Manual therapies in non-specific neck with upper limb pai

Not Applicable

Completed

• Conditions: Health Condition 1: M999- Biomechanical lesion, unspecified

• Registration Number: CTRI/2019/11/022019
• Lead Sponsor: Pradeep Kumar Sahu

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2020-11-23
• Last Update Posted: 24 November 2021

Recruitment & Eligibility

• Status: Completed
• Sex: Not specified
• Target Recruitment: 49

Inclusion Criteria

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.

Exclusion Criteria

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

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Intensity of pain on visual analogue scale (VAS) <br/ ><br>2. Pressure pain sensitivity:Pressure pain thresholds (PPT) will be measured using a pressure algometer (Greenwich, USA). PPT will be measured over trapezius,1st webspace for primary hyperalgesia and over tibialis anterior muscle belly(homolateral) for widespread hyperalgesia. <br/ ><br>3. Neural tissue sensitization:It will be measured using the upper limb neurodynamic test 1(median nerve) and PPT over median nerve will be taken. <br/ ><br>Timepoint: 1. Before intervention <br/ ><br>2. Immediately after intervention <br/ ><br>3. 48hr post-intervention <br/ ><br>

Secondary Outcome Measures

Name	Time	Method
a. Global rate of change(GOC)Timepoint: 1. Before intervention <br/ ><br>2. Immediately after intervention <br/ ><br>3. 48hr post-intervention <br/ ><br>