Neck Pain Clinical Trial
Official title:
Effectiveness of Manual Therapy and Physical Therapy in Patients With Subacute and Chronic Non-specific Neck Pain. A Randomized Controlled Trial.
Background of the study: Manual Therapy applied to patients with non-specific neck pain has
been investigated several times, both internationally and nationally. In the Netherlands
different types of manual therapy treatment exist. Manual Therapy, as practiced under the
Utrecht School, has not been subject of a randomized controlled trial. There is a need to
evaluate the effectiveness of this type of manual therapy.
Objective of the study: This trial will investigate the effectiveness of Manual Therapy in
the short and long-term up to 52 weeks in patient with (sub) acute (minimal two weeks) and
chronic (maximum 52 weeks) since last episode of neck pain. Functional state, pain and
global perceived effect are the outcome variables.
Study design: The study is a single blind randomized controlled trial.
Study population: Men and women aged 18 to 70 years old with neck pain for at least two
weeks.
Intervention: The experimental group will be treated with manual therapy for a period of six
weeks. The control group will be treated with physical therapy (usual care) also for a
period of six weeks.
Primary study parameters / outcome of the study: Global Perceived Effect (GPE) and the Neck
disability index (NDI-DV ) will be applied.
Secondary study parameters / outcome of the study: Visual Analogue Scale (VAS) for pain and
SF36 (Quality of life). The Multidimensional Health Locus of Control(MHLC ),
Credibility/Expectancy Questionnaire, Fear Avoidance Beliefs Questionnaire (FABQ-DLV) will
also be measured.
Detailed information about Manual Therapy according to the Utrecht School Manual Therapy
(MTU)
MTU is based on assessing the patient's individual preference of functioning by documenting
and interpreting their natural asymmetry in anatomical form, posture and movements. The
normal asymmetry and variability of human form and movement function have been specified.
Asymmetrical forms can be related to the asymmetrical movement function.
In addition to the general diagnostics, MTU is characterized by specific diagnostics. By
means of this specific manual-therapeutic analysis the individual preference of functioning
model of the patient is drawn up through analysis and interpretation of the individual
asymmetry in form, posture and movement. Some explanations of the measurements and movements
are: (preferred) hand folding; (preferred) arm folding; which eye is master eye; leg use in
(preferred) kicking of a ball. The purpose here is to describe the optimal direction and
position of movement axes for all joints according to this model.
When composing this model, firstly the individual characteristics (a number of preferred
movements, a number of asymmetrical aspects of posture and form) are assessed.
Documentation, notation and interpretation of these characteristics take place according to
a protocol.
The objective of MTU is to optimize the positioning of movement axes in the joints. To
achieve this, three-dimensional movements in the joints are executed repeatedly. To purpose
fully position the movement axes the therapist should (repeatedly) perform passive joint
movements with low velocity and high accuracy. In addition to examining the individual
preference of movement, exploratory examination is carried out to recognize possible red
flags and to determine the treatment indication.
Treatment is based on preferred movements found in the patient and the interpretation
according to the protocol of these movements and not on the complaint of the patient. It is
executed by applying passive articular movements in the spinal joints and the joints of the
extremities. During this process physiological joint limitations are carefully observed;
traction or high-velocity movements will not be applied, as may be the case in other forms
of manual therapy.
The diagnostic examination of other forms of manual therapy focuses on joint function,
stability, movement patterns, range of movement, and the severity of disorders. To diagnose
the patients complaints, palpation of passive accessory and passive intervertebral movements
are used. The results yield information as to tenderness (pain), restricted intersegmental
motion (stiffness), and spasm (muscle tension).
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05293847 -
Postural Based Telerehabilitation in Mechanic Neck Pain
|
N/A | |
Completed |
NCT04060004 -
The Effects of Dry Needling on the Superficial Neck Musculature
|
N/A | |
Recruiting |
NCT06204627 -
TDCS* and Laterality Trainnning in Patients With Chronic Neck Pain
|
N/A | |
Active, not recruiting |
NCT05870371 -
The Effect of the Feldenkrais Method on Pain and Function in Patients With Chronic Neck Pain
|
N/A | |
Completed |
NCT06049316 -
Scapular Stabilization vs Functional Exercises on Chronic Neck Pain
|
N/A | |
Recruiting |
NCT05944354 -
Wearable Spine Health System for Military Readiness
|
||
Completed |
NCT03147508 -
Investigating Clinical Indicators of Spine Related Dysfunction Patterns. A Clinical Study on Neck Pain Patients.
|
||
Completed |
NCT02904668 -
Self-management Program in Chronic Neck Pain
|
N/A | |
Completed |
NCT02731014 -
Dry Needling for Patients With Neck Pain
|
N/A | |
Completed |
NCT02882061 -
Examination of Cervical Thoracic Differentiation Testing in Individuals With Neck Pain
|
N/A | |
Completed |
NCT02638987 -
EMG Activity Before, During and After Dry Needling
|
N/A | |
Active, not recruiting |
NCT02843269 -
Multiple-component Workplace FRamed Intervention to Decrease Occupational Muscle Pain - FRIDOM
|
N/A | |
Enrolling by invitation |
NCT02485795 -
Observational Study of the Impact of Genetic Testing on Healthcare Decisions and Care in Interventional Pain Management
|
N/A | |
Completed |
NCT02245425 -
Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain
|
N/A | |
Completed |
NCT02225873 -
The Effectiveness of Exercises Protocol in Management of Neck Pain
|
N/A | |
Completed |
NCT02235207 -
Effectiveness of Fustra—Exercise Program in Neck and Low Back Pain
|
N/A | |
Completed |
NCT02190890 -
Dry Needling Dosage in the Treatment of Myofascial Neck Pain
|
N/A | |
Completed |
NCT02051478 -
Thoracic Manipulation and Mobilization for Neck Pain
|
N/A | |
Completed |
NCT01938209 -
A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain
|
N/A | |
Completed |
NCT01233180 -
Effects of Gua Sha and Thermotherapy on Chronic Neck Pain
|
N/A |