H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy

Citation:
Hegazy, M. M., E. F. Gomaa, S. F. AbdelMageed, and H. E. R. Habashy, "H-reflex latency changes after combined application of traction and neural mobilization in cervical radiculopathy", The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2019.

Abstract:

Abstract
Background: Cervical radiculopathy is a pathology of the cervical nerve root and mostly caused by a cervical disk
herniation leading to chronic pain and disability.
Objectives: This study was conducted to show the effect of the combined application of intermittent cervical
traction with median nerve mobilization on flexor carpi radialis (FCR) muscle H-reflex latency of median nerve in
patients with unilateral cervical radiculopathy due to disk lesion in a pre-post design.
Methods: Fifteen patients (10 females and 5 males) with a mean age of 38.07 ± 5.85 years received simultaneous
application of intermittent cervical traction and median nerve mobilization. Six sessions were given every other day
for 2 weeks. Also, patients perormed chin in exercises and upper back extension with scapular retraction. FCR Hreflex
latency was measured pre- and post-treatment.
Results: Statistical analysis showed that there was a significant reduction of H-reflex latency at post-treatment in
comparison to pretreatment (t = 5.447, p value = 0.0001*).
Conclusion: Simultaneous application of intermittent cervical traction and median nerve mobilization are effective
in improving FCR H-reflex latency in patients with unilateral cervical radiculopathy.
Keywords: Cervical radiculopathy, Intermittent traction, Median nerve mobilization, H-reflex