Synergistic Effects of Manual Therapy, Neuromuscular Training and Virtual Reality in Cervical Radiculopathy: A Case Report

Cervical radiculopathy is a common condition that typically occurs as a result of nerve root or roots compression and inflammation in the region of the neural foramen. The encroachment normally causes neck and radiating arm pain or paresthesias, sensory impairment, or motor dysfunction in the upper extremities and neck. Hereby, the authors present a case report of a 37-year-old female with cervical radiculopathy. She complains of neck and shoulder joint pain, radiating down to left arm till elbow joint. On observation she had forward head posture and on examination reduced mobility of cervical region and shoulder joint with reduced strength of scapular muscle. This comprehensive rehabilitation strategy incorporates multiple evidence-based technique ues, including Mulligan mobilisation, neural tissue mobilisation, Scapular mobilisation, Sahrmann Exercise and virtual reality. Range of motion, Pain, and Muscle strength were the primary outcome measures. Neck Disability Index (NDI) was also assessed. The four week rehabilitation protocol has shown positive outcomes that highlight reduction in pain, improved mobility, increased muscle strength, correction of faulty posture, restored functions, and enhanced overall well-being. However, further clinical studies are necessary to evaluate the combined efficacy of these interventions and to establish standardised protocols for their implementation.