consultant Physiotherapist, Wockhardt Hospitals, Rajkot, India

Abstract


Background: Cervical radiculopathy is a dysfunction of a nerve ischolar_main of the cervical spine. The seventh (C7; 60%) and sixth (C6 25%) cervical nerve ischolar_mains are the most commonly affected. In the younger population, cervical radiculopathy is a result of a disc herniation or an acute injury causing foraminal impingement of exiting nerve. Disc herniation accounts for 20-25% of the cases of cervical radiculopathy. In the older patient, cervical radiculopathy is often a result of foraminal narrowing from osteophyte formation, decreased disc space, degenerative changes of the uncovertebral joints anteriorly and of the facet joint posteriorly.

Objective: To study the effectiveness of Neural tissue Mobilization in relieving pain in patients with cervical radiculopathy.

Materials & Method: Study included 30 (Thirty) patients with Chronic case of cervical radiculopathy between age group of 30-60 years. The patients were treated for a period of 10 days, 6 days a week once daily. Pain was assessed by Visual Analogue Scale and Functional Disability was measured by Neck Disability Index Scale. Experimental group received neural mobilization and conventional therapy while control group received conventional therapy alone.

Results: The results were analyzed by Wilcoxon Signed Rank Test and paired t-test. Group A showed significant improvement in Pain (T= 120, p < 0.01) Comparision of Group A and Group B was done with Wilcoxon Rank sum test ( Mann Whitney U test ) . Results showed significant improvement in Pain (Z = 4.35 , p <0.0001) Conclusion: Neural mobilization along with other conventional therapy may be useful in bringing about improvement in pain and functional disability in patients with cervical radiculopathy.


Keywords


Neural Tissue Mobilization, VAS, IFT

References