Preventive Care of Chronic Cervical Pain and Disabilities

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: spinal manipulation; Other: Spinal manipulation + exercises

• Registration Number: NCT00566930
• Lead Sponsor: Université du Québec à Trois-Rivières

Brief Summary

The aim of this study is to determine which of tertiary prevention spinal manipulative therapy (SMT) or a home exercise program is the more efficient approach to reduce pain and increase functional capacity, quality of life and general health condition. To do so, 60 participants with chronic cervical pain, will be recruited and divided into 3 groups according to the intervention they will receive: control group, experimental group 1 who will receive preventive chiropractic care in the form of spinal manipulations and experimental group 2 will have to perform an individualized home exercise program on a daily basis. We hypothesize that a group of patient receiving SMT + a home exercise program will present less pain and functional disabilities over a 1 year period. The innovative value of this project is mainly related to the fact that it will generate new and potentially very useful data concerning the clinical significance of preventive chiropractic care. Moreover, such data will be beneficial to our profession as chiropractic makes a step towards prevention, wellness and public health.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-10
• Study First Submitted: 2007-11-30
• Study First Submitted QC: 2007-12-03
• Study First Posted: 2007-12-04
• Primary Completion: 2008-09
• Study Completion: 2008-09
• Results First Submitted: 2012-06-12
• Results First Submitted QC: 2012-08-17
• Status Verified: 2012-09
• Last Update Submitted: 2012-09-13
• Results First Posted: 2012-09-14
• Last Update Posted: 2012-09-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 117

Inclusion Criteria

• Adults between 18 and 60 years old from the city and the surrounding Trois-Rivières with chronic cervical pain of non-traumatic origin (chronic or recurrent cervical pain that lasted at least 6 months)

Exclusion Criteria

Exclusion criteria for the project are:

• Surgery to the cervical spine
• Neoplasms
• Severe osteoarthritis
• Ankylosing spondylitis
• Hypertension
• Referred pain in the cervical area
• Central or peripheric nervous system dysfunction
• Vascular disease
• Treated cardiovascular disease
• Inflammatory or infectious disease of the cervical spine
• Metabolic or endocrine diseases
• Pregnancy
• Specific rehabilitation training for the neck or already under manual therapy for neck pain
• Patient suffering from dizziness, vertigo or headache suspected to be cervicogenic or of unknown origin will not be involved in the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
2	spinal manipulation	spinal manipulation
3	Spinal manipulation + exercises	Spinal manipulation + exercises

Primary Outcome Measures

Name	Time	Method
Neck Pain	Up to 10 months	Visual analog pain scale (score 0-10 cm; 0 being no neck pain and 10 extreme neck pain)

Secondary Outcome Measures

Name	Time	Method
Fear Avoidance Belief, Quality of Life, Range of Motion	One year

Trial Locations

Locations (1)

Université du Québec à Trois-Rivières; 🇨🇦 Trois-Rivieres, Quebec, Canada