Effectiveness of Adding Slider Neurodynamic Mobilization Technique to a Conventional Physical Therapy Program in Cervical Radiculopathy: A Randomized Control Trial | ||||
| Bulletin of Physical Therapy Research and Studies | ||||
| Volume 3, Issue 2, May 2025, Page 133-150 PDF (687.67 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/bptrs.2025.403108.1057 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Marihan Zakaria Aziz   1; Hiba Mohamed Hassan2; Faten Fathy Elattar3; Mona Mohamed Ibrahiem4
| ||||
| 1lecturer at the Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. | ||||
| 2Master's Candidate at the Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. | ||||
| 3Consultant of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Outpatient Clinics, Faculty of Physical Therapy, Cairo University. | ||||
| 43Assistant Professor of the Department of Physical Therapy for Musculoskeletal Disorders and Its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt. | ||||
| Abstract | ||||
| Background Cervical radiculopathy (CR) is caused by impingement or irritation of the cervical nerve roots. Neurodynamic mobilization (NDM) involves targeted combined movements to improve nerve mobility and sensitivity. [Purpose] This study investigated the effectiveness of adding the sliding NDM technique into a conventional physical therapy program on neck pain, disability, cervical range of motion (ROM), and electrophysiological function of the median nerve in patients with CR. [Methods] A double-blind randomized controlled trial was employed with 21 CR patients (19 females, 2 males; aged 30–50 years). Patients were randomly allocated either to the conventional group (n = 10), which received the conventional program (TENS, stretching, and isometric exercises), or the slider group (n = 11), which received the same program plus the sliding NDM of the median nerve for 12 sessions over four weeks. The visual analogue scale (VAS), the Arabic version of the neck disability index (NDI), the cervical range of motion (CROM) device, and the electromyogram (EMG) device were used to assess neck pain, disability, ROM, and EMG parameters, respectively. [Results] A significant within-group improvement in neck pain, disability, and cervical ROM was observed in both groups. However, group B showed greater percentage improvement in disability (52.69%) and extension ROM (19.16%). No significant differences were found in motor nerve conduction velocity or F-wave. Notably, the H-reflex revealed improvements in latency, amplitude, and H-ratio between groups. [Conclusion] Adding Sliding NDM technique to a conventional physical therapy program may enhance pain, functional recovery and nerve excitability in patients with CR. | ||||
| Keywords | ||||
| Cervical Radiculopathy; Neurodynamic Mobilization; Median Nerve Mobilization; EMG; Sliding | ||||
|
Statistics Article View: 64 PDF Download: 58 |
||||
