A Prospective Randomized Controlled Trial of Neural Mobilization and Mackenzie Manipulation in Cervical Radiculopathy

Objective

To assess the therapeutic effect of Mackenzie manipulation, Neural mobilization and conventional method, and to compare their efficacy for treatment of cervical radiculopathy.

Design

Arandomized controlled trial comparing Mackenzie manipulation, Neural mobilization and conventional method.

Setting

OPD of 3different center Sample 30 participants with cervical radiculopathy randomly allotted to 3 different groups.

Method

All three groups were given SWD and ICT. And also Group A undergone Mackenzie manipulation, group B given with Neural mobilization and controlled group was exposed to SWD and ICT only.

Result

Group A after 5 days of treatment shown mean reduction of pain in neck 65 % ±8.17%&by 10th day 91.5 % ±6.68%. Mean percentage of reduction in pain for right arm was 72.85% on 5th day and 97.14 % on 10th days with t value 9.552 and p less than 0.001.Mean percentage of improvement in left arm for group A was 73 % on 5th day and 96 % in 10th day with t value 3.467 and p value less than 0.02. Group B achieved mean reduction in their pain in neck by 50% ±16.67% and by 10th day the relief of pain was 75.50% ± 17.71%, 50% reduction in right arm pain on 5th day and 85.83 % on 10th day with t value 14.628 and p less than 0.0001. Mean percentage of improvement in left arm for group B was 44.71 % on fifth day and 87.27 % in tenth day with t value 8.708 and p value less than 0.001. Group C got 50.50 % ±13.43% after 5th day of treatment and 88.6% with 8.83 % neck pain reduction by tenth day of treatment. In this group right arm pain reduced by 48.33% on 5th day and85.83 % by 10th day with t value 10.434 and p value less than 0.001. Mean percentage of improvement in left arm for group C was 57.5 % on 5th day and 96.67 % in 10th day with t value 9.400 and p value less than 0.001. It is clear that Group A achieved maximum improvement in 5 days and group C achieved better improvement between 5th to tenth day compared to other two groups. For establishing the statistical significance paired t test was performed which gave following result; Group A resulted t value was 10.24 with p value) 0.0001, Group B with t value 5.106 with p value 0.001 and group C with t value 14.596 and p value) 0.0001.All these readings shows that treatment model of A group was most effective followed by treatment model of group C. The recovery of range of motion is even in all these methods Improvement level is between 90 to 100%.

Conclusion

Pain reduction and symptoms were maximum in first 5 days in the patients treated with McKenzie method Conventional method gave more relief between 5th and 10th day of treatment, Range of motion recovery was even in all the methods used in this study.