Clinical Trials Logo
  1. Home
  2. Neck Pain
  3. NCT05568394

Effects of Manual Therapy Combined With Therapeutic Exercise on Brain Biomarkers in Neck Pain

Neck Pain Clinical Trial

Official title:
Effects of Manual Therapy Combined With Therapeutic Exercise on Brain Biomarkers in Patients With Chronic Nonspecific Neck Pain: Study Protocol for a Randomized Controlled Trial.

Clinical Trial Summary

Structural brain alterations in pain-related areas have been demonstrated in patients with nonspecific neck pain. While manual therapy combined with therapeutic exercise is an effective management for neck pain, its underlying mechanisms are poorly understood. The primary objective of this trial is to investigate the effects of manual therapy combined with therapeutic exercise on brain imaging biomarkers in patients with chronic nonspecific neck pain. The secondary objectives are to assess neurochemical biomarkers, clinical features of neck pain, cervical range of motion and cervical muscle strength.

Clinical Trial Description

This study is a single-blinded, randomized controlled trial. Forty-eight participants with chronic nonspecific neck pain will be recruited into the study. Participants will be randomly allocated to either an intervention or control group (1:1 ratio). Participants in the intervention group will receive manual therapy combined with therapeutic exercise for 10 weeks (2 visits per week). The control group will receive routine physical therapy. Primary outcomes are brain imaging biomarkers (cortical gray matter: volume, thickness and area, and white matter: fractional anisotropy and mean diffusivity) in pain-related areas. Secondary outcomes are neurochemical biomarkers (N-acetylaspartate, NAA; creatine, Cr; glutamic acid/glutamine, Glu/Gln; myoinositol, mI; and choline, cho), clinical features (neck pain intensity, duration, neck disability and psychological symptoms), cervical range of motion and cervical muscle strength. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05568394
Study type Interventional
Source Chiang Mai University
Contact
Status Completed
Phase N/A
Start date November 15, 2022
Completion date February 5, 2024
View Details
See also
  Status Clinical Trial Phase
Completed NCT05293847 - Postural Based Telerehabilitation in Mechanic Neck Pain N/A
Completed NCT04060004 - The Effects of Dry Needling on the Superficial Neck Musculature N/A
Recruiting NCT06204627 - TDCS* and Laterality Trainnning in Patients With Chronic Neck Pain N/A
Active, not recruiting NCT05870371 - The Effect of the Feldenkrais Method on Pain and Function in Patients With Chronic Neck Pain N/A
Completed NCT06049316 - Scapular Stabilization vs Functional Exercises on Chronic Neck Pain N/A
Recruiting NCT05944354 - Wearable Spine Health System for Military Readiness
Completed NCT03147508 - Investigating Clinical Indicators of Spine Related Dysfunction Patterns. A Clinical Study on Neck Pain Patients.
Completed NCT02731014 - Dry Needling for Patients With Neck Pain N/A
Completed NCT02904668 - Self-management Program in Chronic Neck Pain N/A
Completed NCT02882061 - Examination of Cervical Thoracic Differentiation Testing in Individuals With Neck Pain N/A
Completed NCT02638987 - EMG Activity Before, During and After Dry Needling N/A
Active, not recruiting NCT02843269 - Multiple-component Workplace FRamed Intervention to Decrease Occupational Muscle Pain - FRIDOM N/A
Enrolling by invitation NCT02485795 - Observational Study of the Impact of Genetic Testing on Healthcare Decisions and Care in Interventional Pain Management N/A
Completed NCT02225873 - The Effectiveness of Exercises Protocol in Management of Neck Pain N/A
Completed NCT02245425 - Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain N/A
Completed NCT02235207 - Effectiveness of Fustra—Exercise Program in Neck and Low Back Pain N/A
Completed NCT02190890 - Dry Needling Dosage in the Treatment of Myofascial Neck Pain N/A
Completed NCT02051478 - Thoracic Manipulation and Mobilization for Neck Pain N/A
Completed NCT01938209 - A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain N/A
Completed NCT01205542 - Work Place Adjusted Intelligent Physical Exercise Reducing Musculoskeletal Pain in Shoulder and Neck (VIMS) - Shoulder Function N/A