Effect of Mulligan's Mobilization with Arm Movement Combined with Conventional Treatment on Pain and Cervical ROM in Patients with Unilateral Cervical Radiculopathy

Elkeblawy, Maher A.; Hassan, Ibrahim M.; Elshebawy, Haidy; Elgazar, Tawfik M.

doi:10.21608/ermhs.2025.373589.1052

Effect of Mulligan's Mobilization with Arm Movement Combined with Conventional Treatment on Pain and Cervical ROM in Patients with Unilateral Cervical Radiculopathy

Document Type : Original Article

Authors

¹ Professor, Department of Physical Therapy for basic science, Faculty of Physical Therapy, Cairo University, Egypt

² PhD, Department of Physical Therapy for basic science, Faculty of Physical Therapy, Cairo University, Egypt.

³ Assistant professor of Neurology, faculty of medicine, Cairo University, Egypt

⁴ Department of Basic Science, Faculty of Physical Therapy, KFS University

10.21608/ermhs.2025.373589.1052

Abstract

Objective: This study aimed to investigate the impact of Mulligan's Mobilization with Arm Movement (SMWAM) combined with conventional treatment on pain and cervical ROM in patients with unilateral cervical radiculopathy.

Design: A randomized controlled trial was conducted, including 40 participants aged 20 to 60 years. They were randomly assigned to either the treatment group (SMWAM) or the control group (conventional treatment).

Methods: Both groups underwent six treatment sessions over three weeks. The treatment group received SMWAM and conventional therapy, whereas the control group received only conventional therapy, which included hot pack applications, active range of motion exercises, and isometric strengthening exercises. Outcome measures included pain intensity assessed using the Visual Analog Scale (VAS) and cervical range of motion (CROM).

Results: Post-intervention analysis showed significant improvements in cervical range of motion (flexion, extension, sidebending, and rotation) in the treatment group compared to the control group (p < 0.05). pain intensity (VAS) was significantly reduced in both groups, with greater improvements in the treatment group (p < 0.05).

Discussion: The study shows that SMWAM effectively improves cervical range of motion and reduces pain in patients with unilateral cervical radiculopathy.

Conclusion: SMWAM accompanied by conventional treatment improves cervical mobility and pain relief more effectively than conventional treatment alone . Further research is needed to explore its long-term effects and potential mechanisms.

Keywords