Neck Pain Clinical Trial
Official title:
Effects of Pain, Disability, Widespread Pressure Pain Sensitivity, and Cervicokinesthesia After Cervical Manipulation in Patients With Mechanical Neck Pain
Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability, widespread pressure pain sensitivity, and cervicokinethesia in patients with mechanical neck pain.
Status | Completed |
Enrollment | 55 |
Est. completion date | December 2016 |
Est. primary completion date | November 2016 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature. Exclusion Criteria: - any contraindication to manipulation, e.g., positive extension-rotation test; - whiplash injury; - previous cervical surgery; - cervical radiculopathy or myelopathy; - diagnosis of fibromyalgia syndrome; - having undergone spinal manipulative therapy in the previous 6 months; - less than 18 or greater than 65 years of age. |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Spain | Cesar Fernandez-de-Las-Peñas | Alcorcon | Madrid |
Lead Sponsor | Collaborator |
---|---|
Universidad Rey Juan Carlos |
Spain,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in cervical kinesthetic sense before and after the intervention | The joint position sense error (JPSE) will be calculated to determine cervicokinethesia | Baseline and 15 minutes after the intervention | Yes |
Secondary | Changes in disability before and after the intervention | The Neck Disability Index (NDI) will be used to determine neck-related disability | Baseline and one week after the intervention | Yes |
Secondary | Changes in neck pain intensity before and after the intervention | An 11 points numerical pain rate scale (NPRS, 0-10) will be used to assess the intensity of neck pain | Baseline and one week after the intervention | Yes |
Secondary | Changes in widespread pressure pain sensitivity before and after the intervention | Pressure pain thresholds will be assessed over C5/C6 zygapophyseal joints and the tibialis anterior muscle | Baseline and 15 minutes after the intervention | Yes |
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