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Effect of myokinetic stretching technique and spinal mobilization with arm movement in subjects with cervical radiculopathy: a randomized clinical trial |
Hungund A, Metgud S, Heggannavar A |
Indian Journal of Physical Therapy and Research 2020 Jul-Dec;2(2):134-140 |
clinical trial |
6/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
BACKGROUND AND OBJECTIVE: Literature suggests spinal mobilization with arm movement (SMWAM) individually is effective in treating cervical radiculopathy. There is paucity of literature on myokinetic stretching technique (MST) and evidence which compare MST and SMWAM. The aim of the present study was to evaluate the effect of MST and SMWAM on range of motion (ROM), pain, functional disability, and grip strength in subjects with cervical radiculopathy. MATERIALS AND METHODS: A randomized clinical trial with thirty two subjects diagnosed with cervical radiculopathy were included in the study and randomly divided into two groups of 16 subjects each where, group A received MST and group B received Mulligan's SMWAM along with the conventional treatment. Outcome measures were assessed on the 1st day preintervention and 6th day postintervention where pain intensity was assessed using visual analog scale, ROM using universal goniometer, grip strength using hand dynamometer, and functional performance using neck disability. RESULTS: Within group analysis showed pain relief, improvement in ROM, and reduced disability which was statistically significant in both the groups (p < 0.0001) whereas the between group analysis revealed no statistical significance. There was no significant difference in grip strength scores between the groups (p = 1). CONCLUSION: The study concluded that MST and SMWAM are equally effective in relieving pain, improving ROM, and functional disability in subjects with cervical radiculopathy.
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