: Combined Effect Of Transcranial Direct Current Electrical Stimulation And Transcutaneous Electrical Nerve Stimulation With Exercise Intervention On Pain In Cervical Radiculopathy
Background: Cervical radiculopathy is defined as a syndrome of pain and a sensory motor deficits due to compression of a cervical nerve root. Understanding of this disease is vital for rapid diagnosis and treatment of patients with this condition and improve there quality of life. There is no such therapeutic intervention is available to cure the pain and provide long . Purpose: To find combined transcranial direct electrical stimulation and transcutaneous electrical nerve stimulation with an exercise intervention on pain in individuals with cervical radiculopathy to provide a evidence on long lasting and current effect of intervention. Method: Subjects are selected on the study basis of inclusion criteria.. Firstly the pain, functional disability and Quality of life was measured by NPRS, NDI and nerve root involvement was assessed and defferencitated by ULTT. All the selected individuals (n=20) was be divided in two groups (1,2) In experimental group(1, n=11) active anodal tDCS (M1 area and supra orbital area) is applied for 20 min with an intensity of 2mA along with the active TENS over the pain distribution area for 20 min with 5 Hz intensity and 80-150 ms pulse duration followed by neck specific exercises. In control group(2, n=9) sham anodal tDCS was be used along with active TENS over the pain distribution area for 20 min with 5 Hz intensity and 80-150 ms pulse duration followed by neck specific exercises. This protocol was given for 5 days in a week for 2 weeks. And all the participants was assessed again by the outcome measures to check the effect of the intervention at the end of the session Result: Shapiro-wilk test was used to check the normality distribution as data is normally distributed. Paired t test was used for within group analysis and its shows the significant effect in both group. In Between group analysis group 1 (active tDCS) effect was more profound and the alternate hypothesis is proved. Conclusion: the result of the study had investigated the effect of active tDCS along with TENS and exercise intervention on pain, disability and quality of life patient with cervical radiculopathy. Study concluded that combined approach is more effective than using a single treatment technique.