manuelletherapie 2006; 10(3): 126-134
DOI: 10.1055/s-2006-926904

© Georg Thieme Verlag KG Stuttgart · New York

Zervikale Radikulopathien - Aktuelles manualtherapeutisches Management im Evidenz-basierten Zeitalter[1]

Cervical Radiculopathy - Current Manual Therapeutic Management in the Evidence-based AgeU. Elsbeck1
  • 1PEB-Physiotherapie, Hamburg
Further Information

Publication History

Manuskript eingetroffen: 17.1.2006

Manuskript akzeptiert: 28.2.2006

Publication Date:
10 July 2006 (online)


Obwohl zervikale Radikulopathien in der Praxis häufig auftreten, existiert bisher nur wenig Literatur über ihre spezifische manualtherapeutische Behandlung. Dieses Review stellt kurz Anatomie und Pathophysiologie der zervikalen Nervenwurzel dar und gibt einen Überblick über die neuesten Forschungsergebnisse des manualtherapeutischen Managements.


Although cervical radiculopathy is a common problem in the everyday practice, only few publications concerning its specific manual therapeutic treatment are available to date. This review gives a brief description of the cervical nerve root’s anatomy and pathophysiology as well as presenting an overview of recent research results of manual therapeutic management.

1 Die Arbeit entstand im Rahmen der OMT-Ausbildung des DVMT.


  • 1 Abdulwahab S S, Sabbahi M. Neck Retractions, Cervical Root Decompression, and Radicular Pain.  Journal of Orthopaedic & Sports Physical Therapy. 2000;  30 4-12
  • 2 Ahlgren B D, Garfin S R. Cervical Radiculopathy. Peripheral Nerve Compressions of the Upper Extremity.  Orthopaedic Clinics of North America. 1996;  27 253-263
  • 3 Allison G T, Nagy B M, Hall T. A randomized clinical trial of manual therapy for cervico-brachial pain syndrome - a pilot study.  Manual Therapy. 2002;  7 95-102
  • 4 Butler D S. Mobilisation of the Nervous System. New York; Churchill Livingstone 1991
  • 5 Butler D S. The Sensitive Nervous System. 1st reprint. Adelaide; Noigroup Publications 2001
  • 6 Chen C, Cavanaugh J M, Song Z. et al . Effects of Nucleus Pulposus on Nerve Root Neural Activity, Mechanosensitivity, Axonal Morphology, and Sodium Channel Expression.  Spine. 2004;  29 17-25
  • 7 Constantoyannis C, Konstantinou D, Kourtopoulos H. et al . Intermittant cervical traction for cervical radiculopathy caused by large-volume herniated disks. Case Report.  Journal of Manipulative and Physiological Therapeutics. 2002;  25 188-192
  • 8 Coppieters M W, Stappaerts K H, Wouters L L. et al . The Immediate Effects of a Cervical Lateral Glide Treatment Technique in Patients with Neurogenic Cervicobrachial Pain.  Journal of Orthopaedic & Sports Physical Therapy. 2003;  33 369-378
  • 9 Cowell I M, Phillips D R. Effectiveness of manipulative physiotherapy for the treatment of a neurogenic cervicobrachial pain syndrome: a single case study - experimental design.  Manual Therapy. 2002;  7 31-38
  • 10 Devor M. Neuropathic pain and injured nerve: Peripheral mechanisms.  British Medical Bulletins. 1991;  47 619-630
  • 11 Devor M, Seltzer Z. Pathophysiology of damaged nerves in relation to chronic pain. Wall PD, Melzack R The Textbook of Pain. 4th ed Edinburgh; Churchill Livingstone 1999
  • 12 Ellenberg M R, Honet J C, Treanor W J. Cervical Radiculopathy. Review Article.  Archives of physical medicine and rehabilitation. 1994;  75 342-352
  • 13 Elvey R L. Physical Evaluation of the Peripheral Nervous System in Disorders of Pain and Dysfunction.  Journal of Hand Therapy. 1997;  10 122-129
  • 14 Elvey R L. Treatment of arm pain associated with abnormal brachial plexus tension.  Australian Journal of Physiotherapy. 1986;  32 225-230 und Monograph. 1998; 3: 5 - 11
  • 15 Fisher M A. Electrophysiology of radiculopathies. Review.  Clinical Neurophysiology. 2002;  113 317-335
  • 16 Gifford L. Acute low cervical nerve root conditions: symptom presentations and pathobiological reasoning. Clinical commentary.  Manual Therapy. 2001;  6 106-115
  • 17 Hall T, Quinter J. Responses to mechanical stimulation of the upper limb in painful cervical radiculopathy.  Australian Journal of Physiotherapy. 1996;  42 277-285
  • 18 Hall T, Elvey R L, Davies N. et al . Efficacy of manipulative physiotherapy for the treatment of cervicobrachial pain. 10th Biennial Conference of the MPAA (Manipulative Physiotherapists Association of Australia) Melbourne.  1997;  73-74
  • 19 Hall T, Elvey R L. Nerve trunk pain: physical diagnosis and treatment.  Manual Therapy. 1999;  4 63-73
  • 20 Hasue M. Pain and the Nerve Root. An Interdisciplinary Approach.  Spine. 1993;  18 2053-2058
  • 21 Kruse R A, Imbarlina F, De Bono V F. Treatment of cervical radiculopathy with flexion distraction. Case Reports.  Journal of Manipulative and Physiological Therapeutics. 2001;  24 206-209
  • 22 McKenzie R. Treat your own neck. Waikanae; Spinal Publications 1983
  • 23 Moeti P, Marchetti G. Clinical Outcome from Mechanical Intermittant Cervical Traction for the Treatment of Cervical Radiculopathy: A Case Series.  Journal of Orthopaedic & Sports Physical Therapy. 2001;  31 207-213
  • 24 Persson L CG, Carlsson C -A, Carlsson J Y. Long-lasting Radicular Pain Managed with Surgery, Physiotherapy, or a Cervical Collar. A Prospective, Randomized Study.  Spine. 1997;  22 751-758
  • 25 Persson L CG, Moritz U, Brandt L. et al . Cervical radiculopathy: pain, muscle weakness and sensory loss in patients with cervical radiculopathy treated with surgery, physiotherapy or cervical collar. A prospective, controlled study.  European Spine Journal. 1997;  6 256-266
  • 26 Radhakrishnan K, Litchy W J, O’Fallon W M. et al . Epidemiology of cervical radiculopathy. A population-based study from Rochester, Minnesota, 1976 - 1990.  Brain. 1994;  117 325-335
  • 27 Rosomoff H L, Fishbain D, Rosomoff R S. Chronic Cervical Pain: Radiculopathy or Brachialgia. Noninterventional Treatment.  Spine. 1992;  17 S362-S366
  • 28 Saal J S, Saal J A, Yurth E F. Nonoperative Management of Herniated Cervical Intervertebral Disc with Radiculopathy.  Spine. 1996;  21 1877-1883
  • 29 Sackett D L, Richardson W S, Haynes R B. et al .Evidence-based medicine. How to practice and teach EBM. 2nd ed. Edinburgh; Churchill Livingstone 2000
  • 30 Sampath P, Bendebba M, Davis J D. et al . Outcome in Patients with Cervical Radiculopathy. Prospective, Multicenter Study with Independent Clinical Review.  Spine. 1999;  24 591-597
  • 31 Sunderland Sir S . The nerve lesion in the carpal tunnel syndrome.  Journal of Neurology, Neurosurgery and Psychiatry. 1976;  39 615-626
  • 32 Sunderland Sir S . The Anatomy and Physiology of Nerve Injury.  Muscle & Nerve. 1990;  13 771-784
  • 33 Swezey R L. Conservative Treament of Cervical Radiculopathy.  Journal of Clinical Rheumatology. 1999;  5 65-73
  • 34 Vicenzino B, Collins D, Wright A. The initial effects of a cervical spine manipulative physiotherapy treatment on the pain and dysfunction of lateral epicondylalgia.  Pain. 1996;  68 69-74
  • 35 Wainner R S, Gill H. Diagnosis and Nonoperative Management of Cervical Radiculopathy.  Journal of Orthopaedic & Sports Physical Therapy. 2000;  30 728-744
  • 36 Wainner R S, Irrgang J J, Delitto A. Reliability and Diagnostic Accuracy of the Clinical Examination and Patient Self-report Measures for Cervical Radiculopathy.  Spine. 2003;  28 52-62
  • 37 Wolff M W, Levine L A. Cervical radiculopathies: conservative approaches to management.  Physical Medicine and Rehabilitation Clinics of North America. 2002;  13 589-608

1 Die Arbeit entstand im Rahmen der OMT-Ausbildung des DVMT.

Uwe Elsbeck, PT, DVMT-OMT

Rückertstr. 31

D-22089 Hamburg