| CTRI Number |
CTRI/2026/03/105660 [Registered on: 09/03/2026] Trial Registered Prospectively |
| Last Modified On: |
06/03/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Comparison of Two Physiotherapy Treatments for Neck Pain and Restricted Neck Movement |
|
Scientific Title of Study
|
EFFECT OF SPINAL MOBILIZATION WITH ARM MOVEMENT VERSUS DYNAMIC CUPPING THERAPY ON PAIN INTENSITY AND RANGE OF MOTION IN CERVICAL RADICULOPATHY: A RANDOMIZED CONTROLLED TRIAL |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Apeksha Hungund |
| Designation |
Assistant Professor |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
Belgaum
KARNATAKA
590010
India |
| Phone |
8310725829 |
| Fax |
|
| Email |
apeksha_hugund@klekipt.edu.in |
|
Details of Contact Person
Scientific Query
|
| Name |
Dr Apeksha Hungund |
| Designation |
Assistant Professor |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
KARNATAKA
590010
India |
| Phone |
8310725829 |
| Fax |
|
| Email |
apeksha_hugund@klekipt.edu.in |
|
Details of Contact Person
Public Query
|
| Name |
Shivam Urankar |
| Designation |
post-Graduate student |
| Affiliation |
KAHER Institute of Physiotherapy |
| Address |
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
Belgaum
KARNATAKA
590010
India |
| Phone |
7483118847 |
| Fax |
|
| Email |
shivamurankar2002@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
KLE Academy of Higher Education and Research Center |
| Address |
KAHER Institute of physiotherapy center department of OMT physiotherapy room no 13 sagar floor KLE DR prabhakar kore hospital belagavi karnatak-590010 |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Shivam Urankar |
Dr Apeksha Hungund |
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
KAHER Institute of Physiotherapy, Department of OMT Physiotherapy, Sagar Floor, KLE Dr Prabhakar Kore Hospital Belagavi Karnataka - 590010 Belgaum KARNATAKA INDIA
Belgaum
KARNATAKA |
07483118847
shivamurankar2002@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Research & Ethical committe, Institute of physiotherapy, Belagavi. |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: G568||Other specified mononeuropathies of upper limb, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Dynamic cupping therapy technique |
Dynamic cupping therapy is used in this study as a manual treatment to reduce pain and improve neck mobility in individuals with cervical radiculopathy. The technique involves placing silicone or glass cups over the muscles related to the affected cervical nerve root. Negative pressure is created using a suction pump to lift the skin and underlying soft tissues. Once suction is applied, the therapist gently moves the cups in a longitudinal gliding manner along the cervical and upper shoulder region. This dynamic movement helps reduce muscle tightness, improve local blood circulation, and decrease neural tension. Each treatment session lasts for 10–15 minutes, with a total duration of 15–20 minutes per session, delivered over 10 sessions on alternate days. Outcome measures used to assess effectiveness include pain intensity measured by the Visual Analogue Scale, cervical range of motion assessed using a universal goniometer, and functional disability evaluated using the Neck Disability Index. |
| Comparator Agent |
spinal mobilization with arm movement technique |
Spinal Mobilization with Arm Movement (SMWAM) is a manual therapy technique used to treat cervical radiculopathy by reducing pain and improving neck mobility. In this approach, the patient sits upright while the therapist applies a sustained, pain-free glide to the affected cervical spinal segment, usually between C5 and C7. At the same time, the patient actively performs arm elevation on the symptomatic side. This combined movement helps correct minor joint dysfunction, reduce nerve root irritation, and improve neural mobility. The technique is performed in a pain-free manner with 6–10 repetitions per set, three sets per session, over 10 sessions on alternate days. Each session lasts about 15–20 minutes and is followed by home-based cervical isometric and stretching exercises. Treatment outcomes are assessed using the Visual Analogue Scale for pain, cervical range of motion measured with a universal goniometer, and functional disability using the Neck Disability Index. |
|
|
Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
All genders diagnosed with cervical radiculopathy between the age group of thirty to fifty years
Clinical features including neck pain radiating to the arm
Either Positive Spurling test or cervical distraction test and positive upper limb tension test
|
|
| ExclusionCriteria |
| Details |
History of recent cervical trauma fracture dislocation or surgery
Systemic or inflammatory conditions example rheumatoid arthritis ankylosing spondylitis
Skin infections, open wounds, or contraindications to cupping therapy bleeding disorders anticoagulant use varicose veins
Cervical myelopathy or Systemic neuropathies diabetic neuropathy
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
On-site computer system |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
Visual analogue scale
cervical range of motion using universal goniometer
neck disability index |
pre assessment of all the outcome measures will be done prior to the commencement of the intervention and post assessment after the completion of four weeks of intervention |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| NIL |
NIL |
|
|
Target Sample Size
|
Total Sample Size="36"
Sample Size from India="36"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
02/05/2026 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
This study compares Spinal Mobilization with Arm Movement (SMWAM) and Dynamic Cupping Therapy in individuals with cervical radiculopathy, focusing on pain reduction and improvement in neck mobility. SMWAM is performed with the patient seated upright while the therapist applies a sustained, pain-free glide to the involved cervical segment, most commonly between C5 and C7. During the glide, the patient actively performs arm elevation on the symptomatic side. The technique is delivered in a pain-free direction with 6–10 repetitions per set, three sets per session, over 10 sessions on alternate days. Each session lasts 15–20 minutes and is followed by home-based cervical isometric and stretching exercises to maintain benefits. Dynamic cupping therapy involves placing silicone or glass cups over the muscles related to the affected cervical nerve root. Negative pressure is created using a suction pump, and the cups are then glided longitudinally along the cervical and upper shoulder region with light to moderate suction. Each session lasts 10–15 minutes, with a total session duration of 15–20 minutes, provided over 10 alternate-day sessions. Outcome measures for both interventions include pain intensity assessed using the Visual Analogue Scale, cervical range of motion measured in degrees using a universal goniometer, and functional disability evaluated using the Neck Disability Index. Inclusion criteria include adults aged 30–50 years of any gender diagnosed with cervical radiculopathy, presenting with neck pain radiating to the arm and positive clinical tests such as Spurling’s, cervical distraction, or upper limb tension test. Exclusion criteria include recent cervical trauma or surgery, inflammatory or systemic conditions, cervical myelopathy, systemic neuropathies, and contraindications to cupping therapy such as skin infections or bleeding disorders. |