Shoaib Waqas, Ashfaq Ahmad, Shahzad Ahmad, Tariq Shafi, Hassan Anjum Shahid.
Comparison of maitland thoracic spine manipulation versus maitland cervical spine mobilization in chronic unilateral C6 - C7 cervical radiculopathy.
Ann King Edward Med Uni Jan ;22(2):102-8.

Background: Radicular pains are very common in cervical region due to C6 – C7 nerve root involvement which results discomfort and restriction of mobility of upper and lower segments of cervical and thoracic spine. A lot of evidences about non-operative treat-ments have been derived for managing cervical radicu-lopathies with a little documentation of manual therapy. So, in this study, Maitland concept of manipulat-ion and mobilization at two different regions of spine (thoracic and cervical) respectively, was used to see the change in pain reduction and restoration of normal functional abilities. Methodology: A study design of Comparative single blinded, randomized control clinical trials was used. 100 patients having chronic unilateral C6 – C7 cervical radiculopathy’s symptoms due to disc prolapsed, divi-ded into two groups with simple random sampling as guided per-consolidated standards of reporting trials (CONSORT) guidelines were used. First group was managed with Maitland thoracic spine manipulation (MTSM), mechanical intermittent cervical traction (MICT) for 10 minutes and regime of strengthening exercises (SE) and second group was managed with Maitland cervical spine mobilization (MCSM), MICT and SE. The duration of treatment was four weeks at the rate of three times in one week. Two outcome mea-sures numeric pain rating scale (NPRS) and Neck dis-ability index (NDI) questionnaire were used for evalu-ation and investigation. Data was collected at start, after two and after four Weeks’s treatment. Indepen-dent T test with extension of Levene’s test was used with 0.05% level of confidence. Results: The calculated p value for NPRS and NDI for group A (MTSM) was P = 0.000which was less than 0.05 having validation of significant changes. So, we reject our Null hypothesis that MTSM is more effe-ctive than MCSM. Conclusion: The result shows that MTSM and MC-SM were effective techniques for pain reduction and functional abilities restoration. However, the subjects of first group with MTSM, MICT and SE presented better progress in reduction of neck ache and refining functional status during comparison.

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