Short-term effects of mobilization or manipulation of thoracic spine in chronic nonspecific neck arm pain: a randomized clinical trial

Pradeep Kumar Sahu0 个研究点目标入组 49 人开始时间: 待定最近更新: 2021年11月24日

试验速览

暂无简介。

•1. Age- 18-65 years
•2. Unilateral neck and arm pain below elbow
•3. No evidence of nerve root compression i.e absence signs of radiculopathy(subjects should have normal sensory and motor function, negative foraminal compression test)
•4. Absence of a specific diagnosis
•5. Symptom duration more than 3 months
•6. Pain intensity >= 3 on a VAS
•7. Neck disability index >= 10 on 50 point scale
•8. Evidence of increased peripheral nerve sensitivity to mechanical stimuli ( pain with nerve palpation reveal highly sensitized nerve to mechanical stimuli)
•9. Pain in response to a nerve provocation test in the upper limb (will be performed in supine lying that involves the following: gentle scapular depression, shoulder abduction, forearm supination combined with wrist and finger extension, shoulder external rotation, and elbow extension. The test was considered positive with the reproduction of arm symptoms.

•1. Any definite pathology resulting neck and arm pain
•2. Concussion, loss of consciousness, or head injury as a result of the accident
•3. Presence of any signs of nerve root dysfunction, ie, features of radiculopathy
•4. Evidence of metabolic, Other neurological, psychiatric and cardiovascular disorder
•5. Previous neck and shoulder girdle surgery
•6. History of lumbar surgery and/or sciatica or other musculoskeletal disorders that potentially might affect the sensation in the lower limb to be tested
•7. Inflammatory conditions; fibromyalgia; chronic fatigue syndrome
•8. Other contraindications for manual therapy
•9. Withdrawal of consent

发起方

Pradeep Kumar Sahu