Clinical Predictive Effects of Mulligan Treatment in Patients With Chronic Neck Pain
Orthopedic Disorder of Spine, Placebo Effect, Disability Physical
About this trial
This is an interventional treatment trial for Orthopedic Disorder of Spine focused on measuring Therapeutic Effect, Manual Therapy, Physiotherapy, Neck Pain
Eligibility Criteria
Inclusion Criteria:
- Ages between 18 and 60 years.
- Neck pain with/without pain in upper limb/s.
- NDI ≥ 10
- Acceptance of the study and completion of the informed consent form.
Exclusion Criteria:
- Presenting physician-diagnosed "red flag" of non-musculoskeletal origin.
- Having had a Whiplash in the last 2 years.
- Use of cervical collar in the last year.
- Evidence of CNS involvement.
- Vestibular Disorders
- Inflammatory joint disease
- Spinal cord pathology
- Bone disease or marked osteoporosis
- Intervertebral disc protrusion
- Subjects who have received physiotherapeutic treatment of the cervical or thoracic region three months previously.
- Fractures, sprain or dislocation of the neck, occurred in a period of less than two months.
- Previous shoulder, upper limb and cervical spine surgery, which occurred in the twelve months prior to the investigation.
- Pregnancy
- Illness
- Voluntary abandonment
Sites / Locations
- Universidad Europea de Madrid
Arms of the Study
Arm 1
Arm 2
Experimental
Sham Comparator
Mobilization with movement technique
Placebo technique
The therapist applies supported pressure on right and left side and articular planes. Meanwhile, the patient executes active movements and the therapist is trying to find the specifies cervical joint to get partial or total painful relief or movements with restrictions. If the therapist couldn´t relief or remove pain or restriction with the pressure permorfem, he will readjust pressure and slide in differents planes of motion. It is necessary achieve that aim. After that, the patient stay in sit down raised position on a stool, with his back in contact with the wall. Hip, knee and ankle of the patient suppor a certain position: 90º of flexion which will be checked with a conventional goniometer. His hands are on the thighs. The treatment lasts 5 minutes.
Placebo manual technique is performed similar to experimental group technique but no slides are performed. The therapist simply embraces cervical region with boths hands, avoiding any pressure or any painfully caoture.