Evidence based Physiotherapy Management of a Cervical Radiculopathy Patient by using Clinical Reasoning Process
Author(s): Mohammad Ainur Nishad Rhajib, MD. Waliul Islam, MD. Zakir Hossain, Ehsanur Rahman
Introduction: Neck pain is one of the most common musculoskeletal disorder in the general population, second only to low back pain. Cervical radiculopathy is a dysfunction of a nerve root in the cervical spine resulting in producing radicular symptom such as pain, paresthesia, weakness, numbness in the upper extremity.
Case Report: The aim of this study is evidence- based physiotherapy management of a single case of cervical radiculopathy. This single case was solved by using hypothetico deductive reasoning.
Result: After 6th week of intervention improvement was, found in pain reduction both in resting and during movement and improve range of motion. In addition, disability status also progressed from 60% to 20% and now patient can participate daily activities.
Conclusion: Clinical reasoning is the foundation in our clinical practice. Mckenzie MDT for cervical spine, neural mobilization, manual cervical traction along with cervical stabilization exercise was effective for cervical radiculopathy patient.