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CTRI Number  CTRI/2019/05/019382 [Registered on: 27/05/2019] Trial Registered Prospectively
Last Modified On: 15/04/2020
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 Mulligan verses conventional Neurodynamic technique in cervical radiculopathy 
Scientific Title of Study   A Comparative Study of Mulligan Mobilization Versus Conventional Neurodynamic Mobilization on Pain Disability & Cervical ROM in Treatment of Cervical Radiculopathy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amita Aggarwal 
Designation  Assistant Professor 
Affiliation  Dr. D.Y. Patil College of Physiotherapy 
Address  Department of Kinesiotherapy 1st Cabin,3rd floor,Dr. D.Y. Patil College of Physiotherapy,Sant Tukaram Nagar,Pimpri,Pune.

Pune
MAHARASHTRA
411018
India 
Phone  7986972513  
Fax    
Email  amita15pgi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Amita Aggarwal 
Designation  Assistant Professor 
Affiliation  Dr. D.Y. Patil College of Physiotherapy 
Address  Department of Kinesiotherapy 1st Cabin,3rd floor,Dr. D.Y. Patil College of Physiotherapy,Sant Tukaram Nagar,Pimpri,Pune.

Pune
MAHARASHTRA
411018
India 
Phone  7986972513  
Fax    
Email  amita15pgi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ruvitte Gomes 
Designation  PG student 
Affiliation  Dr. D.Y. Patil College of Physiotherapy 
Address  PG-1 Classroom,3rd floor,Dr. D.Y. Patil College of Physiotherapy,Sant Tukaram Nagar,Pimpri,Pune

Pune
MAHARASHTRA
411018
India 
Phone  9673756713  
Fax    
Email  ruvittegomes@gmail.com  
 
Source of Monetary or Material Support  
Amita Aggarwal (Self) MPT Assistant Professor Dr. D.Y. Patil College of Physiotherapy Dr. D.Y. Patil Vidyapeeth, Sant Tukaram Nagar Pimpri -18 Pune Maharashtra India 
 
Primary Sponsor  
Name  Amita Aggarwal 
Address  Flat No. 1004 A wing Kamalraj Haridwar Society,Dighi,Pune 411015 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Amita Aggarwal  Dr D.Y.Patil College of Physiotherapy,Pimpri,Pune  Department of Kinesiotherapy 1st CABIN, 3rd floor, D. Y. Patil College of Physiotherapy. Sant Tukaram Nagar, Plot No. BGP/190, Pimpri-Chinchwad, Maharashtra 411018
Pune
MAHARASHTRA 
7986972513

amita15pgi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr. D.Y. Patil Vidyapeeth ,Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M501||Cervical disc disorder with radiculopathy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mulligan Neurodynamic Mobilization  The glides will be given for three repetitions , three sets for 5 days. To progress the treatment at subsequent sessions, the number of repetitions can be increased from 3 to 6 
Comparator Agent  Neurodynamic mobilization   Treatment will include 3 rep, 3sets for 5 days. 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1 Unilateral radiating pain from neck to upper limb with atleast one ULTT positive
2 Dermatomal involvement of the affected nerve root.
3 Clinically diagnosed & referred by an orthopaedic surgeon
 
 
ExclusionCriteria 
Details  1 Recent history of trauma, fall or injury to cervical region
2 Bilateral upper extremity radicular symptoms
3 UMN signs like gait changes, fine motor changes & hyperreflexia
4 Myelopathies
5 Severe Osteoporosis
6 Active infection
7 Hypermobile joints
8 Vertigo
9 Dizziness
10 Vertebral Basilar artery Insufficiency
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Numeric Pain Rating Scale (NPRS)
Patient Specific Functional Scale(PSFS)
Cervical ROM
 
On first day and fifth day
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="42"
Sample Size from India="42" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   08/07/2019 
Date of Study Completion (India) 03/02/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
Title-A Comparative Study of Mulligan Neurodynamic Mobilization Versus Conventional Neurodynamic Mobilization on Pain, Disability & Cervical ROM in Treatment of Cervical Radiculopathy
Need of the study- There is paucity of research evidence that includes mulligan technique along with neurodynamics as well as there is paucity of studies that compare Mulligan neurodynamic mobilization with conventional neurodynamics to see which approach was more effective than the other.
Objective of study- 1)      To assess the effectiveness of Mulligan neurodynamic mobilization on pain, cervical ROM & disability in cervical radiculopathy patients.
2)      To assess the effectiveness of conventional neurodynamic mobilization on pain, cervical ROM & disability in cervical radiculopathy patients.
3)      To find out which of the two techniques was more effective in reducing pain,cervical ROM and disability in cervical radiculopathy patients.
Methodology- Based on inclusion and exclusion criteria subjects will be divided into two groups.
Group A will be given Mulligan mobilization using SNAGs and Spinal mobilization with arm movements
Group B will be given neurodynamic mobilization
Treatment will be given for total of 5 sessions.Patients will be evaluated for pain,disability and Cervical Range of motion using NPRS(Numerical pain rating scale),Patient specific functional scale and universal goniometer.
RESULTS: The test reveals similar improvements in pain and disability in both groups (p>0.05), however the Mulligan Neurodynamic Mobilization Group showed better results in terms of cervical ranges (p<0.05). 

CONCLUSION: Mulligan Neurodynamic Mobilization techniques were found to be superior in terms of improving cervical ranges especially cervical extension, rotation and lateral flexion in patients with cervical radiculopathy. With respect to pain and disability either technique had similar effect in reducing pain and disability.
 
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