Abstract
BackgroundCervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability.ObjectivesThis study was conducted to show the effect of the combined application of intermittent cervical traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design.MethodsFifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR H-reflex latency was measured pre- and post-treatment.ResultsStatistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in comparison to pretreatment (t = 5.447, p value = 0.0001*).ConclusionSimultaneous application of intermittent cervical traction and median nerve mobilization are effective in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.
Highlights
Cervical radiculopathy (CR) is an affection of the cervical nerve root (CNR) that is commonly caused by a cervical disk pathology, spondylosis, and spinal stenosis leading to nerve root inflammation and impingement and chronic pain and disability [1]
Assessment procedures flexor carpi radialis (FCR) H-reflex latency for median nerve was measured by an electromyogram device (Nicolet Viking Quest, USA 2018; Model No: 0086) in semi-supine lying position with supinated forearm
To elicit FCR H-reflex, a surface-stimulating electrode was placed along the median nerve in the antecubital fossa [24]
Summary
Cervical radiculopathy (CR) is an affection of the cervical nerve root (CNR) that is commonly caused by a cervical disk pathology, spondylosis, and spinal stenosis leading to nerve root inflammation and impingement and chronic pain and disability [1]. Symptoms of CR are different from one patient to another and this variation of symptoms is due to the level of nerve root affected. NMTs help to reduce nerve adhesion, improve nerve gliding, and decrease neural mechanosensitivity and the CNR’s structure and function are enhanced in patients with CR [6]. Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability
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