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Paper Title

ADDITIONAL EFFECT OF NEURAL TISSUE MOBILIZATION ALONG WITH CERVICAL STABILIZATION EXERCISES ON PAIN, FUNCTION, AND DISABILITY IN PATIENTS WITH C6–C7 CERVICAL RADICULOPATHY: A COMPARATIVE EXPERIMENTAL STUDY

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Registration ID: IJNRD_328699

Published ID: IJNRD2609302

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Keywords

Cervical radiculopathy; C6–C7; neural tissue mobilization; neural mobilization; cervical stabilization exercise; neck disability; pain; patient-specific functional scale; NPRS; NDI.

Abstract

ABSTRACT Background Cervical radiculopathy is a clinically important disorder characterized by cervical nerve-root irritation or compression, frequently resulting in neck and upper-extremity pain, sensory disturbances, weakness, functional limitation, and disability. Exercise-based rehabilitation, particularly cervical stabilization exercise, is commonly incorporated into conservative management. Neural tissue mobilization may additionally address neural mechanosensitivity and impaired neural excursion. However, the additional contribution of neural tissue mobilization when combined with cervical stabilization exercise requires further clinical evaluation. Objective To determine the additional effect of neural tissue mobilization combined with cervical stabilization exercises on pain, functional ability, and disability in patients with C6–C7 cervical radiculopathy. Methods A comparative experimental pre–post study was conducted in 40 patients aged 30–50 years with unilateral C6–C7 cervical radiculopathy. Participants were allocated into two groups of 20 using a simple lottery method. Group A received neural tissue mobilization in addition to cervical stabilization exercises, whereas Group B received cervical stabilization exercises alone. Both groups received treatment five days per week for four weeks. Pain, disability, and patient-specific functional ability were assessed using the Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), and Patient-Specific Functional Scale (PSFS), respectively. Within-group changes were assessed using paired t-tests and between-group comparisons using independent-samples t-tests. The source study reports assessment of distributional assumptions using the Shapiro–Wilk test. Results Both groups demonstrated statistically significant improvements following the four-week intervention. In the NTM+CSE group, mean NDI decreased from 40.65±3.45 to 21.30±2.95, PSFS increased from 2.65±1.18 to 7.00±1.52, and NPRS decreased from 7.75±0.91 to 3.75±1.11 (p<0.001 for all comparisons). In the CSE-only group, NDI decreased from 40.40±3.67 to 33.90±4.35, PSFS increased from 2.65±1.18 to 5.65±1.30, and NPRS decreased from 7.75±0.91 to 5.50±1.23 (p<0.001 for all comparisons). Between-group post-intervention comparisons demonstrated statistically significant differences for NDI (p=0.001), PSFS (p=0.005), and NPRS (p=0.001), with greater improvement observed in the combined NTM+CSE group. Conclusion The addition of neural tissue mobilization to cervical stabilization exercise was associated with greater improvements in pain, patient-specific function, and neck-related disability than cervical stabilization exercise alone in patients with C6–C7 cervical radiculopathy. The findings support further investigation of combined neurodynamic and stabilization-based rehabilitation using larger samples, standardized protocols, and longer-term follow-up. Keywords Cervical radiculopathy; C6–C7; neural tissue mobilization; neural mobilization; cervical stabilization exercise; neck disability; pain; patient-specific functional scale; NPRS; NDI

How To Cite (APA)

Dr. KARTIK CHHONKER, Dr. Namrata Srivastava, Dr. Kalpana Jain, & Dr. Gunjan Shukla (September-2026). ADDITIONAL EFFECT OF NEURAL TISSUE MOBILIZATION ALONG WITH CERVICAL STABILIZATION EXERCISES ON PAIN, FUNCTION, AND DISABILITY IN PATIENTS WITH C6–C7 CERVICAL RADICULOPATHY: A COMPARATIVE EXPERIMENTAL STUDY. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 11(9), d5-d19. https://ijnrd.org/papers/IJNRD2609302.pdf

Other Publication Details

Paper Reg. ID: IJNRD_328699

Published Paper Id: IJNRD2609302

Research Area: Medical Science All

Author Type: Indian Author

Country: BHOPAL, Madhya Pradesh, India

Published Paper PDF: https://ijnrd.org/papers/IJNRD2609302.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2609302

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Publication Timeline

Paper Submission
21-09-2026
Peer Review
Through Scholar9.com Platform
Paper Acceptance
26-09-2026
Paper Publication
30-09-2026

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