Does the Combination of Cervical and Sacroiliac Mobilization Enhance Clinical Outcomes in Cervical Radiculopathy?

This study evaluated whether adding mobilization and myofascial techniques targeting the lumbar and sacroiliac regions to cervical-focused manual therapy provides additional clinical benefits in individuals with cervical radiculopathy. Changes in pain, disability, cervical range of motion, and sacroiliac joint (SIJ) clinical findings were assessed. The study also examined whether changes in SIJ clinical findings were associated with changes in cervical clinical outcomes, thereby exploring the relationship between cervical and lumbopelvic responses to an extended regional manual therapy approach.

Inclusion Criteria:The diagnosis of cervical radiculopathy was established by a specialist neurosurgeon based on clinical examination and magnetic resonance imaging (MRI) findings. Individuals aged 18-55 years with a confirmed diagnosis of cervical radiculopathy and who were considered clinically appropriate for manual therapy were screened for eligibility - Exclusion Criteria:criteria were previous cervical spine surgery; rheumatologic, vestibular, neurological, or cardiopulmonary disorders that could interfere with assessment or treatment; limb-length discrepancy; scoliosis; a history of fracture involving the spine, sacroiliac joint (SIJ), or lower extremities; mechanical low back pain; receipt of exercise-based treatment or physical therapy within the preceding 6 months; and pregnancy \-