Cervical Spine Manipulation Affects on Balance and Proprioception

Neck Pain Clinical Trial

Official title:

Immediate Effects of Cervical Spine Manipulation on Balance and Joint Proprioception in Healthy Individuals

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01745705
• Other study ID #: 1105-3780
• Status: Completed
• Phase: N/A
• First received: December 5, 2012
• Last updated: June 17, 2013
• Start date: April 2011
• Est. completion date: June 2013

Study information

• Verified date: June 2013
• Source: University of Nevada, Las Vegas
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Cervical spine manipulation (CSM) is utilized by many health care practitioners in the management of patients with neck pain and headache. How CSM works is not understood however, most researchers agree that there is likely a combination of mechanical, neurophysiological and placebo effects. This study will test for possible neurophysiological effects by examining for changes in a person's ability to reposition their head and neck in space, and maintain their balance following CSM.

Description:

Consenting participants will have their proprioception tested through a joint repositioning error test for their cervical spine, and also have their balance tested through a Neurocom Balancemaster. Following these pre-intervention measures, they will receive in a random order, either a cervical spine manipulation (CSM) or a sham manipulation, and then have tests repeated to analyze for changes and differences between interventions.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: June 2013
• Est. primary completion date: June 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• healthy individuals between the ages of 18 and 60

Exclusion Criteria:

• current neck pain/symptoms; neck pain symptoms within the last 6 months; confirmation or possibility of pregnancy; dizziness; vertigo, or nausea; history of cervical spine surgery; rheumatoid arthritis; osteoporosis; osteopenia; ankylosing spondylitis; cancer; or vertebral artery insufficiency.

Study Design

Allocation: Randomized, Intervention Model: Crossover Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Basic Science

Related Conditions & MeSH terms

• Headache
• Neck Pain

Intervention

Other:
• Cervical Spine Manipulation

• Manual Contact

Locations

Country	Name	City	State
United States	Department of Physical Therapy, University of Nevada Las Vegas	Las Vegas	Nevada

Sponsors (1)

Lead Sponsor	Collaborator
University of Nevada, Las Vegas

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	SMART Neurocom Balance Master	Subjects stand on a force plate on a SMART Neurocom Balance Master and complete a Sensory Organization Test (SOT) program which assesses somatosensory, visual and vestobular systems used in maintaining balance.	1 day (Immediately after the intervention)	No
Primary	Cervical joint proprioception	Subjects wear a headband with a mounted laser pointer and sit 1 meter away from a wall. They assume their comfortable neutral cervical posture and then close their eyes and extend their cervical spine and return to their neutral posture with eyes closed. The laser pointer marks the point of return and we measure the difference between start and end points for error.	1 day (Immediately after the intervention)	No

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