Mulligan Mobilization & Stretching Effects of Cervical
Effects of Mulligan Mobilization and Stretching on Cervical Radiculopathy
Riphah International University
30 participants
Jul 15, 2025
INTERVENTIONAL
Summary
1. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing pain in individuals with cervical radiculopathy. 2. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing disability in individuals with cervical radiculopathy. 3. To evaluate the effectiveness of mulligan mobilization and stretching exercises at improving ranges in individuals with cervical radiculopathy.
Eligibility
Inclusion Criteria6
- Participants falling in this category would be recruited into the study.
- Both genders
- Age between 20-50 years
- Subjects with neck pain radiating down to the arm
- Patients with positive findings for spurling test, Upper Limb Tension Test (ULTT), cervical distraction test and cervical rotation test towards the symptomatic side
- Subjects who were willing to participate in the study and willing to take treatment for cervical radiculopathy.
Exclusion Criteria8
- Participant failing to fall in this category would be excluded of the study.
- Systemic disease potentially affecting the musculoskeletal system Patients experiencing primary shoulder or upper extremity problem of local origin
- Patients with any cardiovascular disorders and respiratory disorders
- Patients with any other pathological conditions involving cervical spine like vertebro basilar insufficiency and canal stenosis
- Patients having osteophytes in cervical vertebrae
- Patients who were undergoing treatment for neck pain with other means of physiotherapy at the time of the study
- Hypermobile joints of cervical vertebrae, Cervical fractures, spinal surgery or other spinal pathologies (i.e. ankylosing spondylitis, spondylolysthesis)
- Peripheral nerve lesions like neurotemesis and axonotemesis
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
Group A will receive Mulligan mobilizations (SNAGs). Mulligan SNAGs mobilization technique was applied at level C4/5. Subjects were placed in sitting position and therapist stood behind the patient with therapist's thumbs on spinous process of particular vertebra. Mobilization was given by active movement followed by passive overpressure based on the movement restricted. The duration of treatment was three sets of ten repetitions each. Conventional treatment include the following: Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), and manual traction along with deep neck flexor, and isometric neck strengthening.
Group B will receive stretching exercises. Subject was asked to lie supine on the plinth and the head was held at the edge of the plinth by the therapist. Then with one hand the therapist held the neck in cervical lateral flexion to the opposite side so as to achieve the stretching of the trapezius muscle. Myofascial release by applying sustained finger pressure for 5-10 s on the involved trapezius was given. A gentle myofascial stretching force was applied to take up slack and sustained until a release occurred. This protocol comprised four sets of 15 stretches with 3 min rest. Conventional treatment include the following: Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), manual traction along with deep neck flexor, and isometric neck strengthening.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07045974