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The effect of sustained natural apophyseal glide (SNAG) combined with neurodynamics in the management of a patient with cervical radiculopathy : a case report

ANANDKUMAR S
PHYSIOTHER THEORY PRACT , 2015, vol. 31, n° 2, p. 140-145
Doc n°: 174244
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09593985.2014.971922
Descripteurs : CC5 - PATHOLOGIE - RACHIS CERVICAL

This case report describes a 47-year-old female who presented with complaints of
pain in the right elbow radiating down to the thumb. Physical examination
revealed symptom reproduction with Spurling A test, upper limb neurodynamic
testing-1 and right cervical rotation along with reduced symptoms with neck
distraction. Clinical diagnosis of cervical radiculopathy (CR) was made based on
a clinical prediction rule. This case report speculates a potentially first-time
description of successful conservative management of CR in a patient utilizing
simultaneous combination of sustained natural apophyseal glide and neurodynamic
mobilization. Immediate improvements were seen in pain, cervical range of motion
and functional abilities. The patient was discharged from physical therapy by the
second week after four treatment sessions with complete pain resolution
maintained at a four-month follow-up period.

Langue : ANGLAIS

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