Efficacy of Neural Tissue Mobilization Versus Cervical Mobilization Along with Manualtraction and Surged Faradic Current on Pain, Disability and Rom in Chronic Cervical Radiculopathy Patients

Abstract

Background: Cervical radiculopathy (CR) caused by disc disease is a disabling condition characterizedbyradicular pain in one or both upper extremities, in combination with sensory, motor, and reflex changes in oneor several affected nerve-root distribution.. Cervical mobilization refers to low velocity, sustained or oscillatorypassive movements of varying amplitude applied at different range give by therapist to reduce pain and improvejoint mobility. Neuro-physiological effect of cervical mobilization helps in reduction of pain through gentle smallamplitude rhythmic oscillatory movement which stimulates the mechanoreceptors that inhibit the transmissionof nociceptive stimulus at the level of spinal cord or brain stem and thus pain get reduced. All this helps in thenormal functioning of the nervous tissue in the body.Methods: The study was conducted at Department of Physiotherapy, Rajeev Gandhi College, Bhopal. 30subjects meeting the inclusion criteria were recruited for the study. They were allocated randomly into twoequal groups, Group A and Group B respectively. Subjects in both the group received Surged Faradic Stimulation& Manual Cervical Traction as a baseline treatment. In Group A, subjects received neural tissue mobilization inaddition while in Group B subjects received Cervical Mobilization in addition. Treatment was given for 6 day perweek for 4 week.Conclusion: The results of this study show that neural tissue mobilization and cervical mobilization, in combinationwith manual traction and pulsed faradic stimulation, are equally beneficial in reducing pain, disability, and ROM.