Effects of Cervical Spine Manipulation

Cervical Pain Clinical Trial

Official title:

Effects of Cervical Spine Manipulation on Upper Trapezius Active Versus Conventional Techniques.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05582733
• Other study ID #: REC:00570
• Status: Completed
• Phase: N/A
• Start date: August 1, 2019
• Est. completion date: January 28, 2020

Study information

• Verified date: October 2022
• Source: University of Lahore
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point. it was a randomized control trial including 66 patients at physiotherapy OPD of railway rehabilitation center from August 2019 to December 2019, Railway General Hospital Pakistan and Max Rehab and decompression center Max health Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method.

Description:

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point and neck ranges of motion. A randomized control trial of 66 patients was conducted from August 2019 to December 2019 at physiotherapy OPD of railway rehabilitation center, Railway General Hospital Pakistan and Max Rehab and decompression center Maxhealth Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method. Control was treated with Manual Pressure release followed by stretching while in experimental received cervical spine manipulation (chin hold) kaltenborn followed by stretching. Structural questionnaire was used for pre and post assessment. Outcomes were measured by algometry and inclinometer before and after the application of respective techniques. The data was analyzed at baseline and immediately after the intervention on IBM SPSS-21.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 66
• Est. completion date: January 28, 2020
• Est. primary completion date: December 30, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 25 Years to 45 Years

Eligibility

Inclusion Criteria:

• 1.presence MTrps in upper trapezius
• limited side bending and rotation
• both gender
• age between 25 to 45

Exclusion Criteria:

• Malignancy, infection, trauma, bone deformities.
• Acute Disc Protrusion
• Positive VBI
• Positive Sharp purser test
• History of whiplash injury

Related Conditions & MeSH terms

• Cervical Pain
• Neck Pain

Intervention

Other:
• Cervical spine manipulation
hot pack for 10 minutes will be applied followed by cervical manipulation (chin hold kaltenborn) once and then stretching
• traction
Hot pack will be applied followed by sustained pressure or MPR for 90 sec and then stretching.

Locations

Country	Name	City	State
Pakistan	Dr. Abdul Gaffoor	Islamabad

Sponsors (2)

Lead Sponsor	Collaborator
University of Lahore	Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	changes from the baseline in Algometer values	It is a device used to identify the pressure and force eliciting a pressure pain threshold. The hand held algometer 1 cm round rubber surface which applies force and display for readings in newtons or kilograms.Sustained force is usually applied at the right angle to the soft tissue. Estimated pressure application rates have ranged from 0.05 to 20N/s. it has a high validity and reliability for measuring pain pressure threshold in patients of myofascial trigger points.	Baseline and 3 weeks
Primary	changes from the baseline in Inclinometer values	It is a device used to measure neck ranges of motion.	Baseline and 3 weeks