EFFECT OF CT GUIDED MOBILIZATION ON CERVICAL FOREMAN'S DIMENSIONS
EFFECT OF CT Guided Mobilization ON CERVICAL RADICULOPATHY
About this trial
This is an interventional treatment trial for EFFECT OF CT Guided Mobilization ON CERVICAL RADICULOPATHY
Eligibility Criteria
Inclusion Criteria:
- All patients suffer from paramedian cervical disc prolapse (C5-C6) for at least three months up to one year. The age of the patient range from 25 to 40 years. The body weight range from 75 to 90kg. The height ranged from 175 to 185cm.
- All the patients has unilateral cervical radiculopathy.
- Diagnosis will be confirmed by clinical and radiological assessment (CT or MRI).
Exclusion Criteria:
- 1. Sever central canal stenosis and cervical myelopathy . 2. Sequestrated and migrated disc prolapse. 3. Acute onset of pain (pain less than three months). 4. Presence of active infection in cervical spine. 5. Postoperative cases. 6. Patient suspected to chemotherapy and radiotherapy. 7. Cervical instability.
Sites / Locations
- ElRazzy Spine physical therapy clinicsRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
control group
CT guided opening mobilization of cervical intervertebral foreman
The control group will receive general stability exercises and neurodynamic mobilization only
Grade four manual therapy mobilization of cervical intervertebral foreman guided by 3 dimensions computed tomography (CT) as following : Determining the poper direction of cervical IVF by 3D CT. the patients lies in supine with his head resting comfortably at the position which cause maximum opening of the intervertebral foramen which has been determined by the 3D CT. cervical lateral glide from right to left for C5, C6 and C7, Grade IV 3 × 6 on each segment. Passive mobilization techniques were progressed, utilizing unilateral posteroanterior mobilization of the mid and lower cervical spine and lateral gliding movements, in both directions, progressing in duration and intensity to allow a graded exposure of load. Sustained Natural Apophyseal Glides (SNAGS) were used mainly as self-treatment techniques to maintain the gains that achieved.