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Evaluation of the Impact of Tractions vs. Placebo Tractions in Patients With Cervical Radiculopathy

RecruitingNAAges 18 Years - anyAllCentre Hospitalier Departemental Vendee
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In plain words

What the trial is, and whether it could suit you

Cervical radiculopathy is a common disease related to compression of the nerve roots of the spine (prevalence: 3.5/1000). Dysfunction and pain are the main repercussions and can lead to time off work and high costs in terms of treatment. Second-line surgical treatments appear to be less effective and present risks of side effects. In the first instance, treatments are conservative and include medication but above all physiotherapy with manual therapy, muscle exercises and cervical traction. These cervical tractions performed by a physiotherapist require little equipment and are inexpensive compared with the surgical alternative. They involve stretching the cervical spine and soft tissues to open the intervertebral foramen and mobilise the facet joints. Several authors have written summaries of their interest. Thoomes reports two studies and describes an absence of effect. In a meta-ana

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: * Patient over 18 * Neck Disability Index ≥ 15/50 * Presence of at least three of the four signs clinically validating the presence of cervical radiculopathy (Wainner et al. 2003) * a) upper limb nerve tension test A (ULNT1a): positive, * b) amplitude of cervical rotation on the side concerned: \< 60°, * c) positive cervical distraction test: relief * d) positive Spurling test: reproduction of symptoms. * Cervical radiculopathy diagnosed 3 to 24 months previously * Absence of cervical traction in the 5 years prior to inclusion * MRI or CT scan performed prior to hospitalisation in relation to current pathology * Patient able to understand the protocol and having given oral informed consent to take part in the research. * Patient affiliated to the social security system or entitled beneficiary. Exclusion Criteria: * Patients with vertebral artery pathology at the time of inclusion * Patients with myelopathy, cervical cancer, cervical fracture, cervical dislocation, cervical spondylolisthesis, spinal infection, symptomatic cervical pain without radiculopathy and/or cervical surgery in the 2 years prior to inclusion. * Patient participating in another clinical research protocol with an impact on the objectives of the research. * Patient who is pregnant, breastfeeding or able to procreate without effective contraception\*. * Patient under guardianship, curatorship or deprived of liberty * Patient under activated future protection mandate * Patient under family habilitation * Patient under court protection.
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What it tests

  • Intensive cervical traction protocol
  • Intensive cervical traction protocol - placebo
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Where

8 sites
CHD Vendée
La Roche-sur-Yon, France
CH La Rochelle
La Rochelle, France
CH Emile Roux
Le Puy-en-Velay, France
CHU Limoges
Limoges, France
CHU Nantes
Nantes, France
APHP La Pitié Salpêtrière
Paris, France
Chu Reims
Reims, France
CHU Rouen
Rouen, France
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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