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Nicole Vetroczky and Christine A. Lauber

Clinical Question:

In patients with cervical radiculopathy and associated pain, is there a benefit to including intermittent, mechanical cervical traction to a multimodal treatment approach to reduce cervical pain and disability?

Clinical Bottom Line:

The majority of best evidence suggests favorable outcomes regarding decreasing cervical pain and disability with the inclusion of intermittent, mechanical cervical traction into a multimodal treatment approach.

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Shelby E. Baez, Johanna M. Hoch and Timothy L. Uhl

Clinical Question:

Is there evidence to suggest intermittent cervical traction with cervical and scapular strengthening exercises is more effective in decreasing neck and arm pain when compared with cervical and scapular strengthening exercises alone in nonoperative patients with cervical radiculopathy?

Clinical Bottom Line:

There is currently inconsistent, high-quality evidence that suggests that the use of intermittent cervical traction in addition to strengthening exercises is more effective at decreasing pain in nonoperative patients with cervical radiculopathy when compared with strengthening alone. Future research should continue to examine long-term outcomes associated with cervical radiculopathy patients who use intermittent cervical traction as an intervention.

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Elif Turgut, Irem Duzgun and Gul Baltaci

complex. Also excluded were those with any rheumotological, systemic, or neurological disorders, including cervical radiculopathy, body mass index > 30 kg/m, or pregnancy. Those who had applied steroid injections and physical therapy during the previous 6 months were also excluded. Table 1 Demographics of

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Joseph M. Day, Robert Barry Dale and Elizabeth Kennedy

. Exclusion criteria for this study included a history of cervical radiculopathy, degenerative disease of the cervical spine, a history of systemic connective tissue diseases, history of corticosteroid injection in the past 6 weeks, abrasion or direct trauma to the lateral elbow area, abnormal anterior

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Fahimeh Kamali, Ehsan Sinaei and Maryam Morovati

to the arm, mimicking a cervical radiculopathy. 7 To date, a wide range of physical therapy interventions has been suggested to address MTrPs including manual therapies (massage, stretching, and myofascial release), 8 electrotherapy modalities (surface heat, ultrasound, electrical stimulation, and

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Emma Hoffman, Abrianna D’Onofrio, Shelby Baez and Julie Cavallario

the RMDQ, and unable to achieve flexion-relaxation in the lumbar musculature during active trunk flexion. Exclusion: clinical signs of radiculopathy, lumbar stenosis, fibromyalgia, spondylolisthesis, previous spinal surgery, previous Kinesio Tape therapy, central or peripheral nervous system disease

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Saurabh Sharma and M. Ejaz Hussain

symptomatic side, (d) cervical spine radiculopathy, or (e) positive drop arm test. Instrumentation All athletes completed the Hindi SPADI and DASH (Disabilities of arm, shoulder, and hand) scale one time each, describing their demographics and clinical presentation, including age and affected shoulder side

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Blanca de la Cruz Torres

radiculopathy, 23 evaluation of chronic hemiparetic muscles in patients with central nervous system injury, 24 diagnosis of pelvic floor dysfunction, 25 analysis of the common fibular nerve in subjects with functional ankle instability, 26 and diagnosis of cervicogenic periarthritis of shoulder from pure

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Aaron Sciascia, Jacob Waldecker and Cale Jacobs

. Clin J Pain . 2014 ; 30 ( 2 ): 143 – 151 . PubMed ID: 23619203 19. Louw A , Diener I , Landers MR , Puentedura EJ . Preoperative pain neuroscience education for lumbar radiculopathy: a multicenter randomized controlled trial with 1-year follow-up . Spine . 2014 ; 39 ( 18 ): 1449 – 1457