Effect of Mulligan spinal mobilization with arm movement along with neurodynamics and manual traction in cervical radiculopathy patients: A randomized controlled trial

Shafique, Sadaf; Ahmad, Shakeel; Rehman, Syed Shakil Ur

doi:10.5455/jpma.297956

Cited by 14 publications

(25 citation statements)

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“…Of the 17 studies selected, 9 had an overall score of high quality [28][29][30][31][32][33][34][35][36]. Three studies had a moderate overall score [37][38][39] and 5 studies a low score [40][41][42][43][44].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies [38,40,41] did not assign patients randomly, and in the majority of the studies, patients were assigned with an inadequate concealment method. In four [40,[42][43][44] of the 15 studies, the intervention groups were not compared at the beginning of the study. All studies reported the lack of therapist blinding and the lack of patient blinding.…”

Section: Resultsmentioning

confidence: 99%

“…This test was performed as a measurement variable, not as a diagnostic criterion. In 8 of the studies assessed, the prediction rule formulated by Wainner et al [45] was applied; this rule refers to a specificity of 94%-100% in diagnosing CR [30,33,35,36,38,39,43,44].…”

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

“…The tools used to measure the study outcomes were similar in all the studies. The intensity of perceived pain was measured using a Visual Analogue Scale (VAS) in 8 studies [30,33,35,36,38,39,43,44], while the Numeric Pain Rating Scale (NPRS) was used in the rest [30, 32, 34-36, 38, 39, 42, 43]. In 11 of the studies [28-32, 34-39, 42, 43], cervical disability was measured with the Neck Disability Index (NDI).…”

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

“…In 11 of the studies [28-32, 34-39, 42, 43], cervical disability was measured with the Neck Disability Index (NDI). As a secondary indicator of technique effectiveness, cervical mobility was measured in 6 of the studies [34,35,[38][39][40]43]. Likewise, quality of life was measured in just 1 of the studies [37], using the SF-36 Health Survey.…”

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

See 4 more Smart Citations

Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review

Borrella-Andrés

Marqués-García

Lucha-López

et al. 2021

BioMed Research International

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Background. Cervical radiculopathy is defined as a disorder involving dysfunction of the cervical nerve roots characterised by pain radiating and/or loss of motor and sensory function towards the root affected. There is no consensus on a good definition of the term. In addition, the evidence regarding the effectiveness of manual therapy in radiculopathy is contradictory. Objective. To assess the effectiveness of manual therapy in improving pain, functional capacity, and range of motion in treating cervical radiculopathy with and without confirmation of altered nerve conduction. Methods. Systematic review of randomised clinical trials on cervical radiculopathy and manual therapy, in PubMed, Web of Science, Scopus, PEDro, and Cochrane Library Plus databases. The PRISMA checklist was followed. Methodological quality was evaluated using the PEDro scale and RoB 2.0. tool. Results. 17 clinical trials published in the past 10 years were selected. Manual therapy was effective in the treatment of symptoms related to cervical radiculopathy in all studies, regardless of the type of technique and dose applied. Conclusions. This systematic review did not establish which manual therapy techniques are the most effective for cervical radiculopathy with electrophysiological confirmation of altered nerve conduction. Without this confirmation, the application of manual therapy, regardless of the protocol applied and the manual therapy technique selected, appears to be effective in reducing chronic cervical pain and decreasing the index of cervical disability in cervical radiculopathy in the short term. However, it would be necessary to agree on a definition and diagnostic criteria of radiculopathy, as well as the definition and standardisation of manual techniques, to analyse the effectiveness of manual therapy in cervical radiculopathy in depth.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

Section: Clinical Trial Characteristicsmentioning

confidence: 99%

See 3 more Smart Citations

Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review

Borrella-Andrés

Marqués-García

Lucha-López

et al. 2021

BioMed Research International

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Manualtherapeutische Ansätze bei zervikaler Radikulopathie

Ogorevc,

Moser

2023

Manuelle Medizin

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Zusammenfassung Hintergrund Die zervikale Radikulopathie (ZR) ist mit einer Inzidenz von 83,2 pro 100.000 Personen eine weitverbreitete neuromuskuloskeletale Erkrankung, bei der es zu einer Nervenwurzelirritation in der Halswirbelsäule kommt. Schmerzen und oftmals neurologische Symptome schränken die Betroffenen im Alltag stark ein. Für viele Patienten bedeutet die Erkrankung sogar die Arbeitsunfähigkeit. Da die konservative Behandlung bei diesem Krankheitsbild bei entsprechender klinischer Diagnostik das primäre Vorgehen darstellt, werden verschiedenste Techniken und Methoden für den Behandlungsprozess verwendet. Ziel Ziel dieser Arbeit ist es, die Wirksamkeit manualtherapeutischer Techniken bei der Behandlung von Patienten mit einer ZR in Bezug auf die Schmerzlinderung und die Funktionsverbesserung zu evaluieren. Material und Methoden Mittels Literaturrecherche in den Datenbanken PubMed, PEDro und Cochrane wurden Studien recherchiert und nach Durchsicht kritisch beurteilt und zusammengefasst. Ergebnisse Die Wirksamkeit der manuellen Therapie (MT) als Einzelintervention lässt sich schwer feststellen, da in den verwendeten Studien eine sehr große Variabilität in der Diagnostik und Durchführung besteht. Bei den Studien lassen sich vereinzelt Tendenzen erkennen, genaue Aussagen können jedoch nicht getroffen werden. In allen 7 analysierten Studien wurden allerdings signifikant positive Effekte im multimodalen Setting bei einer ZR bezüglich der Schmerzreduktion und Funktionsverbesserungen, bei dem die MT inkludiert wurde, festgestellt. Empfohlen wird daher ein umfangreiches Behandlungsprogramm mit inkludierter MT. Die Ergebnisse des Studienvergleichs beziehen sich nur auf kurzfristige Veränderungen des Wirkungsbereichs, da meist kein längeres Follow-up erfolgte. Schlussfolgerungen Um die Wirksamkeit der MT als Einzelintervention besser beurteilen zu können, braucht es einheitliche Kriterien für die Diagnostik und Behandlung der ZR sowie größere Stichprobengrößen und längere Zeiten der Nachuntersuchung. In der physiotherapeutischen Praxis sollte die MT als multimodaler Therapieansatz in Kombination mit anderen Behandlungsmaßnahmen durchgeführt werden.

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Acceptability, feasibility, and effectiveness of WE-SURF™: a virtual supervised group-based fall prevention exercise program among older adults

Ing,

Tan,

Whitney

et al. 2024

Aging Clin Exp Res

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Conducted physically, supervised group-based falls prevention exercise programs have demonstrated effectiveness in reducing the risk of falls among older adults. In this study, we aimed to assess the acceptability, feasibility, and effectiveness of a virtual supervised group-based falls prevention exercise program (WE-SURF™) for community-dwelling older adults at risk of falls. Method A preliminary study utilizing virtual discussions was conducted to assess the acceptability of the program among six older adults. Effectiveness was evaluated in a randomized controlled feasibility study design, comprising 52 participants (mean age: 66.54; SD: 5.16), divided into experimental (n = 26) and control (n = 26) groups. The experimental group engaged in a 6-month WE-SURF™ program, while the control group received standard care along with a fall’s prevention education session. Feasibility of the intervention was measured using attendance records, engagement rates from recorded videos, dropouts, attrition reasons, and adverse events. Results Preliminary findings suggested that WE-SURF™ was acceptable, with further refinements. The study revealed significant intervention effects on timed up and go (TUG) (η2p:0.08; p < 0.05), single leg stance (SLS) (η2p:0.10; p < 0.05), and lower limb muscle strength (η2p:0.09; p < 0.05) tests. No adverse events occurred during the program sessions, and both attendance and engagement rates were high (> 80% and 8/10, respectively) with minimal dropouts (4%). The WE-SURF™ program demonstrated effectiveness in reducing the risk of falls while enhancing muscle strength and balance. Conclusion In conclusion, WE-SURF™ was demonstrated to be an acceptable, feasible, and effective virtual supervised group-based exercise program for fall prevention in community-dwelling older adults at risk of falls. With positive outcomes and favourable participant engagement, WE-SURF™ holds the potential for wider implementation. Further research and scaling-up efforts are recommended to explore its broader applicability. (Registration number: ACTRN 12621001620819).

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Effect of Mulligan spinal mobilization with arm movement along with neurodynamics and manual traction in cervical radiculopathy patients: A randomized controlled trial

Cited by 14 publications

References 0 publications

Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review

Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review

Manualtherapeutische Ansätze bei zervikaler Radikulopathie

Acceptability, feasibility, and effectiveness of WE-SURF™: a virtual supervised group-based fall prevention exercise program among older adults

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