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Objective: To determine the effectiveness of Spinal Mobilization with manual traction on pain and disability in patients
with cervical Radiculopathy.
Study Design: Randomized control trial (RCT).
Place and Duration of Study: The study was conducted at Helping Hand for Relief Rehabilitation Centre Mingore Swat from
1stJanuary to 30th June 2014.
Materials and Methods: A total of 40 patients (23 males and 17 females) with mean age 35+8 were randomly selected and
placed into two groups A and B. The inclusion criteria was patients with diagnosed cervical radiculopathy on physical
examination were included. The Group A was treated with spinal mobilization with manual traction, while group B was
treated with spinal mobilization alone for 6 weeks at 3 days per week. The Neck Disability Index (NDI) and Numeric Pain
rating Scale (NPRS) were used to measure disability and radiating pain. SPSS version 21 was used for the analysis of data
and paired t-test was applied at 95% level of significance to determine the statistical outcomes.
Results: The results of both groups were significant but group of patients treated with the spinal mobilization and traction
managed pain (from NPRS mean score 6.2 to 2.5) and disability (from NDI mean score 29.18 to 13.45) more than the group
of patients treated with the spinal mobilization alone (Pain from NPRS mean score 6.1 to 3.15 and disability from NDI mean
score 30.5 to 18.21). Statistically the group A showed more significant results (p= 0.001) than group B (p= 0.054).
Conclusion: It is concluded that Spinal mobilization combined with manual traction is more effective than spinal
mobilization alone for the management of radicular pain and disability in patients with cervical radiculopathy.
Safdar Shah, Syed Shakil-ur-Rehman, Shakeel Ahmad. (2015) The Effects of Spinal Mobilization with and without Manual Traction in Patients with Cervical Radiculopathy, Journal of Islamic International Medical College, Volume-10, Issue-1.
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