The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain

Wouters, Leo L., Janssens, Koen, Stappaerts, Karel H. and Coppieters, Michel W. (2003) The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain. Journal of Orthopaedic & Sports Physical Therapy, 33 7: 369-378.


Author Wouters, Leo L.
Janssens, Koen
Stappaerts, Karel H.
Coppieters, Michel W.
Title The immediate effects of a cervical lateral glide treatment technique in patients with neurogenic cervicobrachial pain
Journal name Journal of Orthopaedic & Sports Physical Therapy   Check publisher's open access policy
ISSN 0190-6011
Publication date 2003-07-01
Sub-type Article (original research)
Volume 33
Issue 7
Start page 369
End page 378
Total pages 9
Editor Guy G. Simoneau
Place of publication Alexandria, VA. U.S.A.
Publisher Jospt, Alliance Group Communications
Collection year 2003
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
Formatted abstract
Study Design:
Randomized clinical trial.

Objectives:
To analyze the immediate treatment effects of cervical mobilization and therapeutic ultrasound in patients with neurogenic cervicobrachial pain.

Background:
Different treatment modalities have been described for patients with neurogenic cervicobrachial pain. Although it has been suggested that a more specific approach, like cervical mobilization, would be more effective, effect studies are scarce.

Methods and Measures:

Twenty patients with subacute peripheral neurogenic cervicobrachial pain were assessed. Besides other criteria, patients were included if a cervical segmental motion restriction was present which could be regarded as a possible cause of the neurogenic disorder. Patients were randomly assigned to a mobilization or ultrasound group. Mobilization consisted of a contralateral lateral.,glide technique. The range of elbow extension, symptom distribution, and pain intensity during the neural tissue provocation test for the median nerve were used as outcome measures. Results were analyzed using a 2-way mixed-design ANOVA.

Results:
Significant differences in treatment effects between the 2 groups could be observed for all outcome measures (Pless than or equal to.0306). For the mobilization group, the increase in elbow extension from 137.3degrees to 156.7degrees, the 43.4% decrease in area of symptom distribution, and the decreased pain intensity from 7.3 to 5.8 were significant (Pless than or equal to.0003). For the ultrasound group, there were no significant improvements (Pgreater than or equal to.0521).

Conclusions:

When a cervical dysfunction can be regarded as a cause of the neurogenic disorder or as a contributing factor that impedes natural recovery, a cervical lateral glide mobilization has positive immediate effects in patients with subacute peripheral neurogenic cervicobrachial pain. This movement-based approach seems preferable to ultrasound.
Keyword Orthopedics
Rehabilitation
Sport Sciences
Brachial Plexus
Cervical Spine
Manipulative Therapy
Manual Therapy
Neurodynamic Test
Carpal-tunnel-syndrome
Upper-limb Pain
Median Nerve
Manipulative Physiotherapy
Peripheral-nerves
Neuropathic Pain
Tension Test
Therapy
Motion
Mobilization
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 12:01:40 EST