ADVERSE NEURAL TENSION VERSUS NEURAL GLIDING ON PAIN AND HAND GRIP IN PATIENTS WITH CERVICAL RADICULOPATHY

Rizk, Ammar; Abou-Shady, Nawal; Said, Sameh; Mahmoud, Khaled Hussain

doi:10.21608/ejpt.2023.229069.1153

ADVERSE NEURAL TENSION VERSUS NEURAL GLIDING ON PAIN AND HAND GRIP IN PATIENTS WITH CERVICAL RADICULOPATHY

Document Type : Original Article

Authors

¹ Physical Therapy Department for Neurology-Faculty of physical therapy - Cairo University - Egypt

² Physical therapy Department for neurology Faculty of physical therapy Cairo, Egypt

³ Professor of Neurology Head of Neuropsychiatry Department Alexandria University, Egypt

10.21608/ejpt.2023.229069.1153

Abstract

Abstract:
objective: to compare the therapeutic impact of adverse tension versus gliding neurodynamic mobilization on pain as well as hand grip strength in patients with cervical radiculopathy.
Methodology: forty-five patients complaining of cervical radiculopathy with pain along the course of median nerve from both genders, they aged from 35 to 55 years old, were randomized into 3 groups of the same number. Study group (I): were given median nerve adverse tensioning neural mobilization technique along with a designated physical therapy program (interferential current, infrared, stretching as well as strengthening exercises for cervical and shoulder muscles), study group (II) were given median nerve gliding neural mobilization technique as well as the identical designated physiotherapy program as study group (I) and a control group that were given only the designated physiotherapy program for 12 sessions for 4 weeks, 3 times per week, with 60 minutes for every session. All patients were evaluated with the Visual analogue scale and the digital handheld dynamometer.
Results: there was a significant difference between the three groups as the p-value was (0.001) which indicated that study group (II) showed reduction in cervical radicular pain intensity more than study group (I) and control group.
Conclusion: The study revealed that four weeks of median nerve gliding neural mobilization technique as well as a designated physiotherapy program was a beneficial approach and was an effective treatment for patients with cervical radicular pain.

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