Efficacy of a Combination of Conservative Treatments Compared to Isometric Exercise on Clinical Outcomes in Patients With Cervical Radiculopathy
This intervention study is to evaluate the efficacy of a combination of conservative treatments compared to isometric exercise on clinical outcomes in patients with cervical radiculopathy. It is a randomized, parallel, 2-arm superiority trial study. The study will be conducted at the District General Hospital in Trincomalee, where patients with cervical radiculopathy seek medical care. Patients who refer to the Department of Physical Medicine (DPM) from the Out Patients Department (OPD), orthopedic clinic and surgical clinic with a diagnosis of cervical radiculopathy or neck and arm pain (symptoms extending distal to the shoulder) will be eligible for recruitment. The study details will be explained to the subjects in the language that they best understand. Written informed consent will be obtained from the individuals who express their willingness to participate in the study, and they will sign the informed consent document accordingly.
- EligibilityCriteria: Inclusion Criteria:  35-60 years Neck pain > 3 months Clinical Prediction Rules - Positive Spurling's test (+) Distraction test (+) Upper limb tension test A (+) Cervical rotation on affected side < 60  Exclusion Criteria:  Presence of any signs or symptoms of medical red flags  Less than 3(positive) items for the CPR Bilateral arm radiating pain Osteoporosis Tumor Whiplash injury Pregnancy woman Rheumatoid arthritis Post-surgery to cervical/thoracic spine - HealthyVolunteers: No - Gender: All - MinimumAge: 35 Years - MaximumAge: 60 Years - StdAgeList: Adult