Thoracic Manipulation and Mobilization for Neck Pain

Neck Pain Clinical Trial

Official title:

CHANGES IN PRESSURE PAIN SENSITIVITY AND NECK PAIN AFTER THORACIC THRUST MANIPULATION OR NON-THRUST MOBILIZATION IN PATIENTS WITH MECHANICAL NECK PAIN

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02051478
• Other study ID #: URJC2012/11
• Status: Completed
• Phase: N/A
• First received: January 28, 2014
• Last updated: January 30, 2014
• Start date: September 2012
• Est. completion date: June 2013

Study information

• Verified date: January 2014
• Source: Universidad Rey Juan Carlos
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain: Comité Ético de Investigación Clínica
• Study type: Interventional

Clinical Trial Summary

The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 55
• Est. completion date: June 2013
• Est. primary completion date: June 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 20 Years to 65 Years

Eligibility

Inclusion Criteria:

• mechanical idiopathic neck pain

• bilateral pain symptoms

• chronic pain (>3 months of duration)

Exclusion Criteria:

• whiplash injury

• previous spine surgery

• diagnosis of cervical radiculopathy or myelopathy

• diagnosis of fibromyalgia

• having undergone any physical therapy intervention in the previous year

• pregnancy

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• Thoracic mobilization
Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes
• Thoracic manipulation
A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied

Locations

Country	Name	City	State
Spain	Universidad Rey Juan Carlos	Alcorcón	Madrid

Sponsors (1)

Lead Sponsor	Collaborator
Universidad Rey Juan Carlos

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Pressure pain thresholds	The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle	Change between baseline and 1o minutes immediate after the intervention	Yes
Secondary	Change in Neck pain intensity	Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain)	Change between baseline and 1o minutes immediate after the intervention	Yes