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Effectiveness of neural mobilization and low level laser therapy for patients with cervical radiculopathy

K. R. Vishnu priya 1*, A. Kumaresan 2


Background: The aim of the study is to analyze the effectiveness of neural mobilization and low level laser therapy for patients with cervical radiculopathy taking pain, neck range of motion and neck disability as outcome measures in patients with cervical radiculopathy.
Methodology: A total of 30 patients were selected and pre test values were measured by using as outcome measures and neural mobilization and laser therapy were given for 3 weeks and 5 days per week and the evaluator blinding was done. Numerical pain rating scale (NPRS), Neck disability index (NDI) are used as outcome measures. The collected data was tabulated & analyzed using descriptive & inferential statistics. To all parameters mean & standard deviation (SD) were used. Paired t-test was used to analyze significant changes between pre-test and post-test measurements.
Results: The P values of Numerical Pain Rating Scale and Neck Disability Index are less than 0.001 and high statistical significant differencemseen when compared within the group differences.
Conclusion: This study showed that there is beneficial effect in reducing pain and improving functional ability of the patients with cervical radiculopathy with a combined treatment of neural mobilization and low level laser therapy.


Cervical Radiculopathy; Neural Mobilization; Low Level Laser Therapy; Numerical Pain Rating Scale; Neck Disability Index

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Ayman Ali Galhom, Franklin C Wagner,Hassan Al- Shatomy. Cervical Spondylosis. 2005 october

Lishman WA, Russel WK. The brachial neuropathies. Lancet. 1961; 2:941-47.

Radhakrishnan K, Litchy WJ, O’Fallon WH, Kurland LT. Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 through 1990. Brain. 1994 Apr; 117(Pt 2):325-25.

Rebecca Reisch, Kimberly Williams, Robert J. Nee, Richard A. Rutt. ULTT2 median nerve bias-examiner reliability and sensory responses in asymptomatic subjects. Journal of manual and manipulative therapy.2005; Vol 13, No 1:pp 44-55

Robert J Nee, David S Butler. Management of peripheral neuropathic pain , integrating neuro biology, neurodynamics and clinical evidence. Physical therapy in sports . 2006 ; 7(2): pp 110-111

Saranga J, Green A, Lewis J, Worsfold C. Effect of a cervical lateral glide on the upper limb neurodynamic test 1: a blinded placebo-controlled investigation. Physiotherapy. 2003; 89(11):678-84.

Saal J S, Sall J A, Yurth E F. Non operative management of herniated cervical intervertebral radiculopathy. Spine 1996; 21(16): pp 1877-1883

Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathexcitation. J Manipulative Physiol Ther. 1998 September; 21(7):448-53.

Vernon H, Mior S. Neck disability index- a study of reliability and validity. Journal of manipulative physiological therapeutics.1991September;14(7):pp409-415

Michel W Coppieters , David S Butler. Do sliders slide and tensioners tension- an analysis of neurodynamic techniques and considerations regarding their application. Journal of Manual therapy. 2006

Albright J, Allman R, Bonfiglio RF, Conill A, Dobkin B, Guccione AA et al. Philadelphia panel evidence-based clinical practice guidelines on selected rehabilitation interventions for neck pain. Phys Ther. 2001 October; 81(10):1701-17.

Christopher R Showalter, Eric Van Doorne. The role of neurodynamics in carpel tunnel syndrome with double crush syndrome . Maitland Australian Physiotherapy Seminar

Allison GT, Nagy BM, Hall T. A randomized clinical trial of manual therapy for cervico-brachial pain syndrome- a pilot study. Man Ther. 2002; 7(2):95-102.

Hunt C. Peripheral nerve biomechanics- application to neural mobilization approach. Physical therapy reviews.2002 June;Vol 7:pp 111-121

Gerald E Malanga . the diagnosis and treatment of cervical radiculopathy.Medical science sports exercise.1997 July;29(7 Suppl):pp 236-245

Murphy DR, Hurwitz EL, Gregory A, Clary R. A nonsurgical approach to the management of patients with cervical radiculopathy: a prospective observational cohort study. J Manipulative Physiol Ther. 2006; 29:279-87.


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