The Effects of Thoracic Spine Mobilizations in Individuals With Neck Pain.

Neck Pain Clinical Trial

— THSPMOBS  

Official title:

The Effects of Thoracic Spine Mobilizations in Individuals With Neck Pain.

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02356380
• Other study ID #: ChathamU
• Status: Recruiting
• Phase: N/A
• First received: February 2, 2015
• Last updated: October 25, 2017
• Start date: January 2015
• Est. completion date: December 2018

Study information

• Verified date: October 2017
• Source: Chatham University
• Contact: Steve Karas, DSc
• Phone: 412 365 2798
• Email: skaras[@]chatham.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To determine the affects of Physical Therapists clinical reasoning using thoracic spine mobilization for neck pain compared to a standard protocol.

Description:

The purpose of this research is to compare the effects of two commonly used, safe, thoracic spine treatments: grade 1-4 as performed by Cleland et. al. and grade 1-4 mobilization to the thoracic spine as selected by the Physical Therapist for cervical spine pain. The immediate effects of thoracic spine mobilization have been shown to facilitate greater range of motion increases in the cervical spine and greater pain decreases within a treatment session and on follow-up visits. There is no research utilizing pain threshold perception as an objective outcome of these treatments. Only one study compared the two treatment techniques and concluded that future research should be completed which includes manual therapy for the thoracic spine. (Cleland 2007) If the PT identifies an appropriate patient they will ask if they are interested in being a research subject. The Physical Theapist recruiting subjects all have completed their Doctor of Physical Therapy Degree and have advanced training in manual Physical Therapy. The techniques employed are considered standard practice and are defined as entry level skills by the Comission of Accredicdation of Physical Therapy Programs. These techniques are typically taught in DPT degree programs.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: December 2018
• Est. primary completion date: December 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Patients with Neck Pain

• Ages 18 - 60

Exclusion Criteria:

• Red flags: leg weakness, night pain, history of cancer, upper motor neuron signs, infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004), cervical stenosis, CNS involvement, signs consistent with nerve root compression, previous surgery, pending legal action

The inclusion and exclusion above represent a conservative approach based on combining criteria of recent studies in published review articles. (Cross, 2011; Walser, 2009

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• Mobilization Type
Group One: Mobilization Group: this group will receive grade 1,2,3,or 4 mobilization in prone based on the PT's clinical judgement. The treatment parameters will be recorded. Group Two: Grade 3-4 mobilization group: this group will receive a grade 3-4 mobilization, for 30 seconds form the first through sixth thoracic vertebrae.

Locations

Country	Name	City	State
United States	Chatham University	Pittsburgh	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Chatham University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Neck Pain	0-10 scale	2 weeks
Primary	Neck Disability Index	Assessment of function of neck using a valid and reliable written tool.	2 weeks
Primary	Global Rating of Change	A written scale assessing overall improvement	2 weeks