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RECRUITING Not applicable ClinicalTrials.gov

Efficacy Of Gross Myofascial Release With Neural Mobilization Versus Neural Mobilization Alone On Pain, Functional Limitations, And Cervical Range Of Motion In Cervical Radiculopathy

Sponsor: Ibadat International University, Islamabad • ClinicalTrials.gov ID: NCT07808476

Registry updated: 2026-09-08
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Description

This is a randomized control trial aims to evaluate the efficacy of gross myofascial release with neural mobilization versus neural mobilization alone on pain, functional limitations, and cervical range of motion in cervical radiculopathy. Cervical radiculopathy, is characterized by neck pain, pain radiating down the arm, numbness, tingling, weakness of muscles and functionality limitations with compression or irritation of the cervical nerve root due to cervical spondylosis, cervical disc herniations or degeneration of the cervical spine leading to cervical radiculopathy and the diminished quality of life from decreased day-to-day functional capacity and productivity at work. The study will evaluate pain, functional limitations, and cervical range of motion.

Interventions

  • Gross Myofascial Release + Neural Mobilization (Other)
    Participants allocated to the experimental group will receive Gross Myofascial Release (GMFR) followed by median nerve neural mobilization. The GMFR intervention will include a gross stretch of the posterior cervical musculature and an upper-quarter (arm pull) fascial stretch. The stretch will be maintained for 90 seconds or until a palpable release of fascial tension is appreciated. Neural mobilization will be performed using the median nerve slider technique.. Neural mobilization will be performed by simultaneously moving the shoulder into greater abduction while the cervical spine is moved into contralateral side flexion to facilitate median nerve sliding(1 set of 10 repetitions with a 3-second hold per repetition). Each treatment session will also include a 10-minute hot pack before treatment and 10 minutes of TENS after treatment. The total session duration will be approximately 40 minutes, administered 3 sessions per week on alternate days for 4 weeks (12 sessions).
  • Neural Mobilization (Other)
    Participants allocated to the control group will receive neural mobilization technique. The intervention will be performed with the participant in the supine position, with the shoulder abducted and externally rotated, elbow extended, forearm supinated, and wrist, fingers, and thumb maintained in extension. Neural mobilization will be applied by simultaneously increasing shoulder abduction while moving the cervical spine into contralateral side flexion to facilitate median nerve sliding. Each treatment session will also include a 10-minute hot pack before treatment and 10 minutes of TENS after treatment. The treatment will be administered in 3 sets of 10 repetitions, with each repetition held for 3 seconds and a 60-second rest interval between sets, The total session duration will be approximately 40 minutes, administered 3 sessions per week on alternate days for 4 weeks (12 sessions).

Eligibility criteria

Inclusion Criteria: * Male and female patients aged between 25-55 years * Presence of chronic neck pain radiating to one upper limb * Positive Upper Limb Tension Test-I (Median nerve) * Patients having pain, numbness, tingling, or paresthesia in the cervical nerve root distribution. * Symptom's duration of at least 4 weeks Exclusion Criteria: * Patients with cervical myelopathy * History of cervical spine fracture, tumor, infection, or malignancy * Previous cervical spine surgery * Severe osteoporosis or inflammatory joint disease * Presence of systemic neurological disorders such as multiple sclerosis or stroke * Patients with severe cervical instability or vertebral artery insufficiency * Recent physiotherapy treatment for cervical radiculopathy within the last 3 months

Conditions

Cervical Radiculopathy

Locations

  • My Health Wellness center, Peshawar — Peshawar, KPK, Pakistan
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record