A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain

Neck Pain Clinical Trial

Official title:

A Randomized Control Trial of the Immediate Effects of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Spine Flexion Range of Motion and Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01938209
• Other study ID #: karas 003
• Secondary ID: karas thoracic s
• Status: Completed
• Phase: N/A
• First received: September 3, 2013
• Last updated: September 9, 2013
• Start date: September 2011
• Est. completion date: October 2012

Study information

• Verified date: September 2013
• Source: Chatham University
• Contact: n/a
• Is FDA regulated: No
• Health authority: Chatham University IRB United States of America:
• Study type: Interventional

Clinical Trial Summary

Thirty-nine patients with cervical spine pain were randomly assigned to either a seated thoracic manipulation or targeted supine thoracic manipulation group. Pain and flexion range of motion measures were taken before and after the intervention.

Description:

DESIGN: Randomized clinical trial OBJECTIVES: To determine the effectiveness of seated thoracic manipulation versus targeted supine thoracic manipulation on cervical spine pain and flexion range of motion. There is evidence that thoracic spine manipulation is an effective treatment for patients with cervical spine pain. This evidence includes a variety of techniques to manipulate the thoracic spine. While each of them is effective, no research has compared techniques to determine which produces the best outcomes.

METHODS: Thirty-nine patients with cervical spine pain were randomly assigned to either a seated thoracic manipulation or targeted supine thoracic manipulation group. Pain and flexion range of motion measures were taken before and after the intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 39
• Est. completion date: October 2012
• Est. primary completion date: October 2012
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Inclusion criteria required patients to be between 18-60 years old with a primary complaint of neck pain

Exclusion Criteria:

• identification of red flags suggestive of nonmusculoskeletal etiology, history of whiplash injury within six weeks of the initial visit, diagnosis of cervical spine stenosis, central nervous system involvement, or signs of nerve root compression (two of the following limited at the same level: strength, sensation, reflexes).

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• seated thoracic manipulation
seated general thoracic spine manipulation
• supine specific thoracic spine manipulation
supine specific thoracic spine manipulation

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Chatham University	Megan J. Olson Hunt

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	neck pain	As measured by patient response at end range of flexion on a scale of 0 - 10.	pain measure taken immediately on first visit	No
Secondary	neck range of motion	As measure using a bubble goniometer, shich has been shown to be valid and reliable.	range of motion assessed immediately in first visit	No