Effects of Thoracic Manipulation in patients with Cervical Radiculopathy: a randomized control trial

Abstract

Objective: To determine the effects of Thoracic manipulation on Pain, Cervical and Thoracic range of motions as well as Neck disability in patients with Cervical Radiculopathy.

Study design: It is a Randomized Control Trial Study.

 

Place and duration of study: A Six-month study was carried out in The Physiotherapy Clinic, Saidpur Road, Rawalpindi. (from January 2023 to July 2023)

Material and Methods: 44 patients in accordance to the inclusion exclusion criteria were randomly allocated through sealed enveloped method in Group A (Thoracic manipulation) and B (SNAGS) i.e. Group A (n=22) and Group B (n=22). Both groups received conventional therapy including IFT, hot pack and stretching for SCM, levator scapulae etc. The frequency of treatment was 3 sessions per week for a total of 4 weeks. Variables of the study were Numeric pain rating scale (NPRS), Neck disability index (NDI), cervical and thoracic range of motions.

Results: Between group Analysis shows that there was no significant difference in effects of thoracic manipulation and SNAGS with p value > 0.05 in all variables i.e. NPRS, NDI, Cervical ranges, thoracic ranges.

Conclusion: Both techniques i.e. thoracic manipulation and SNAGS are equally effective in reducing neck pain, improving range of motion in cervical and thoracic spine and reducing neck disability in patients with cervical radiculopathy.

Keywords: Cervical radiculopathy, NPRS, NDI, SNAGS, Thoracic range of motion, Thoracic manipulation

PDF

References

Mesregah MK, Feng W, Huang W-H, Wei-Cheng C, Yoshida B, Mecum A, et al. Clinical effectiveness of interlaminar epidural injections of local anesthetic with or without steroids for managing chronic neck pain: a systematic review and meta-analysis. 2020;23(4):335.

Liang L, Feng M, Cui X, Zhou S, Yin X, Wang X, et al. The effect of exercise on cervical radiculopathy: a systematic review and meta-analysis. 2019;98(45).

Peolsson A, Söderlund A, Engquist M, Lind B, Löfgren H, Vavruch L, et al. Physical function outcome in cervical radiculopathy patients after physiotherapy alone compared with anterior surgery followed by physiotherapy: a prospective randomized study with a 2-year follow-up. LWW; 2013.

Wainner RS, Gill HJJoO, Therapy SP. Diagnosis and nonoperative management of cervical radiculopathy. 2000;30(12):728-44.

Abbed KM, Coumans J-VCJN. Cervical radiculopathy: pathophysiology, presentation, and clinical evaluation. 2007;60(suppl_1):S1-28-S1-34.

Ojoawo AO, Olabode ADJHKPJ. Comparative effectiveness of transverse oscillatory pressure and cervical traction in the management of cervical radiculopathy: A randomized controlled study. 2018;38(02):149-60.

González-Uriel P, Pérez VA, Suárez-Quintanilla JAJEJA. Clinical anatomy of cervical spondylosis. 2020;24(5):439-48.

McDonald MA, Kirsch CF, Amin BY, Aulino JM, Bell AM, Cassidy RC, et al. ACR Appropriateness Criteria® cervical neck pain or cervical radiculopathy. 2019;16(5):S57-S76.

Chu ECPJJoFM, Care P. Alleviating cervical radiculopathy by manipulative correction of reversed cervical lordosis: 4 years follow-up. 2021;10(11):4303.

Son B-K YHJGJHLJHHWB. Muscle Energy Technique for Neck Pain: Systematic Review.. Korean Society of Chuna Manual Medicine Spine and Nerves. 2020.

Hübscher M MMKKSRHWLXea. Thoracic spine manipulation for the management of mechanical neck pain: A systematic review and meta-analysis.. 2019; 14(2):e0211877.

Young IA, Pozzi F, Dunning J, Linkonis R, Michener LA. Immediate and Short-term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial. Journal of Orthopaedic & Sports Physical Therapy. 2019 May;49(5):299–309.

Kuijper B TJBANFdVM. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial. BMJ.. 2009 Oct 7.; 339:b3883.

Kumari C SBBDASSRBA. Efficacy of muscle energy technique as compared to proprioceptive neuromuscular facilitation technique in chronic mechanical neck pain: A randomized controlled trial. Int J Health Sci Res. 2016;6.

Nihinlol AOOaBJ. EFFECTS OF SUSTAINED NATURAL APOPHYSEAL GLIDES IN THE MANAGEMENT OF CERVICAL RADICULOPATHY. 2018.

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Copyright (c) 2023 Hamza Ahmed Awan, Kiran Azam khan, Maria Khalid