The Effect of Directional Specific Thoracic Spine Mobilization on Cervical Spine Pain

Neck Pain Clinical Trial

Official title:

The Effect of Directional Specific Thoracic Spine Mobilization on Cervial Spine Pain.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01917071
• Other study ID #: Karasmatched
• Status: Completed
• Phase: N/A
• First received: August 2, 2013
• Last updated: July 27, 2015
• Start date: August 2013
• Est. completion date: January 2015

Study information

• Verified date: August 2013
• Source: Chatham University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Chatham University Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Hypothesis: There is no difference in directional specific manipulation of the thoracic spine for patients with neck pain.

Patients seeking physical therapy for neck pain routinely have their thoracic spine manipulated. This study seeks to determine if directional limitations in the spine can be specifically determined and treated to decrease neck pain.

Description:

Manipulation of the thoracic spine is the most commonly used manual therapy intervention by manual therapists. It is not known whether we can accurately assess and treat directional limitations in the thoracic spine to improve neck pain.

One way is to assess where the limitation is and treat it. Another method is to distract the joint. We want to know if matching the limitation to the manipulation method will give patients with neck pain better results.

The patient lays on their back. The therapist places a hand on the inferior vertebrae of the motion segment. The patient relaxes and the therapist pushes in an anterior to posterior direction either moving the vertebrae into flexion or entension.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: January 2015
• Est. primary completion date: January 2015
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Patients with Neck Pain; ages 18 - 60

Exclusion Criteria:

• red flags: leg weakness, night pain, history of cancer, upper motor neuron signs, infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004) history of whiplash within 6 weeks, cervical stenosis, CNS involvement, signs consistent with nerve root compression, previous surgery, pending legal action

Study Design

Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• thoracic spine manipulation
a manual technique applied to the mid back to promote motion

Locations

Country	Name	City	State
United States	Chatham University	Pittsburgh	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Chatham University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Neck Disability Index	Objective, valid, reliable measure of function in patients with neck pain. Completed as a survey.	2 weeks	No
Secondary	Neck Pain	Selection of 0 to 10 level of pain.	2 weeks	No