Neck Pain Clinical Trial
Official title:
Randomized Controlled Trial of Chiropractic Manipulation Versus Medical Therapy for Chronic Neck Pain
The purpose of this study is to determine whether chiropractic manipulation or medical therapy is effective in the treatment of chronic neck pain.
Neck pain is a common complaint, approximately 10% of the population have neck pain. Many
modalities are used to treat neck pain, but no therapy has been found to be clearly
superior. We conducted a randomized controlled study of chiropractic manipulation versus
medical therapy for chronic neck pain.
Subjects (n=70) with neck pain for more than 3 months but with no evidence of radiculopathy
or myelopathy were randomized. Both groups were instructed to do neck exercises and use heat
daily. The chiropractic group received 12 standardized manipulations over 6 weeks. Nurses
saw the medical group on the same visit schedule and received acetaminophen 1,000 milligrams
four times a day as needed. Blinded observer performed all measurements. The primary outcome
measure was the Neck Disability Index (NDI). Secondary measures were pain via a visual
analogue scale, global via Medical Outcome Study Short Form and range of motion via Cybex
electronic inclinometer.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind, Primary Purpose: Treatment
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