Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
  • Year: 2018
  • Volume: 12
  • Issue: 3

Effectiveness of MWM, Neurodynamics and Conventional Therapy Versus Neurodynamics and Conventional Therapy in Unilateral Cervical Radiculopathy: A Randomized Control Trial

1MPT (Musculoskeletal Sciences), College of Physiotherapy, Nizam's Institute of Medical Sciences, Hyderabad, Telangana

2MPT (Musculoskeletal Sciences), Faculty of Physiotherapy, Nizam's Institute of Medical Sciences, Hyderabad, Telangana

3Professor and HOD, Department of Orthopeadics, Nizam's Institute of Medical Sciences, Hyderabad, Telangana

*Corresponding Author: Mr. Praveen Dowle MPT (Musculoskeletal Sciences) Faculty of Physiotherapy, College of Physiotherapy, Nizam's Institute of Medical Sciences Phone: 9849358507 Email: saipraveen_d@yahoo.com. Ki

Online published on 21 July, 2018.

Abstract

The purpose of this trial was to study and compare effectiveness of Mobilization With Movement (MWM), Neurodynamics (NDS) and conventional therapy(CT) versus NDS and CT in individuals with cervical radiculopathy.

Cervical radiculopathy (CR) is a common condition in recent days in which nerve root compression causes radicular symptoms in upper limbs. Recent evidence showing conservative treatment is more effective than surgical options.

the study design is Randomized controlled trial. this study included 90 patients with CR who were assigned randomly to a control group (CT only), experimental group I (CT+NDS) and experimental group II(CT+NDS+MWM). The subjects were treated for a period of 4 weeks. Pain was assessed by Numerical pain rating scale (NPRS), physical function was assessed by Neck Disability Index (NDI) and cervical rotation was assessed by goniometer on baseline, 2nd week and 4thweek in all three groups.

The results were analyzed by Kruskal Wallis test for NPRS and ANOVA for NDI and cervical rotation. All three groups showed significant improvement in pain (p<0.05), NDI (p<0.05) and cervical rotation (p<0.05).Comparison of three groups was done with Two Way ANOVA test.

Experimental group II (CT+NDS+MWM) and experimental group I (CT+NDS) were more effective when compared with control group in reducing pain and disability. Experimental group II (CT+NDS+MWM) subjects showed significant improvement in cervical rotations when compared with other two groups.

Keywords

Cervical Radiculopathy, Neurodynamics, MWM, Cervical rotation