Effects of Cervical Spine Manipulation

Not Applicable

Completed

• Conditions: Cervical Pain

• Registration Number: NCT05582733
• Lead Sponsor: University of Lahore

Brief Summary

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point. it was a randomized control trial including 66 patients at physiotherapy OPD of railway rehabilitation center from August 2019 to December 2019, Railway General Hospital Pakistan and Max Rehab and decompression center Max health Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method.

Detailed Description

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point and neck ranges of motion. A randomized control trial of 66 patients was conducted from August 2019 to December 2019 at physiotherapy OPD of railway rehabilitation center, Railway General Hospital Pakistan and Max Rehab and decompression center Maxhealth Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method. Control was treated with Manual Pressure release followed by stretching while in experimental received cervical spine manipulation (chin hold) kaltenborn followed by stretching. Structural questionnaire was used for pre and post assessment. Outcomes were measured by algometry and inclinometer before and after the application of respective techniques. The data was analyzed at baseline and immediately after the intervention on IBM SPSS-21.

Study Timeline

• Study Start: 2019-08-01
• Primary Completion: 2019-12-30
• Study Completion: 2020-01-28
• Status Verified: 2022-10
• Study First Submitted: 2022-10-03
• Study First Submitted QC: 2022-10-12
• Last Update Submitted: 2022-10-12
• Study First Posted: 2022-10-17
• Last Update Posted: 2022-10-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• 1.presence MTrps in upper trapezius
• limited side bending and rotation
• both gender
• age between 25 to 45

Exclusion Criteria

• Malignancy, infection, trauma, bone deformities.
• Acute Disc Protrusion
• Positive VBI
• Positive Sharp purser test
• History of whiplash injury

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Primary Outcome Measures

Name	Time	Method
changes from the baseline in Inclinometer values	Baseline and 3 weeks	It is a device used to measure neck ranges of motion.
changes from the baseline in Algometer values	Baseline and 3 weeks	It is a device used to identify the pressure and force eliciting a pressure pain threshold. The hand held algometer 1 cm round rubber surface which applies force and display for readings in newtons or kilograms.Sustained force is usually applied at the right angle to the soft tissue. Estimated pressure application rates have ranged from 0.05 to 20N/s. it has a high validity and reliability for measuring pain pressure threshold in patients of myofascial trigger points.

Trial Locations

Locations (1)

Dr. Abdul Gaffoor; 🇵🇰 Islamabad, Pakistan