Vol. 6, Issue 1, Part D (2020)
Cervical lateral glide neural mobilization is effective in treating cervicobrachial pain in management of cervical radiculopathy
Cervical lateral glide neural mobilization is effective in treating cervicobrachial pain in management of cervical radiculopathy
Author(s)
Dr. Priya Mehta and Dr. Priyanshu Joshi
Abstract
Abstract Cervical radiculopathy is one of the commonest musculoskeletal conditions. The etiology of cervical radiculopathy is poorly understood. In spite of long duration for treatment protocol recurrence rate is common. Aims & Objective: To compare between cervical lateral glide and neural mobilization (slider median nerve biased in management of cervical radiculopathy Method: Study have been done on 60 patients, include 11 male and 49 female with mean age of 42.29 years, reported in physiotherapy department of M.Y. Hospital, Indore with complain of neck pain radiating into upper extremity or back. The data was collected by questionnaire form and was analyzed using SPSS 14.0 and graph pad 6.7 version. Result: Data analysis was performed using SPSS version 16. Due to nature of data and outcome measures non parametric test were used. Wilcoxon signed rank test was carried out to determine if there were statistically significant changes between pre and post test result within the group. To test if there were significant difference between the 2 intervention groups and conservative group, Kruskal-Wallis test was performed. P≤0.05 was considered to indicate statistical significance. Wilcoxon signed rank test for within group pre and post test difference in VAS score and Disability scores showed significant improvement at p value 0.000 in all the 3 groups. However the mean difference was found to be more for cervical lateral glide treatment (-5.45 points; p=0.000) as compared to neural slider treatment (-4.65 points; p=0.000) and conventional treatment (-2.6 points; p=0.000). Wilcoxon signed rank test for within group pre and post-test difference in Disability scores showed significant improvement at p value 0.000 in all the 3 groups. However the mean difference was found to be more for cervical lateral glide treatment (-34.95 points; p=0.000) as compared to neural slider treatment (-27.05points; p=0.000) and conventional treatment (-13.65 points; p=0.000). This is further depicted. The between group analysis was done for NDI score, by using Kruskal-Wallis test, showed that there was a statistical significant difference in disability score between the different treatment techniques, χ2(2)= 40.412; p=0.000, with a mean rank disability score of 13.32 for lateral glide treatment, 29.88 for neural slider. Treatment and 48.30 for conventional treatment. Conclusion: This study compared the effect of contralateral cervical lateral glide and Neural slider techniques in treatment of cervical radiculopathy patients. Both interventions given in conjunction with conventional physiotherapy treatment demonstrated significant improvements in pain and disability as shown on VAS and NDI scores and therefore both techniques are effective over conventional physiotherapy treatment alone. On comparing the two intervention, it is concluded that the Contralateral Cervical Lateral Glide technique is more effective than Neural Slider technique for treatment of patients with cervical radiculopathy
How to cite this article:
Dr. Priya Mehta, Dr. Priyanshu Joshi. Cervical lateral glide neural mobilization is effective in treating cervicobrachial pain in management of cervical radiculopathy. Int J Appl Res 2020;6(1):204-209.