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Cervical RadiculopathyNCT06663592

Efficacy of Adding Neural Mobilization Techniques in Patients With Cervical Radiculopathy

A study testing Conventional treatment, Tensioner Neuro Dynamic Mobilization and Slider Neuro Dynamic Mobilization in people with Cervical Radiculopathy and Neuromobılızatıon, run by Cairo University at 1 site in Egypt.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The goal of this randomized controlled trial is to investigate the effects of adding slider neural mobilization technique compared to tensioner neural mobilization technique to conventional physical therapy treatment on pain, function, cervical range of motion, hand grip strength, and electrophysiological parameters… Read more about this study

Who is it for?
Ages 30 to 50 years
What is being tested?
Conventional treatment, Tensioner Neuro Dynamic Mobilization and Slider Neuro Dynamic Mobilization
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteEgypt
Study dates
15 Nov 2024to 15 Apr 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Current continuous or intermittent pain that has persisted for more than 3 months.
  • Motor, reflex, and/or sensory changes in the upper limb.
  • Both genders aged 30-50 years.
  • Three positive special tests out of five as a predefined diagnostic criterion from the following tests: Upper Limb Neural Tension A (ULNT) test for the median nerve, Spurling's test, compression test, cervical distraction test, less than 60° cervical rotation towards the symptomatic side, and Valsalva maneuver.
  • A motor nerve conduction study, F wave, and H reflex were performed in the involved limb to confirm CR.

Who cannot join

  • History of surgical procedures for cervical or upper extremity.
  • Clinical signs or symptoms of medical red flags (infection, cancer, and cardiac involvement).
  • Patients with neck pain for signs and symptoms of serious pathology, upper cervical ligamentous insufficiency, unexplained cranial nerve dysfunction, and spinal fractures.
  • Any systematic disease such as rheumatism and tuberculosis, cervical myelopathy, or multiple sclerosis.
  • Systemic disease is known to cause generalized peripheral neuropathy, such as diabetes mellitus.
  • Complete loss of sensation along the involved nerve root.
Show all 9Show fewer
  • Upper limb compression syndrome, such as thoracic outlet syndrome, carpal tunnel syndrome, and pronator syndrome.
  • Pregnant woman.
  • Patients who have received any physical therapy of the cervical region in the past 3 months.

Trial locations and contacts

1 site in 1 country.

Egypt1 site
  • Cairo university

    Cairo, Cairo Governorate

Other trials in Egypt

About this study

Official title: Effectiveness of Slider and Tensioner Neurodynamic Mobilization Techniques in Patients With Cervical Radiculopathy: A Randomized Controlled Trial

The goal of this randomized controlled trial is to investigate the effects of adding slider neural mobilization technique compared to tensioner neural mobilization technique to conventional physical therapy treatment on pain, function, cervical range of motion, hand grip strength, and electrophysiological parameters of the median nerve in patients with cervical radiculopathy.

Read the detailed description

Cervical radiculopathy (CR) is a condition where the nerve root of a spinal nerve is compressed or impaired, causing the pain and symptoms to spread beyond the neck, radiating to the shoulder, and upper limb. Cervical radiculopathy primarily results from an impingement and inflammation of a nerve root induced by a space-occupying lesion that reduces the size of the intervertebral foramen, as a degenerative lesion of the zygapophyseal joint, or it is associated with a cervical disc derangement.

Patients presenting with CR complain of neck, periscapular, and radicular pain into the hand and arm. As well as neurologic symptoms such as sensory disturbances (paresthesia or numbness), muscle weakness with reduced tendon reflexes in the affected nerve root, or a combination of these signs and symptoms.

The reported annual incidence of CR is 85 cases per 100,000 people in the population, while the prevalence is 3.5/1000 persons. The C7 nerve root is most frequently impacted, with more than half of all cases affecting this level.

Several studies utilized therapeutic exercises, manual therapy, other modalities, cervical collars, cervical traction, postural education, and different medications such as drugs and steroid injections in the conservative management for cervical radiculopathy in its different stages.

The neural mobilization (NM) is a manual therapy method that improves neural flexibility, lowers dynamic sensitivity of the nervous system, increases blood flow, and relieves pain; for that, improved neural mobility and alleviated pain increase joint range of motion (ROM).

The NM techniques are delivered by two techniques, "sliding/gliding" and "tensioning." Tensioner technique generate tension from both ends of the nerve, while sliders involve gliding of the nerve relative to its surrounding structures by performing joint movements that elongate the nerve bed with minimal strain. In addition, sliders are usually less aggressive than tensioners, and their use might be indicated at early disease stages.

Both techniques aid in preventing the formation of adhesions, reducing endoneurial pressure, reducing intraneural edema, increasing nerve oxygenation, and decreasing ischemic pain.

Studies that used sliders and tensioners techniques in their clinical studies showed significant changes in biomechanical factors such as patients' self-reports of pain, disability, ROM, endurance, and muscle strength in the management of musculoskeletal neck disorders with nerve-related symptoms.

Therefore, what are the possible effects of adding the tensioner neural mobilization technique versus the slider neural mobilization technique to conventional physical treatment in treating patients with cervical radiculopathy?

Being tested
Conventional treatment, Tensioner Neuro Dynamic Mobilization, Slider Neuro Dynamic Mobilization
Medical subject headings
Radiculopathy

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional treatmentOther

    hot pack, stretching of the neck muscles, cervical isometrics exercise

  • Tensioner Neuro Dynamic MobilizationOther

    Median nerve tensioner neural mobilization with addition to conventional treatment

  • Slider Neuro Dynamic MobilizationOther

    Median nerve neural sliding mobilization with addition to conventional treatment

Study groups in NCT06663592
Study groupRoleWhat they receive
Control group A (conventional treatment)Active comparatorConventional treatment, including hot pack, stretching of the neck muscles, cervical isometrics exercise.
Receives: Other: Conventional treatment
Experimental group B (Tensioning neural mobilization with addition to conventional treatment)ExperimentalMedian nerve neural tensioning mobilization with addition to conventional treatment
Receives: Other: Tensioner Neuro Dynamic Mobilization
Experimental group C (Sliding neural mobilization with addition to conventional treatment)ExperimentalMedian nerve sliding neural mobilization with addition to conventional treatment
Receives: Other: Slider Neuro Dynamic Mobilization

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Visual Analogue Scale

    to measure neck pain with score extended from 0 to 10, minimum score 0 (no pain), highest score 10 (worst pain).

    Measured: At baseline, to the end of treatment at 4 weeks.

  2. The Arabic Version Of Neck Disability Index

    to assess the level of disabilities in patients with neck pain, in % points.

    Measured: At baseline, to the end of treatment at 4 weeks.

  3. Cervical Range of Motion

    to measure the full cervical rotation using CROM device in degrees

    Measured: At baseline, to the end of treatment at 4 weeks.

  4. Hand Grip Strength

    to measure hand grip strength using hydraulic dynamometer, in kilogram.

    Measured: At baseline, to the end of treatment at 4 weeks.

  5. Nerve Conduction Study

    Motor conduction study for the median nerve, to measure conduction velocity (m/second), distal latency (ms), and amplitude(mV).

    Measured: At baseline, to the end of treatment at 4 weeks.

  6. F wave

    F wave for the median nerve to measure latency (ms).

    Measured: At baseline, to the end of treatment at 4 weeks.

  7. H-Reflex

    H-Reflex for the median nerve to measure latency (ms), amplitude (mV), H-R ratio (%).

    Measured: At baseline, to the end of treatment at 4 weeks.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Oct 2024
  2. Study start15 Nov 2024
  3. Primary completion15 Mar 2025
  4. Study completion15 Apr 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
36 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06663592
Sponsor's protocol ID
P.T.REC/012/005270
Status last verified
Apr 2026
First submitted
21 Oct 2024
Last updated
9 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Abrams RA, Butler JM, Bodine-Fowler S, Botte MJ. Tensile properties of the neurorrhaphy site in the rat sciatic nerve. J Hand Surg Am. 1998 May;23(3):465-70. doi: 10.1016/S0363-5023(05)80464-2.

    PubMed 9620187
  • Adams MA, Dolan P. A technique for quantifying the bending moment acting on the lumbar spine in vivo. J Biomech. 1991;24(2):117-26. doi: 10.1016/0021-9290(91)90356-r.

    PubMed 2037611
  • Alharmoodi BY, Arumugam A, Ahbouch A, Moustafa IM. Comparative effects of tensioning and sliding neural mobilization on peripheral and autonomic nervous system function: A randomized controlled trial. Hong Kong Physiother J. 2022 Jun;42(1):41-53. doi: 10.1142/S1013702522500056. Epub 2022 Mar 17.

    PubMed 35782695
  • Audette I, Dumas JP, Cote JN, De Serres SJ. Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther. 2010 May;40(5):318-23. doi: 10.2519/jospt.2010.3180.

    PubMed 20436238
  • Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W. The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis. J Orthop Sports Phys Ther. 2017 Sep;47(9):593-615. doi: 10.2519/jospt.2017.7117. Epub 2017 Jul 13.

    PubMed 28704626
  • Beaton DE, O'Driscoll SW, Richards RR. Grip strength testing using the BTE work simulator and the Jamar dynamometer: a comparative study. Baltimore Therapeutic Equipment. J Hand Surg Am. 1995 Mar;20(2):293-8. doi: 10.1016/s0363-5023(05)80029-2.

    PubMed 7775773
  • Bland JH, Boushey DR. Anatomy and physiology of the cervical spine. Semin Arthritis Rheum. 1990 Aug;20(1):1-20. doi: 10.1016/0049-0172(90)90090-3.

    PubMed 2218549
  • Bogduk N, Mercer S. Biomechanics of the cervical spine. I: Normal kinematics. Clin Biomech (Bristol). 2000 Nov;15(9):633-48. doi: 10.1016/s0268-0033(00)00034-6.

    PubMed 10946096
  • Boyles R, Toy P, Mellon J Jr, Hayes M, Hammer B. Effectiveness of manual physical therapy in the treatment of cervical radiculopathy: a systematic review. J Man Manip Ther. 2011 Aug;19(3):135-42. doi: 10.1179/2042618611Y.0000000011.

    PubMed 22851876
  • Burke FD, Ellis J, McKenna H, Bradley MJ. Primary care management of carpal tunnel syndrome. Postgrad Med J. 2003 Aug;79(934):433-7. doi: 10.1136/pmj.79.934.433.

    PubMed 12954952
  • ISBN 0975091026

  • Carette S, Fehlings MG. Clinical practice. Cervical radiculopathy. N Engl J Med. 2005 Jul 28;353(4):392-9. doi: 10.1056/NEJMcp043887. No abstract available.

    PubMed 16049211
  • Carlesso LC, Macdermid JC, Gross AR, Walton DM, Santaguida PL. Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey. Chiropr Man Therap. 2014 Mar 24;22(1):11. doi: 10.1186/2045-709X-22-11.

    PubMed 24661461
  • Cattrysse E, Barbero M, Kool P, Gagey O, Clarys JP, Van Roy P. 3D morphometry of the transverse and alar ligaments in the occipito-atlanto-axial complex: an in vitro analysis. Clin Anat. 2007 Nov;20(8):892-8. doi: 10.1002/ca.20559.

    PubMed 17948286
  • Christie AD, Inglis JG, Boucher JP, Gabriel DA. Reliability of the FCR H-reflex. J Clin Neurophysiol. 2005 Jun;22(3):204-9.

    PubMed 15933493

Questions about this trial

What is this clinical trial studying?

A study testing Conventional treatment, Tensioner Neuro Dynamic Mobilization and Slider Neuro Dynamic Mobilization in people with Cervical Radiculopathy and Neuromobılızatıon, run by Cairo University at 1 site in Egypt.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Visual Analogue Scale (time frame: At baseline, to the end of treatment at 4 weeks.). The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06663592, which also lists 74 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Apr 2026.

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