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Cervical RadiculopathyNCT06339970

Effects of Slider Versus Tensioners Nerve Gliding in Cervical Radiculopathy.

A study testing Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique and Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique in people with Cervical Radiculopathy, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will be a randomized clinical trial in which Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization will be applied on the individuals with cerviculorediculopathy and changes will be recorded using different methods and tools. Read more about this study

Who is it for?
Ages 20 to 60 years
Conditions the study is for
Cervical Radiculopathy
What is being tested?
Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique and Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 sitePakistan
Study dates
23 Nov 2023to 1 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Both gender Age
  • Participants having range 20-60 years both male and female are included.
  • Unilateral neck pain refers to upper extremity from 2-3 weeks.
  • Positive upper limb tension test, spurling test, cervical distraction test and ipsilateral cervical rotation less than 60.
  • NDI less than 50%
  • NPRS less than 3 more than 7

Who cannot join

  • Inflammation malignancy, neurological disorder
  • Metabolic disorders
  • Neck pain associated with headache and facial pain
  • VBI, vertigo, dizziness, motor imbalance, vertebral impairment, pregnancy, skin allergy
  • History of recent surgery, trauma and fractures of cervical spine, dislocation, subluxation of upper limb,
  • rheumatoid arthritis, osteoporosis, spondylolistheasis, cervical surgeries skin allergy, referred pain in patient with cardiac ischemia
  • Patients having any other therapeutic intervention or medical treatment

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Sehat Medical Compolex

    Lahore, Punjab Province, 54000

Other trials in Pakistan

About this study

Official title: Effects of Slider Versus Tensioners Nerve Gliding Technique Along With Mulligan Spinal Mobilization on Pain, Range of Motion and Disability in Patients With Cervical Radiculopathy.

This study will be a randomized clinical trial in which Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization will be applied on the individuals with cerviculorediculopathy and changes will be recorded using different methods and tools. Convenient sampling technique will be used to collect the data. The sample size of 40 patients will be recruited. Patients will be randomly allocated into two different groups through sealed envelope method.20 patients will be allocated in each group A will be treated with Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique; Group B will be treated with Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique .Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI) and goniometer will be used as Data collecting tools. After data collection from defined study setting, data will be entered and analyzed.

Read the detailed description

Neck pain is widespread and causes significant pain and disability. In the setting of cervical radiculopathy, because the nerve root of a spinal nerve is compressed It is frequently caused by cervical disc herniation and cervical spondylitis. Compression can result from intervertebral disc herniation, osteophyte formation, or other mass effects near the exit foramen of the cervical spine. This results in lower motor neurons symptoms and often presents with arm pain, weakness, and/or sensory loss, with or without associated neck pain. The most common causes of cervical radiculopathy are cervical disc herniation and cervical spondylosis.

The main aim of our study to determine which combination of techniques Slider versus Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization is more effective on Pain, Range of Motion and Disability in patients with Cervical Radiculopathy.

Combination of mulligan mobilization with slider and tensioners techniques to determine which combination of technique is more helpful in reducing overall disease burden and will help in increasing Quality of life.Bothcombination combination are checked individually before but their effects are not compared previously.

Being tested
Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique, Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
Keywords
Tensioners mobilization, Manual Therapy and neck pain
Medical subject headings
Radiculopathy, Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization TechniqueOther

    In this group 21 patients will perform Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique.Protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Patient is sitting in the chair / plinth. Therapist's standing behind the patient.

  • Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization TechniqueOther

    In this group 21 patients will perform Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique.Protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions. Patient is sitting in the chair / plinth. Therapist's standing behind the patient.

Study groups in NCT06339970
Study groupRoleWhat they receive
Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization TechniqueActive comparatorTherapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes the median nerve by performing desired neurodynamic sliding movement. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Receives: Other: Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique
Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization TechniqueExperimentalTherapist approaches the desired level of spinous process from medial aspect of the thumb of one hand which is reinforced by the index finger of the other hand. Second therapist places his axilla over the patient's shoulder to add shoulder depression component. The second therapist performs components of the nerve to be test one by one (distal to proximal or proximal to distal sequence) depending upon patient's offending movements and painful range.Pure transverse glide is performed from affected to unaffected side. While the glide is sustained, another therapist mobilizes nerve by performing desired neurodynamic gliders movement and progressing to tensioners. Apply this protocol for 4 weeks 12 Sessions (3 sessions in a week) and 10 sec rest between each segment, 3 sets of 10 repetitions.
Receives: Other: Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric Pain Rating Scale

    NPRS consists of a scale with 0-10 readings. The zero denotes no pain while 1, 2, 3 denotes to mild pain, 4, 5, 6 denotes to moderate pain while 7-10 denotes to severe pain.

    Measured: 4 Weeks

  2. Neck disability index

    .The NDI consists of ten questions. Each question has six different assertions expressing progressive levels of pain or limitation in activities. Item scores range from 0 (no pain or limitation) to 5 (as much pain as possible or maximal limitation). The total NDI score ranges from 0 to 5 points. Higher scores indicate greater disability.

    Measured: 4 Weeks

  3. Goniometer

    Active Range of Motion of the patient will be assessed using a universal standard goniometer for cervical flexion, extension, side flexion (left and right), rotation (left and right). The data will be collected at baseline cervical goniometry.

    Measured: 4 Weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Apr 2024
  2. Study start23 Nov 2023
  3. Primary completion1 Jun 2024
  4. Study completion1 Jun 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06339970
Sponsor's protocol ID
REC/RCR & AHS/23/0199 iram
Status last verified
Sep 2024
First submitted
25 Mar 2024
Last updated
4 Sep 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • McCartney S, Baskerville R, Blagg S, McCartney D. Cervical radiculopathy and cervical myelopathy: diagnosis and management in primary care. Br J Gen Pract. 2018 Jan;68(666):44-46. doi: 10.3399/bjgp17X694361. No abstract available.

    PubMed 29284641
  • Margetis K, Magnus W, Mesfin FB. Cervical Radiculopathy. 2025 Aug 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK441828/

    PubMed 28722858
  • Carroll LJ, Hogg-Johnson S, van der Velde G, Haldeman S, Holm LW, Carragee EJ, Hurwitz EL, Cote P, Nordin M, Peloso PM, Guzman J, Cassidy JD; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Course and prognostic factors for neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S75-82. doi: 10.1097/BRS.0b013e31816445be.

    PubMed 18204403
  • Sharma S, Balthillaya G, Rao R, Mani R. Short term effectiveness of neural sliders and neural tensioners as an adjunct to static stretching of hamstrings on knee extension angle in healthy individuals: A randomized controlled trial. Phys Ther Sport. 2016 Jan;17:30-7. doi: 10.1016/j.ptsp.2015.03.003. Epub 2015 Mar 17.

    PubMed 26482098
  • Papacharalambous C, Savva C, Karagiannis C, Giannakou K. The effectiveness of slider and tensioner neural mobilization techniques in the management of upper quadrant pain: A systematic review of randomized controlled trials. J Bodyw Mov Ther. 2022 Jul;31:102-112. doi: 10.1016/j.jbmt.2022.03.002. Epub 2022 Mar 18.

    PubMed 35710209
  • Coppieters MW, Butler DS. Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application. Man Ther. 2008 Jun;13(3):213-21. doi: 10.1016/j.math.2006.12.008. Epub 2007 Mar 30.

    PubMed 17398140
  • Shafique S, Ahmad S, Shakil-Ur-Rehman S. Effect of Mulligan spinal mobilization with arm movement along with neurodynamics and manual traction in cervical radiculopathy patients: A randomized controlled trial. J Pak Med Assoc. 2019 Nov;69(11):1601-1604. doi: 10.5455/JPMA.297956..

    PubMed 31740863
  • Michener LA, Snyder AR, Leggin BG. Responsiveness of the numeric pain rating scale in patients with shoulder pain and the effect of surgical status. J Sport Rehabil. 2011 Feb;20(1):115-28. doi: 10.1123/jsr.20.1.115.

    PubMed 21411827
  • Young IA PT, DSc, Dunning J PT, DPT, Butts R PT, PhD, Mourad F PT, DPT, Cleland JA PT, PhD. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019 Dec;35(12):1328-1335. doi: 10.1080/09593985.2018.1471763. Epub 2018 Jun 1.

    PubMed 29856244
  • Jorritsma W, Dijkstra PU, de Vries GE, Geertzen JH, Reneman MF. Detecting relevant changes and responsiveness of Neck Pain and Disability Scale and Neck Disability Index. Eur Spine J. 2012 Dec;21(12):2550-7. doi: 10.1007/s00586-012-2407-8. Epub 2012 Jul 3.

    PubMed 22752592
  • Farooq MN, Mohseni Bandpei MA, Ali M, Khan GA. Reliability of the universal goniometer for assessing active cervical range of motion in asymptomatic healthy persons. Pak J Med Sci. 2016 Mar-Apr;32(2):457-61. doi: 10.12669/pjms.322.8747.

    PubMed 27182261

Questions about this trial

What is this clinical trial studying?

A study testing Slider Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique and Tensioners Nerve Gliding Technique along with Mulligan Spinal Mobilization Technique in people with Cervical Radiculopathy, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numeric Pain Rating Scale (time frame: 4 Weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06339970, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2024.

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