PNF and Movement 2021; 19(3): 361-374
https://doi.org/10.21598/JKPNFA.2021.19.3.361
The Effects of Neural Mobilization with Joint Mobilization on Dysfunction, Pain, and Range of Motion in Cervical Radiculopathy Patients
Ji-Hun Han, P.T., M.S.⋅Chang-Ho Song, P.T., Ph.D.
Department of Physical Therapy, Sahmyook University
Correspondence to: Chang-Ho Song (chsong@syu.ackr)
Received: November 12, 2021; Revised: November 23, 2021; Accepted: November 23, 2021; Published online: December 31, 2021.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: The study aimed to investigate the effects of neural mobilization with joint mobilization on dysfunction, pain, and range of motion in cervical radiculopathy patients.
Methods: Forty-seven cervical radiculopathy patients were recruited for the study. The subjects were randomly allocated to three groups. Group A (n=16) received a neural mobilization with joint mobilization, Group B (n=15) received a neural mobilization (NM), Group C (n=16) received a joint mobilization (JM). All groups had five sets for a day, three days a week, for four weeks. All subjects were evaluated before and after intervention by their neck disability index (NDI), numeric pain rating scale (NPRS), and range of motion (ROM).
Results: The results were as follows: First, the NDI was significantly decreased in all groups (p<0.05). Group A had more significantly decreased NDI than Group B and C (p<0.05). Secondly, the NPRS was significantly decreased in all groups (p<0.05). Group A had more significantly decreased cervical NPRS than Group B (p<0.05). Groups A and B were more effective at decreasing upper extremity NPRS than Group C (p<0.05). Thirdly, the ROM was significantly increased in all the groups (p<0.05). Group A had more significantly improved cervical rotation ROM than Group B (p<0.05). Significant short-term effects of the NM with JM on dysfunction, pain, and range of motion in cervical radiculopathy patients were recorded in this study.
Conclusion: These findings gave some indications that it may be feasible to include NM with JM in interventions with cervical radiculopathy patients.
Keywords: Manual therapy, Neck pain, Radiculopathy, Range of motion


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