Effectiveness of Spinal Mobilization with Arm Movement (Smwams) Versus neural Tissue Mobilization in cervical Spondylosis with Unilateral radiculopathy Godse Apurva1,*, Warude Trupti2, Pawar Amrutkuvar2, Jagtap Vaishali2, Savsaviya Krishna3, Kandalkar Nilakshi3 1BPT, Krishna College of Physiotherapy, KIMSDTU, Karad, Maharashtra, India 2Assistant Professor, Krishna College of Physiotherapy, KIMSDTU, Karad, Maharashtra, India 3BPT, Krishna College of Physiotherapy, KIMSDTU, Karad, Maharashtra, India *Corresponding Author: Apurva Nitin Godse BPT, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India Phone: 8237589969, Email: godse.apurva@gmail.com
Online published on 4 June, 2019. Abstract Background Cervical spine is prone to pathologies because of its more mobility and poor anatomical support. Cervical spondylosis describes the age related changes in the cervical spine. Objectives To find and compare the effect of spinal mobilization with arm movement (SMWAM), neural tissue mobilization, hot moist packs and interferential therapy on pain and functional disability in treatment of cervical spondylosis with unilateral radiculopathy. Method 90 subjects with cervical spondylosis were screened out of which 79 fulfilled the criteria. It was a single blinded study in which pre and post treatment outcome assessment by VAS and NDI was taken by an outcome assessor. Subjects in Group A receivedspinal mobilization with arm movement (SMWAM), Group B receivedneural tissue mobilization and Group C received baseline treatment with hot moist packs and interferential therapy. All the three groups received 2 weeks’ treatment protocol during which 4 subjects discontinued the treatment. Results 75 subjects(male 29, female 46), participated in the study. Intra group comparison results showed statistically reduction inpost interventional VAS and NDI score for all 3 groups (p<0.0001). Inter group comparison results showed that Group A was statistically significant in reducing VAS score (p=0.0017) and NDI score (p<0.0001) than Group B and Group C. Conclusion Both the group A and group B showed significant reduction in post treatment VAS and NDI scores than group C. SMWAM was more effective than neural tissue mobilization in reducing VAS and NDI scores in subjects with cervical spondylosis with unilateral radiculopathy. Top Keywords Mulligan Mobilization, Shacklock's Neural Tissue Mobilization, Visual analogue scale (VAS), Neck disability index (NDI), Cervical Radiculopathy. Top |