The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain

Chronic Pain Clinical Trial

Official title:

The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04545645
• Other study ID #: uammadrid30
• Status: Completed
• Phase: N/A
• Start date: September 1, 2019
• Est. completion date: September 1, 2020

Study information

• Verified date: September 2020
• Source: Universidad Autonoma de Madrid
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The main objective of this research is to evaluate the influence of different distraction stimuli on neural mechano-sensitivity tests.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 40
• Est. completion date: September 1, 2020
• Est. primary completion date: September 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Men and women aged between 18 and 65 years

• Medical diagnosis of non specific chronic neck pain with more than 6 months of evolution of neck pain

Exclusion Criteria:

• Patients with rheumatic diseases, cervical hernia, cervical whiplash syndrome, neck surgeries o a history of arthrodesis

• Systemic diseases

• Vision, hearing or vestibular problems

• Severe trauma or a traffic accident that had an impact on the cervical area.

Related Conditions & MeSH terms

• Chronic Pain
• Neck Pain

Intervention

Behavioral:
• median nerve mobilization
The patient is placed in a supine position and his cervical spine with 25º of lateral flexion on the opposite side of the member in which we perform the test. First a passive scapular depression is performed, 90º of shoulder abduction combining external shoulder rotation. Next, a supination of the forearm is performed with wrist extension and finger extension. Finally, the elbow is extended to the limit of resistance or when the investigator observes the elevation of the shoulder girdle.
• Neural stress provocation with cognitive auditory distraction
Neural provocation of the median nerve is performed but an auditory distraction is added with a metronome with a constant time of 50 beats per minute.
• Providing neural stress with a motor distraction
The neural provocation of the median nerve is performed and we add a motor distraction that consists of the patient intermittently squeezing a ball with the opposite hand.
• Neural stress provocation with auditory and motor cognitive distraction.
The neural provocation of the median nerve is performed, we add auditory distraction with the metronome with a constant time of 50 BPM and a motor distraction consisting of squeezing a ball to the rhythm that sounds the metronome.

Locations

Country	Name	City	State
Spain	CSEU La Salle	Madrid

Sponsors (2)

Lead Sponsor	Collaborator
Universidad Autonoma de Madrid	Centro Universitario La Salle

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Mechanosensitivity based on range of motion	The inclinometer, an instrument characterized by the constant use of gravity as a reference point to evaluate mobility, is used to evaluate the range of nerve movement.	Change in pressure pain threshold immediately at the end of the intervention
Primary	Pain intensity	It is the subjective feeling of self-reported pain ranging from 0-100 points.	Change in pain intensity immediately at the end of the intervention