Neural mobilization for brachial neuralgia among cervical spondylosis patients.

Suresh Kumar, S (2011) Neural mobilization for brachial neuralgia among cervical spondylosis patients. Masters thesis, RVS College of Physiotherapy, Coimbatore.


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INTRODUCTION : Cervical spondylosis refers to common age related changes in the area of the spine at the back of the neck. With age the vertebrae gradually form bone spur, and their shock- absorbing disks slowly shrink. These changes can alter the alignment and stability of the spine. They may produce problems related to pressure on the spine and associated nerves and blood vessels. Cervical spondylosis affects both sexes. But men usually develop it at an earlier age than women do. Cervical spondylosis can also, lead to squashing of nearby nerves or the spinal cord leading to symptoms such as, Pain radiating from arms pins and needles, Loss of feeling in hands. A syndrome associated with inflammation of the brachial plexus. The term brachial neuralgia generally refers to pain associated with brachial plexus injury. AIM OF THE STUDY : Brachial neuralgia is a common problem seen now a days. It is commonly treated by interferential therapy, TENS. They relieved symptoms symptomatically but are not useful in restoring function. Neural mobilization and interferential therapy are practiced and found to be effective in treating brachial neuralgia among cervical spondylosis. METHODS : Study design - The research design of this study is experimental, comparative in nature. Settings - The study was conducted in RVS hospital, Yasodha physiotherapy centre, H.S hospital and Vinayaga physiotherapy centre, V.G medical centre. Inclusion criteria: • Brachial neuralgia with cervical spondylosis, • Decreased cervical rotation ROM, • Age group 25-40, • Both sexes(male and female), • White collar occupation. Exclusion criteria: • Neurological fatigue- myopathies, • Hypersensitive, • Inter vertebral disc prolapsed, • Headache with autonomic Involvement, dizziness, • congenital condition of cervical spine. RESULTS : A comparative study was conducted to find out the effectiveness of neural mobilization for brachial neuralgia among cervical spondylosis patients. Twenty (20) cervical spondylosis patients with brachial neuralgia referred to the physical therapy department of RVS multispecialty hospital we agreed to participate in the study and were randomly divided into 2 groups, group-I and group-II, each having 10 subjects. Group-1 subjects were treated with intermittent cervical traction and interferential therapy for a period of two weeks. Group-II subjects were treated with intermittent cervical traction and neural mobilization for 2 weeks. The alternate hypothesis stated as, there is a significant difference in the rehabilitation of brachial neuralgia in between group-1(ICT&IFT) and group-II (ICT&NERVE MOBILIZATION) among cervical spondylosis patients. CONCLUSION : There was no base line difference between group-I and group-II in the sample, but after intervention there is significant improvement in both the groups, but group-II showed more significant improvement than group-I. Hence the null hypothesis is rejected and the alternate hypothesis is accepted. The result concluded that neural mobilization is more effective than interferential therapy while combined with intermittent cervical traction in the rehabilitation of brachial neuralgia among cervical spondylosis patients and hence it can be combined with intermittent cervical traction to reduce pain and improve cervical rotation ROM for brachial neuralgia patients.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Neural mobilization ; brachial neuralgia ; cervical spondylosis ; patients.
Subjects: PHYSIOTHERAPY > Sports Physiotherapy
Depositing User: Subramani R
Date Deposited: 23 Aug 2017 01:56
Last Modified: 12 Jan 2020 00:40

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