H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

Abstract Background Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability. Objectives This study was conducted to show the effect of the combined application of intermittent cervical traction with media...

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Main Authors: Mohammed M. Hegazy, Ebtessam F. Gomaa, Salwa F. Abd El Mageed, Hala R. El Habashy
Format: Article
Language:English
Published: SpringerOpen 2019-10-01
Series:The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s41983-019-0113-8
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author Mohammed M. Hegazy
Ebtessam F. Gomaa
Salwa F. Abd El Mageed
Hala R. El Habashy
author_facet Mohammed M. Hegazy
Ebtessam F. Gomaa
Salwa F. Abd El Mageed
Hala R. El Habashy
author_sort Mohammed M. Hegazy
collection DOAJ
description Abstract Background Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability. Objectives This study was conducted to show the effect of the combined application of intermittent cervical traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design. Methods Fifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR H-reflex latency was measured pre- and post-treatment. Results Statistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in comparison to pretreatment (t = 5.447, p value = 0.0001*). Conclusion Simultaneous application of intermittent cervical traction and median nerve mobilization are effective in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.
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spelling doaj.art-a831e38750064e6ab3d0667d5ca72daa2022-12-21T22:53:34ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292019-10-015511610.1186/s41983-019-0113-8H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathyMohammed M. Hegazy0Ebtessam F. Gomaa1Salwa F. Abd El Mageed2Hala R. El Habashy3Orthopedic Physical Therapy Department, Faculty of Physical Therapy, Cairo UniversityOrthopedic Physical Therapy Department, Faculty of Physical Therapy, Cairo UniversityOrthopedic Physical Therapy Department, Faculty of Physical Therapy, Cairo UniversityNeurophysiology Department, Faculty of Medicine, Cairo UniversityAbstract Background Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk herniation leading to chronic pain and disability. Objectives This study was conducted to show the effect of the combined application of intermittent cervical traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design. Methods Fifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR H-reflex latency was measured pre- and post-treatment. Results Statistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in comparison to pretreatment (t = 5.447, p value = 0.0001*). Conclusion Simultaneous application of intermittent cervical traction and median nerve mobilization are effective in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.http://link.springer.com/article/10.1186/s41983-019-0113-8Cervical radiculopathyIntermittent tractionMedian nerve mobilizationH-reflex
spellingShingle Mohammed M. Hegazy
Ebtessam F. Gomaa
Salwa F. Abd El Mageed
Hala R. El Habashy
H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Cervical radiculopathy
Intermittent traction
Median nerve mobilization
H-reflex
title H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
title_full H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
title_fullStr H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
title_full_unstemmed H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
title_short H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
title_sort h reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy
topic Cervical radiculopathy
Intermittent traction
Median nerve mobilization
H-reflex
url http://link.springer.com/article/10.1186/s41983-019-0113-8
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