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RecruitingNot ApplicableNCT06102304

Myo-Electrical and Nerve Root Function Response to Focused Extracorpeal Shock Wave in Cervical Radiculopathy

Effect of Focused Focused Extracorpeal Shock Wave on the Myo-Electrical and Nerve Root Function in Patients With Cervical Radiculopathy

Sponsor

Cairo University

Enrollment

80 participants

Start Date

Apr 6, 2025

Study Type

INTERVENTIONAL

Summary

BACKGROUND: Upper limb nerve root dysfunction with increased active myofascial trigger point in upper trapezius is common problem in patients with cervical radiculopathy. The purpose of this study was to evaluate the effect of Extracorpeal shock wave on the myo-electric and nerve function responses in patients with cervical radiculopathy.

Eligibility

Min Age: 36 YearsMax Age: 46 Years

Inclusion Criteria5

  • All patients suffer from unilateral discogenic cervical radiculopathy of lower cervical spine(C5-C6 and/ or C6-C7) as confirmed with MRI.
  • All patients suffer from pain and tenderness on active trigger points of the upper trapezius .
  • Age ranging from 36 to 46 years old.
  • Duration of symptoms more than 3 months to avoid acute stage of inflammation.
  • Side to side amplitude differences of 50% or more in DSSEPs measurement (Naguszewski et al.,2001)

Exclusion Criteria8

  • Posterior osteophytes
  • Spinal canal stenosis
  • Rheumatoid arthritis
  • Vestibular insufficiency
  • Osteoporosis
  • Any signs or symptoms of myelopathy
  • Any abnormalities of deep sensation
  • Associated pathologies of upper cervical region or the upper limb that may cause overlapping with clinical findings as referred pain from costotransverse joint, rotator cuff tendonitis, cervical rib syndrome and entrapment neuropathy.

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Interventions

DEVICEFocused Extracorpeal Shock wave

Focused Extracorporeal shock wave for 700 impulses of 0.056 mJ/mm at a frequency of 10 Hz to the taut band and 300 impulses surrounding the taut band was applied as low energy 2 sessions per week for 4 weeks. (EME S.r.l. via Degli Abeti 88/161122 Pesaro \[serial number: EM12681015\], Italy) was used as a focused extracorporeal shock wave therapy apparatus.

DEVICESham Extracorpeal shock wave

(EME S.r.l. via Degli Abeti 88/161122 Pesaro \[serial number: EM12681015\], Italy) was used as a focused extracorporeal shock wave therapy apparatus. The device will be used in the demo mood with no radiation or impulses applied.

Locations(1)

Faculty of Physical Therapy, Cairo University

Giza, Dokki, Egypt

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NCT06102304