search
Back to results

Thoracic Manipulation and Mobilization for Neck Pain

Primary Purpose

Neck Pain

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
Thoracic mobilization
Thoracic manipulation
Sponsored by
Universidad Rey Juan Carlos
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Pain focused on measuring manipulation, mobilization, spine, pressure pain

Eligibility Criteria

20 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • mechanical idiopathic neck pain
  • bilateral pain symptoms
  • chronic pain (>3 months of duration)

Exclusion Criteria:

  • whiplash injury
  • previous spine surgery
  • diagnosis of cervical radiculopathy or myelopathy
  • diagnosis of fibromyalgia
  • having undergone any physical therapy intervention in the previous year
  • pregnancy

Sites / Locations

  • Universidad Rey Juan Carlos

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Thoracic manipulation

Thoracic mobilization

Arm Description

A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied.

Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes

Outcomes

Primary Outcome Measures

Change in Pressure pain thresholds
The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle

Secondary Outcome Measures

Change in Neck pain intensity
Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain)

Full Information

First Posted
January 28, 2014
Last Updated
January 30, 2014
Sponsor
Universidad Rey Juan Carlos
search

1. Study Identification

Unique Protocol Identification Number
NCT02051478
Brief Title
Thoracic Manipulation and Mobilization for Neck Pain
Official Title
CHANGES IN PRESSURE PAIN SENSITIVITY AND NECK PAIN AFTER THORACIC THRUST MANIPULATION OR NON-THRUST MOBILIZATION IN PATIENTS WITH MECHANICAL NECK PAIN
Study Type
Interventional

2. Study Status

Record Verification Date
January 2014
Overall Recruitment Status
Completed
Study Start Date
September 2012 (undefined)
Primary Completion Date
June 2013 (Actual)
Study Completion Date
June 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Universidad Rey Juan Carlos

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain
Keywords
manipulation, mobilization, spine, pressure pain

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
55 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Thoracic manipulation
Arm Type
Experimental
Arm Description
A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied.
Arm Title
Thoracic mobilization
Arm Type
Active Comparator
Arm Description
Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes
Intervention Type
Other
Intervention Name(s)
Thoracic mobilization
Intervention Description
Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes
Intervention Type
Other
Intervention Name(s)
Thoracic manipulation
Intervention Description
A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied
Primary Outcome Measure Information:
Title
Change in Pressure pain thresholds
Description
The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle
Time Frame
Change between baseline and 1o minutes immediate after the intervention
Secondary Outcome Measure Information:
Title
Change in Neck pain intensity
Description
Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain)
Time Frame
Change between baseline and 1o minutes immediate after the intervention

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: mechanical idiopathic neck pain bilateral pain symptoms chronic pain (>3 months of duration) Exclusion Criteria: whiplash injury previous spine surgery diagnosis of cervical radiculopathy or myelopathy diagnosis of fibromyalgia having undergone any physical therapy intervention in the previous year pregnancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jaime Salom.Moreno, PT, PhD
Organizational Affiliation
Universidad Rey Juan Carlos
Official's Role
Principal Investigator
Facility Information:
Facility Name
Universidad Rey Juan Carlos
City
Alcorcón
State/Province
Madrid
ZIP/Postal Code
28922
Country
Spain

12. IPD Sharing Statement

Learn more about this trial

Thoracic Manipulation and Mobilization for Neck Pain

We'll reach out to this number within 24 hrs