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362878

Sustained natural apophyseal glide versus neurodynamic mobilization in the management of chronic unilateral discogenic cervical radiculopathy

Article

Last updated: 29 Dec 2024

Subjects

-

Tags

Physical Therapy for Neurological Disorders

Abstract

Background: Cervical radiculopathy is a pathological condition of the cervical nerve root, causing sensory and motor deficits. The greater demand for neurological physical therapy identifies the need for more evidence-based techniques. Purpose: To compare the effect of neurodynamic mobilization versus sustained natural apophyseal glides in the management of patients with chronic discogenic unilateral cervical radiculopathy. Methods: 42 patients complaining from cervical radiculopathy with age from 30 to 45years were randomly assigned to three equal groups. Group (A) received neural mobilization for median and radial nerve in addition to conventional treatment group (B) received sustained natural apophyseal glide (SNAG) in addition to the conventional  treatment group (C) received a conventional physiotherapy program (Hot pack, stretching and strengthening exercises for cervical muscles) for 12 sessions during 4  weeks, 3 sessions /week. All patients were evaluated with the Visual analogue scale, Arabic version of the neck disability index and cervical range of motion device. Results: All groups had statistically significant improvements in all outcome 
measures post treatment. No significant differences were recorded among the three groups in the pain post treatment. Group A and B similarly improved and higher than group C in respect to neck functional performance. Group B showed significant improvement in cervical range of motion post treatment more than group A and C. Conclusion: Adding sustained natural apophyseal glide or neural mobilization to traditional physiotherapy program is beneficial in management of individuals with chronic unilateral discogenic cervical radiculopathy

DOI

10.21608/bijpt.2024.292535.1027

Keywords

Mulligan technique, Neck disability index, visual analogue scale

Authors

First Name

Samar

Last Name

Abdelrahman

MiddleName

-

Affiliation

Faculty of physical therapy cairo university

Email

samarabdelrahman55@gmail.com

City

-

Orcid

-

First Name

Shimaa

Last Name

Abdelmegeed

MiddleName

-

Affiliation

Faculty of physical therapy cairo university

Email

dr_shimaaa@yahoo.com

City

-

Orcid

-

First Name

Wael

Last Name

Shendy

MiddleName

-

Affiliation

Dean faculty of physical therapy port said university

Email

waelshendy@yahoo.com

City

-

Orcid

-

First Name

Hosam

Last Name

Salah

MiddleName

-

Affiliation

Professor of neurology faculty of medicine Cairo university

Email

hosam.salah@yahoo.com

City

-

Orcid

-

Related Issue

-2

Receive Date

2024-05-26

Publish Date

2024-07-01

Page Start

6

Page End

13

Online ISSN

3009-7266

Link

https://bijpt.journals.ekb.eg/article_362878.html

Detail API

https://bijpt.journals.ekb.eg/service?article_code=362878

Order

362,878

Type

Original Article

Type Code

2,950

Publication Type

Journal

Publication Title

Benha International Journal of Physical Therapy

Publication Link

https://bijpt.journals.ekb.eg/

MainTitle

Sustained natural apophyseal glide versus neurodynamic mobilization in the management of chronic unilateral discogenic cervical radiculopathy

Details

Type

Article

Created At

20 Dec 2024