TITLE:
Randomised Controlled Trial for the Efficacy of Cervical Lateral Glide Mobilisation in the Management of Cervicobrachial Pain
AUTHORS:
Emma Salt, Sue Kelly, Andrew Soundy
KEYWORDS:
Cervical Radiculopathy, Physiotherapy, Manual Therapy
JOURNAL NAME:
Open Journal of Therapy and Rehabilitation,
Vol.4 No.3,
August
3,
2016
ABSTRACT: Objectives: To investigate the long-term efficacy of lateral glide mobilisation for patients with chronic Cervicobrachial Pain (CP). Methods: A randomised controlled trial which involved ninety- nine participants with chronic CP. Participants were randomised to receive either the lateral glide with self-management (n = 49) or self-management alone (n = 50). Four assessments were made (at baseline and 6, 26 and 52 weeks post intervention). The primary outcome measure was the Visual Analogue Scale (VAS) for pain. Patient perceived recovery used the Global Rating of Change score (GROC). Functional outcomes included the Neck and Upper Limb Index score (NULI) and the Short-From 36 (SF36). Costs and reported number of harmful effects in response to intervention were evaluated. An intention to treat approach was followed for data analysis. Results: No statistically significant between-group differences were found for pain (using VAS) in the short-term at six weeks (p = 0.52; 95% CI -14.72 to 7.44) or long-term at one year (p = 0.37; 95% CI -17.76 to 6.61) post-intervention. The VAS outcomes correlated well with GROC scores (p