Neck Pain Clinical Trial
Official title:
Randomized Clinical Trial of Chiropractic Manual Therapy Plus Home Exercise, Supervised Exercise Plus Home Exercise and Home Exercise Alone For Individual 65 and Over With Chronic Mechanical Neck Pain
The purpose of this randomized clinical trial is to assess the relative effectiveness of three conservative treatment approaches for seniors with chronic neck pain: 1) chiropractic manual treatment plus home exercise, 2) supervised exercise plus home exercise and 3) home exercise alone.
Status | Completed |
Enrollment | 241 |
Est. completion date | April 2008 |
Est. primary completion date | April 2008 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Chronic neck pain (Defined as current episode more than 12 weeks duration.) - Quebec Task Force classifications 1, 2, 3 and 4. This includes patients with neck pain, stiffness or tenderness, with or without musculoskeletal and neurological signs. - 65 years of age and older - Independent ambulation - Community dwelling (residency outside nursing home) - Score of 20 or more on Folstein Mini-Mental State Examination - Stable prescription medication plan (no changes in prescription medications that affect musculoskeletal pain in previous month) Exclusion Criteria: - Referred neck pain from local joint lesions of the upper extremities or from visceral diseases - Significant infectious disease - Ongoing treatment for neck pain by other health care providers - Mean neck pain score of less than 20 percentage points - Contraindications to exercise Determined by history or by referral to supplementary diagnostic tests (i.e., uncontrolled arrhythmias, third degree heart block, recent ECG changes, unstable angina, acute myocardial infarction, acute congestive heart failure, cardiomyopathy, valvular heart disease, poorly controlled blood pressure, uncontrolled metabolic disease) - Contraindications to spinal manipulation (i.e. Progressive neurological deficits, blood clotting disorders, severe osteoporosis, infectious and non-infectious inflammatory or destructive tissue changes of the spine) |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
United States | Wolfe-Harris Center for Clinical Studies, Northwestern Health Sciences University | Bloomington | Minnesota |
Lead Sponsor | Collaborator |
---|---|
Northwestern Health Sciences University | Berman Center for Outcomes and Clinical Research, Health Resources and Services Administration (HRSA) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient-rated pain (0-10 scale, 11 box) | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | General Health | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | Disability | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | Improvement | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | Satisfaction | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | Medication use | short term = 12 weeks; long term = 52 weeks | No | |
Secondary | Biomechanical tests: Cervical spine motion, Strength and Endurance, Functional Ability, Observed Pain Behavior | short term = 12 weeks | No |
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