About this trial
This study will be conducted to examine
1. The efficacy of mechanical traction from decompression angles combined with neural mobilization on the H reflex of flexor carpi radialis. 2. The efficacy of mechanical traction from decompression angles combined with neural mobilization on ultrasonography changes. 3. The efficacy of mechanical traction from decompression angles with neural mobilization has a Numeric Pain Rating Scale. 4. The efficacy of mechanical traction from decompression angles combined with neural mobilization on Neck Disability Index.
Eligibility criteria
Qualifiers
The patient's age will be ranged from 30 to 45 years old for both genders.
The patient's with unilateral C5-6 and C6-7 (posterior lateral disc protrusion) confirmed by T 2, axial view of magnetic resonance imaging
The patient's symptoms more than 3 months and positive provocative test for cervical radiculopathy (Spurling's test, shoulder abduction test, neck distraction test, and upper limb tension test 1 (Median nerve).
Sensory, reflex, and/ or motor changes in the upper limb
Disqualifiers
History of surgical procedures for pathologies giving rise to neck pain or carpal tunnel syndrome
Clinical signs or symptoms of medical "red flags" (infection, cancer, and cardiac involvement).
Patients with neck pain for signs and symptoms of serious pathology, including suspected arterial insufficiency, upper cervical ligamentous insufficiency, unexplained cranial nerve dysfunction, and fracture.
Systemic diseases such as autoimmune and metabolic diseases.
Trial design
Treatments tested in this trial
- traction (30 degree) head flexion
- Deep neck flexor strengthening exercise
- Sub occipital Release
- Hold/Relax Stretch
- Prone Cervical Unilateral Poster anterior Mobilization
- traction (foramen opening)
- traction (30 degree) side bending)