Manual Therapy Techniques on Cervical Spine and Psychological Interaction

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: Cervical lateral glide; Other: Cervical mobilisation; Other: Cervical manipulation

• Registration Number: NCT02782585
• Lead Sponsor: Fondazione Don Carlo Gnocchi Onlus

Brief Summary

Manual therapy (MT) techniques applied over cervical region have over both local (neck) and distant regions (elbow) in both asymptomatic and symptomatic populations. Neurophysiological mechanisms are hypothesized to explain the underlying effects, with effects originating from peripheral mechanisms, spinal cord and supraspinal mechanisms.

There is also an increasing interest in the study of the role of psychological variables in the treatment success in neck pain. Psychological variables, like anxiety catastrophizing or kinesiophobia are related to poor prognosis in the development of pain outcomes and disability in neck pain, being the Fear-Avoidance Model of pain one of the most tested models in this field.

Detailed Description

Not available

Study Timeline

• Study Start: 2010-07
• Primary Completion: 2010-10
• Study Completion: 2011-06
• Status Verified: 2016-05
• Study First Submitted: 2016-05-17
• Study First Submitted QC: 2016-05-20
• Last Update Submitted: 2016-05-20
• Study First Posted: 2016-05-25
• Last Update Posted: 2016-05-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 75

Inclusion Criteria

• Neck pain

Exclusion Criteria

• myelopathy
• fracture
• infection
• dystonia
• tumor
• inflammatory disease
• fibromyalgia
• or osteoporosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental group 2	Cervical lateral glide	Cervical lateral glide
Control group	Cervical mobilisation	Cervical Mobilisation
Experimental group 1	Cervical manipulation	Cervical Manipulation

Primary Outcome Measures

Name	Time	Method
Change from Pressure Pain Thresholds (PPT) at 24 hours	24 hours, 5 minutes after the treatment	PPT will be assessed bilaterally over the C7 zygapophyseal joint, epicondyle region, and trapezious muscle by an assessor blinded to the subjects condition.
Change from State-Trait Anxiety Inventory subscale (STAI-E) at 24 hours	24 hours, 5 minutes after the treatment	Will be used to measure anxiety status

Secondary Outcome Measures

Name	Time	Method
Beck depression Inventory (BDI-II)	24 hours, 5 minutes after the treatment	Will be used to measure depression status
Tampa Scale for Kinesiophobia	24 hours, 5 minutes after the treatment	Will be used to measure Kinesiophobia status