<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20191023045218N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-01-04</date_registration>
      <primary_sponsor>Riphah international University</primary_sponsor>
      <public_title>Management of Patient with Cervical Radiculopathy</public_title>
      <acronym></acronym>
      <scientific_title>The Effect of Sustained Natural Apophyseal Glide with and Without Neurodynamics in the Management of Patient with Cervical Radiculopathy</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2640-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>44</target_size>
      <recruitment_status>Pending</recruitment_status>
      <url>https://irct.ir/trial/43271</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: 44 number of individuals divided in 2 equal groups of 22 individuals, Randomization description: Simple method, individual unit of randomization, table of random numbers, allocation with concealment, Non-Probability Convenience Sampling, Blinding description: Patients were blinded as they don't know their respected group, therapist who gave treatment and assess the outcome was blinded.</study_design>
      <phase>1</phase>
      <hc_freetext>Cervical radiculopathy (CR) is a pathological condition of the cervical nerve root (CNR) that may lead to chronic pain and disability.Cervical radiculopathy is known to be a neurological  problem with its associated symptoms like pain, numbness, muscle weakness and diminished reflexes in one or both upper extremities and if prolongs these symptoms lead to headache, functional impairment, activity limitation and difficulty to return to work. Other leading causes of CR are cervical disc hernia ion with and without formation of spur and cervical spondylosis accompanied by inflammation and nerve compression due to dehydration and eventually collapsing of cervical discs..</hc_freetext>
      <i_freetext>Intervention 1: Control group: Control group will receive Sustained Natural Apophyseal Glide only. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment. Intervention 2: Intervention group: This group will receive Sustained Natural Apophyseal Glide along with Neurodynamics. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
The Effect of Sustained Natural Apophyseal Glide with and Without Neurodynamics in the Management of Patient with Cervical Radiculopathy

When:
Within 2 months

To whom:
Online

Conditions:
By email

Where to obtain:
Tehsil Headquarter (THQ) hospital Khushab

How to obtain:
E mail

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Shehnila Shoukat</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House No.4292,Street No.2,MohaAllah Ali Pura Khushab</address>
        <city>Khushab</city>
        <country1>Pakistan</country1>
        <zip>41000</zip>
        <telephone>+92 454 610161</telephone>
        <email>Shehnila.499@gmail.com</email>
        <affiliation>Riphah international University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shehnila shoukat</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>House No.4292,Street No.2,MohaAllah Ali Pura Khushab</address>
        <city>Khushab</city>
        <country1>Pakistan</country1>
        <zip>41000</zip>
        <telephone>+92 454 710161</telephone>
        <email>Shehnila.499@gmail.com</email>
        <affiliation>Riphah international University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients having Age 22-40 years
Both genders
Patients with positive result of following tests:Spurling test,ULNT-1,neck distraction and ipsilateral cervical rotation test.
Patient availability and cooperation during treatment</inclusion_criteria>
      <agemin>22 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Patients having negative one of the following tests:Spurling test,ULNT-1,neck distraction and ipsilateral cervical rotation test.
Patients with accessory Systemic Musculoskeletal Dysfunction
Patients having symptoms of Vertebral Artery Insufficiency.
Patients not willing to participate or to follow up treatment plan.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M50.10</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Cervical disc disorder with radiculopathy, unspecified cervical region</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: Control group will receive Sustained Natural Apophyseal Glide only. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment.</i_keyword>
      <i_keyword>Intervention group: This group will receive Sustained Natural Apophyseal Glide along with Neurodynamics. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Correcting Cervical Radiculopathy. Timepoint: 6 months. Method of measurement: Data collection tools.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Self</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2640-09-29</approval_date>
        <contact_name>Ethic Committee of Riphah college of Rehablitation Sciences</contact_name>
        <contact_address>House No.4292,Street No.2,MohaAllah Ali Pura Khushab Khushab Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
