Cervical Radiculopathy

Effect of manual therapy with exercise in patients with chronic cervical radiculopathy: a randomized clinical trial

Trials. 2021 Oct 18;22(1):716. doi: 10.1186/s13063-021-05690-y. Ali M Alshami PMID: 34663421 PMCID: PMC8525034 DOI: 10.1186/s13063-021-05690-y Abstract Background: Research that has examined the effects of cervical spine mobilization on hypoesthesia and hypersensitivity characteristics in patients with cervical radiculopathy is scarce. The aim of this study was to examine the short-term effects of vertebral mobilization on the […]

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice Volume 55, October 2021, 102427 Original article Francis Grondinab https://doi.org/10.1016/j.msksp.2021.102427 Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and […]

Manual Therapy in Cervical and Lumbar Radiculopathy: A Systematic Review of the Literature – Full Text

Int J Environ Res Public Health. 2021 Jun; 18(11): 6176. Published online 2021 Jun 7. doi: 10.3390/ijerph18116176 PMCID: PMC8201115 PMID: 34200510 Tomasz Kuligowski Abstract The aim of this study was to describe and update current knowledge of manual therapy accuracy in treating cervical and lumbar radiculopathy, to identify the limitations in current studies, and to […]

Diagnostic accuracy of upper limb neurodynamic tests in the diagnosis of cervical radiculopathy

Musculoskeletal Science and Practice 8 July 2021 Francis Grondin PhD, PT Highlights •  A positive ULNT was defined as reproduction of arm symptom altered by structural differentiation. •  A single positive ULNT did not alter post-test probability for cervical radiculopathy. •  ≥3 positive UNLT rules in cervical radiculopathy with strong LR+ and a high posttest […]

Fibrous Connection Between Cervical Nerve and Zygapophysial Joint and Implication of the Cervical Spondylotic Radiculopathy

An Anatomic Cadaveric Study Kagawa, Eiichiro MSa,b; Nimura, Akimoto MD, PhDc; Nasu, Hisayo PhDa; Kato, Ryuichi MD, PhDb; Akita, Keiichi MD, PhDaAuthor Information SPINE: July 1, 2021 – Volume 46 – Issue 13 – p E704-E709 doi: 10.1097/BRS.0000000000003895 Study Design Observational, anatomical, cadaveric study. Objective We anatomically investigated the fibrous connection between the cervical nerves […]

Evaluation of persons with suspected lumbosacral and cervical radiculopathy: Electrodiagnostic assessment and implications for treatment and outcomes (Part II)

Muscle and Nerve Timothy R. Dillingham MD MS Thiru M. Annaswamy MD, MA, FAAPMR Christopher T. Plastaras MD First published: 21 June 2020 https://doi.org/10.1002/mus.27008 Abstract The electrodiagnostic (EDX) examination with needle electromyography (EMG) is the most important means of testing for radiculopathy. This test has modest sensitivity but high specificity and complements imaging of the […]

Comparison of Anterior Cervical Foraminotomy and Posterior Cervical Foraminotomy for Treating Single Level Unilateral Cervical Radiculopathy

Kim, Shin-Jae MD; Seo, Jin-Suk MD; Lee, Sang-Ho MD, PhD; Bae, Junseok MD Spine: October 1, 2019 – Volume 44 – Issue 19 – p 1339-1347 doi: 10.1097/BRS.0000000000003081 Study Design. Retrospective study. Objective. To compare clinical and radiological outcomes after two surgical procedures. Summary of Background Data. Anterior cervical discectomy and fusion is the gold […]

Asymmetric atrophy of cervical multifidus muscles in patients with chronic unilateral cervical radiculopathy – Full Text

Medicine: August 2019 – Volume 98 – Issue 32 – p e16041 doi: 10.1097/MD.0000000000016041 Yun, Yeocheon MD he purpose of this study was to assess whether the asymmetry of cervical multifidus muscles occurred in radiculopathy patients, and if it did, whether it was related to the chronicity of unilateral cervical radiculopathy by assessing the cross-sectional […]

What Are the Costs of Cervical Radiculopathy Prior to Surgical Treatment?

Injections $988 Physical Therapy: $510 Bracing: $193 Chiropractic services: $193 Narcotics: $101 Gabapentin: $93 NSAIDs: $47   Spine (Phila Pa 1976). 2019 Jul 1;44(13):937-942. doi: 10.1097/BRS.0000000000002983. Barton C Abstract STUDY DESIGN: Retrospective, observational study. OBJECTIVE: To examine the costs associated with nonoperative management (diagnosis and treatment) of cervical radiculopathy in the year prior to anterior […]

Immediate and Short Term Effects of Thoracic Spine Manipulation in Patients With Cervical Radiculopathy: A Randomized Controlled Trial

Published: Journal of Orthopaedic & Sports Physical Therapy, 2019 Volume:0 Issue:0 Pages:1–36 DOI: 10.2519/jospt.2019.8150 Study Design Multicenter randomized controlled trial. Background Thoracic spine thrust manipulation has been shown to improve patient-rated outcomes for individuals with neck pain. However, there is limited evidence for effectiveness in patients with cervical radiculopathy (CRAD). Objectives To compare the immediate […]

Effects of active versus passive upper extremity neural mobilization combined with mechanical traction and mobilization in females with cervical radiculopathy: A randomized controlled trial.

J Back Musculoskelet Rehabil. 2019 Jan 11. doi: 10.3233/BMR-170887. [Epub ahead of print] Ayub A, Osama M, Ahmad S. Abstract BACKGROUND: Neural mobilization is an effective technique in the management of cervical radiculopathy (CR). However, the difference between active versus passive upper extremity (UE) neural mobilization techniques in the management of cervical radiculopathy is not […]

Inciting Events Associated with Cervical Radiculopathy.

PM R. 2019 Jan 25. doi: 10.1002/pmrj.12089. [Epub ahead of print] Rainville J Abstract BACKGROUND: Cervical radiculopathy (CR) is a clinical diagnosis defined as a combination of neck, shoulder and arm pain, often accompanied by sensory and motor symptoms. CR is often caused by degenerative spine pathology associated with impingement of a cervical nerve root, […]

Cervical Radiculopathy: Effectiveness of Adding Traction to Physical Therapy—A Systematic Review and Meta-Analysis of Randomized Controlled Trials – Full Text

Antonio Romeo Physical Therapy, Volume 98, Issue 4, 1 April 2018, Pages 231–242, https://doi.org/10.1093/physth/pzy001 Published: 05 January 2018 Abstract Background Cervical radiculopathy (CR) is a common cervical spine disorder. Cervical traction (CT) is a frequently recommended treatment for patients with CR. Purpose The purpose of this study was to conduct a review and meta-analysis of […]

Cervical traction therapy with and without neck support: A finite element analysis

Musculoskeletal Science & Practice April 2017 Volume 28, Pages 1–9 Kuan Wang Highlights •This study analyzed the biomechanics of two cervical traction therapies. •Tension was uniformly distributed from C4-C6 with neck support. •Tension was uniformly distributed at the C6-C7 levels without neck support. •The intradiscal pressure decreased during both traction therapies. Abstract Background Cervical traction is commonly […]

Comparison Of 2 Manual Therapy And Exercise Protocols For Cervical Radiculopathy

Comparison Of 2 Manual Therapy And Exercise Protocols For Cervical Radiculopathy: A Randomized Clinical Trial Evaluating Short-Term Effects Authors: Pierre Langevin, PT Study Design Participant- and assessor-blinded randomized clinical trial. Objectives To compare a rehabilitation program thought to increase the size of the intervertebral foramen (IVF) of the affected nerve root to a rehabilitation program […]

Epidural Steroid Injections, Conservative Treatment, or Combination Treatment for Cervical Radicular Pain

Anesthesiology. 2014 Nov;121(5):1045-55. doi: 10.1097/ALN.0000000000000409. Epidural Steroid Injections, Conservative Treatment, or Combination Treatment for Cervical Radicular Pain: A Multicenter, Randomized, Comparative-effectiveness Study. Cohen SP1, Hayek S, Semenov Y, Pasquina PF, White RL, Veizi E, Huang JH, Kurihara C, Zhao Z, Guthmiller KB, Griffith SR, Verdun AV, Giampetro DM, Vorobeychik Y. Abstract BACKGROUND: Cervical radicular pain […]

Optimal duration of conservative management prior to surgery for cervical and lumbar radiculopathy

Global Spine J. 2014 Dec;4(4):279-86. doi: 10.1055/s-0034-1387807. Epub 2014 Aug 28. Optimal duration of conservative management prior to surgery for cervical and lumbar radiculopathy: a literature review. Alentado VJ1, Lubelski D2, Steinmetz MP3, Benzel EC2, Mroz TE2. Author information Abstract Study Design Literature review. Objective Since the 1970s, spine surgeons have commonly required 6 weeks of failed […]

The course and prognostic factors of symptomatic cervical disc herniation with radiculopathy: a systematic review of the literature

Jessica J. Wong, BSc, DC, FCCS(C) The Spine Journal Volume 14, Issue 8, 1 August 2014, Pages 1781–1789 Abstract Background context Cervical spine disc herniation is a disabling source of cervical radiculopathy. However, little is known about its course and prognosis. Understanding the course and prognosis of symptomatic cervical disc herniation is necessary to guide […]

Treatment preferences amongst physical therapists and chiropractors for the management of neck pain – Full Text

Treatment preferences amongst physical therapists and chiropractors for the management of neck pain: results of an international survey Lisa C Carlesso Chiropr Man Therap. 2014; 22: 11. Published online Mar 24, 2014. doi: 10.1186/2045-709X-22-11 Abstract Background Clinical practice guidelines on the management of neck pain make recommendations to help practitioners optimize patient care. By examining […]

Neck and Arm Pain: Mechanical Traction and Exercises Prove an Effective Treatment (Patient Handout)

Journal of Orthopaedic & Sports Physical Therapy, 2014, Volume: 44 Issue: 2 Pages: 58-58 doi:10.2519/jospt.2014.0501 A condition called cervical radiculopathy develops when a nerve in the neck region becomes irritated. This type of neck problem frequently causes neck pain, pain down the arm, and sometimes a loss of feeling or decreased strength in the arm. […]