Neck Pain Clinical Trial
Official title:
The Effect of Single Thoracic Manipulation Combined With Special Massage Technique on Mechanical Neck Pain: A Randomized Controlled Trial
Verified date | June 2017 |
Source | Khon Kaen University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study aims to compare the immediate effects of using a single thoracic manipulation combined with special massage technique (RT technique) and single thoracic manipulation alone on pain level at rest, cervical range of motion, upper limb neurodynamic test, neck disability, and adverse effects in chronic mechanical neck pain patients.
Status | Completed |
Enrollment | 30 |
Est. completion date | April 2017 |
Est. primary completion date | February 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 59 Years |
Eligibility |
Inclusion Criteria: - They have neck pain on posterior neck or shoulder, which is the area from superior nuchal line to spinous process of 1st thoracic vertebrae, with mechanical characteristics consisting of the symptoms provoked by sustained prolonged neck posture, neck movement or palpation of cervical musculature (Marti´nez-Segura et al., 2006). - They have symptoms for at least 3 months in duration. - They have pain level at rest at least mild level (from 3 score or greater) measured by Visual Analog Scale (Jensen et al., 2003). - They have a baseline Neck Disability Index (NDI) Thai version score of 10% or greater (Suvarnnato et al., 2013). Exclusion Criteria: The subjects will be excluded from current study if they have the following conditions including: 1. Cervical radiculopathy or myelopathy 2. History of whiplash injury within 6 weeks of examination 3. History of cervical surgery or thoracic surgery 4. History of cervical or thoracic injuries including fracture or dislocation 5. Fibromyalgia syndrome 6. The serious spinal conditions including spinal osteoporosis, spinal tuberculosis, and tumors 7. History of treated by spinal manipulation within 2 months before participating in the study 8. The diseases that are contra-indication to receive a spinal manipulation, such as hypertension, heart disease and meningitis 9. Pregnancy |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Khon Kaen University |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Pain level at rest | A Visual Analog Scale (VAS) will be used for recording level of pain at rest. | Change from baseline at 3 weeks | |
Secondary | Cervical Range of Motion (CROM) | The Cervical Range of Motion (CROM) device (Performance Attainment Associates, USA) will be used to measure the cervical range of motion, including flexion, extension, lateral flexion and rotation. | Change from baseline at 3 weeks | |
Secondary | Upper limb tension test 1 (ULTT1) | The details of performing ULTT1 can be described as follow: the examiner will stand at side of tested limb with turn facing towards patient's head, and hold patient's one hand to control his or her thumb and fingers. Next, the examiner will use other hand to keep patient's shoulder in depression position to prevent the movement of shoulder girdle elevation during shoulder abduction. Then, the examiner will perform shoulder abduction with 110 degrees, forearm supination with the wrist and fingers extend, laterally rotation of shoulder, and elbow extension respectively. The last component of the test is the examiner asked patient turning their head to opposite side of tested arm. In current study, the researcher will measure the changing response of first sequence, that patient have a symptoms, to investigate that the intervention may affect the neural tension or not. | Change from baseline at 3 weeks | |
Secondary | The Neck Disability Index Thai version (NDI-TH) | The Neck Disability Index Thai version (NDI-TH) questionnaire (Appendix C), which is a reliable instrument to assess functional disability in neck pain patients with high internal consistency (ICC = 0.85) (Uthaikhup et al., 2011), will be used to assess the subjects' perceived disability level which can be show the impact of their neck pain to the daily living. | Change from baseline at 3 weeks | |
Secondary | Adverse effects | After the intervention is complete, the subjects will be asked about any symptoms that are the side effect occurring from treatment. | Change from baseline at 3 weeks |
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