Effect Of Manual Cervical Traction and Inter-Vertebral Foramen Opening and Combination of Both Techniques in Patients with Cervical Radiculopathy: Randomized Control Trial

Manual Cervical Traction and Inter-Vertebral Foramen Opening Techniques


  • Mazhar Ali Bhutto Physiotherapy Department, Sindh Govt Civil Hospital, Khairpur
  • Muhammad Farid Nasir Sindh Institute of Physical Medicine and Rehabilitation
  • Ali Imran National Institute of Cardiovascular Diseases, Karachi
  • Aamir Gul Memon Physical Therapy Department, Riphah International University, Lahore
  • Falak Abdul Latif Physical Therapy Department, Suleman Roshan Medical College, Tando Adam
  • Iqra Salahuddin Pakistan Institute of Rehabilitation and Medical Sciences, Karachi
  • Muhammad Mustafa Khyber Medical University IHS, Islamabad
  • Suhail Karim University Sains, Malaysia




Cervical radiculopathy, posture, hectic work routine, patients


Cervical radiculopathy is the problem that probably every other person is complaining now a days and etiology is mostly age-related related posture and hectic work routine. Objective: Current trial was designed to associate the impact of cervical pull, foramen initial and both combined techniques on level of disablement, pain and range of motions of cervical spine in individuals having cervical radiculopathy. Methods: Sampling technique was non-probability and participants were allocated into 3 groups. A, B and C. Informed consent was taken and all subjects were instructed about the trial. Patients who were taking medications or denied to participate in study were excluded. Patients of age 30-50years who were not taking medication were included to conclude the impact of manual techniques. Patients were assigned into treatment groups based on inclusion criteria which is diagnosed MRI cervical radiculopathy unilateral upper extremity pain and numbness and 3 result test were positive out of 4. distraction test, Spurling Test, Ipsilateral rotation test and Upper-limb tension test. Results: In group A, mean age of subjects was 42.41±6.86 years, 40.95± 7.32 years in group B and 42.50±5.77 years in group C. 8(60%) participants were crabby of sharp and shooting pain in group A. 4(35%) describe the pain as burning and tingling and 1(5%) felt deep dull ache. In analysis of baseline and after completion of treatment assessment of each group, all variant determined considerable outcomes with p <0.05 in terms of Range of motion (ROMs) and neck pain. Conclusion: Manual techniques of cervical traction, intervertebral foramen opening and combination of both techniques have similar effect in improving neck ache, ROMs and disability level in patients suffering with cervical radiculopathy.


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DOI: 10.54393/pbmj.v5i7.629
Published: 2022-07-31

How to Cite

Ali Bhutto, M. ., Farid Nasir, M. ., Imran , A. ., Gul Memon , A. ., Abdul Latif , F. ., Salahuddin , I. ., Mustafa , M. ., & Karim , S. . (2022). Effect Of Manual Cervical Traction and Inter-Vertebral Foramen Opening and Combination of Both Techniques in Patients with Cervical Radiculopathy: Randomized Control Trial: Manual Cervical Traction and Inter-Vertebral Foramen Opening Techniques . Pakistan BioMedical Journal, 5(7), 313–316. https://doi.org/10.54393/pbmj.v5i7.629



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