COMPARISON OF EFFECTIVENESS OF NEURODYNAMIC TREATMENT AND COVENTIONAL TREATMENT IN CERVICAL RADICULOPATHY

Author(s): Abhilash P. V, Mayur Rai, Princy M Narayanan, Salbin Sebastian* and Theertha K

Abstract: Cervical radiculopathy is a disease of the cervical spinal nerve root and is most commonly caused by a cervical disc herniation or other space occupying lesion. Neural tissue management uses the specific position and movements of neck and arm to reduce nerve mechanosensitivity, resolve symptoms and restore function and a few studies have shown that neural mobilization provides immediate benefits without harmful effects. OBJECTIVES-To compare the effectiveness of neurodynamic treatment and conventional treatment in cervical radiculopathy. METHODOLOGY-Fifty subjects aged 18-70 years, both gender with unilateral upper extremity pain, paresthesia or numbness were recruited for this interventional study. Selected subjects were equally divided and randomly allocated into two experimental groups, group A and group B. The group A received conventional therapy while group B received Neurodynamic treatment (NDT)and strengthening exercise. The subjects in both groups were assessed by using Neck disability index and Numerical Pain Rating Scale before treatment and after one week of treatment. RESULTS- Analysis with paired and unpaired t test showed a highly significant difference (p< 0.05) between two groups, i.e., neurodynamic treatment had a significantly better effect than conventional treatment. CONCLUSION-NDT along with MFR and strengthening was more effective in management of cervical radiculopathy in reducing pain and improvement in neck function.

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