Comparative Effectiveness of Neural Mobilization Versus Positional Release Technique in Cervical Radiculopathy – An Experimental Study

Background: Cervical radiculopathy is a common condition characterized by nerve root compression, leading to pain, disability, and functional limitations. Physiotherapy interventions such as Neural Mobilization (NM) and Positional Release Technique (PRT) are widely used; however, evidence comparing their combined effectiveness is limited. 
Objective: To evaluate and compare the effectiveness of NM, PRT, and their combined application (NM + PRT) in individuals with cervical radiculopathy. 
Methods: Forty-five participants were randomly allocated into three groups (n = 15 each): NM, PRT, and combined NM + PRT. Interventions were administered, and outcomes were assessed using the Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI), and hand grip strength. Data were analyzed using one-way ANOVA and Kruskal–Wallis test with significance set at p ≤ 0.05. 
Results: All groups showed significant improvements in pain and disability. The combined NM + PRT group demonstrated the greatest reduction in NPRS (6.93 ± 1.62) and improvement in NDI (13.87 ± 8.55), indicating superior effectiveness. Grip strength improved in all groups; however, no statistically significant difference was observed between them (p > 0.05). 
Conclusion: Both NM and PRT are effective in managing cervical radiculopathy, but their combined application provides superior outcomes in reducing pain and improving functional disability. This combined approach can be considered a safe and effective non-invasive treatment option.