Date of Award

2014

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Mark Romanick

Keywords

Radiculopathy -- therapy; Case Reports

Abstract

There is currently little evidence to determine which conservative treatment approach is best for the management of patients with cervical radiculopathy; however, there is evidence these patients benefit from a multi-treatment approach. The purpose of this case is to describe the physical therapy management of a patient with cervical radiculopathy. Physical therapy diagnosis was based on the patient’s physical signs and symptoms as well as meeting three of the four criteria of the clinical prediction rule which is used to identify patients with cervical radiculopathy. Results from the examination and evaluation were consistent with the magnetic resonance imaging findings. Physical therapy treatment included patient education, therapeutic exercise, manual traction, and manual therapy. Patient’s pain improved from a 9/10 to 0/10 and Neck Disability Index score improved from 46% disability to 0% disability from initial examination to discharge. Following a multi-treatment approach that included patient education, therapeutic exercise, and manual therapy techniques, this patient with cervical radiculopathy experienced decreased pain, increased cervical mobility, improved posture, and was able to return to full-time work duties and prior level of function.

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