Effects of Single Thoracic Manipulation and Special Massage Technique (RT Technique) on Chronic Mechanical Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: Single thoracic manipulationOther: Special massage technique (RT technique)
- Registration Number
- NCT03187808
- Lead Sponsor
- Khon Kaen University
- Brief Summary
This study aims to compare the immediate effects of using a single thoracic manipulation combined with special massage technique (RT technique) and single thoracic manipulation alone on pain level at rest, cervical range of motion, upper limb neurodynamic test, neck disability, and adverse effects in chronic mechanical neck pain patients.
- Detailed Description
- The subjects will be recruited through posted advertisements, and announcements, to find the patients who meet the criteria of mechanical neck pain that is the pain provoked by sustained prolonged neck posture, neck movement or palpation of cervical musculature. The subjects will be screened by screening questionnaire, and then will be examined by a physiotherapist. All subjects will be required to sign an inform consent before participating to the study
- The sample size was calculated by using the averaged of pain level at rest after treatment from the single thoracic manipulation combined with special massage group and single thoracic manipulation group, after the preliminary procedure that will be conducted with ten subjects per each group. After that, the variance was calculated by using the equation σ2 = (n1-1)s12 + (n2-1)s22/(n1+n2)-2 and the result will be used for calculate the sample size. A drop out rate will be set as 20%. The effect size (∆), the significant level of lower than 0.05 (Zα(0.05) = 1.96) and a power of test at 90 percent (Zβ(0.2)=1.28) was used to calculate in the equation as follow: n/group = "2(Zα + Zβ)2σ2" /"∆2"
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- They have neck pain on posterior neck or shoulder, which is the area from superior nuchal line to spinous process of 1st thoracic vertebrae, with mechanical characteristics consisting of the symptoms provoked by sustained prolonged neck posture, neck movement or palpation of cervical musculature (Martı´nez-Segura et al., 2006).
- They have symptoms for at least 3 months in duration.
- They have pain level at rest at least mild level (from 3 score or greater) measured by Visual Analog Scale (Jensen et al., 2003).
- They have a baseline Neck Disability Index (NDI) Thai version score of 10% or greater (Suvarnnato et al., 2013).
The subjects will be excluded from current study if they have the following conditions including:
- Cervical radiculopathy or myelopathy
- History of whiplash injury within 6 weeks of examination
- History of cervical surgery or thoracic surgery
- History of cervical or thoracic injuries including fracture or dislocation
- Fibromyalgia syndrome
- The serious spinal conditions including spinal osteoporosis, spinal tuberculosis, and tumors
- History of treated by spinal manipulation within 2 months before participating in the study
- The diseases that are contra-indication to receive a spinal manipulation, such as hypertension, heart disease and meningitis
- Pregnancy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A Single thoracic manipulation Group A is a group of performing single thoracic manipulation at zygapophyseal joint of T6-T7. Group B Single thoracic manipulation Group B is a group of performing single thoracic manipulation combined with special massage technique (RT technique). Group B Special massage technique (RT technique) Group B is a group of performing single thoracic manipulation combined with special massage technique (RT technique).
- Primary Outcome Measures
Name Time Method Pain level at rest Change from baseline at 3 weeks A Visual Analog Scale (VAS) will be used for recording level of pain at rest.
- Secondary Outcome Measures
Name Time Method Adverse effects Change from baseline at 3 weeks After the intervention is complete, the subjects will be asked about any symptoms that are the side effect occurring from treatment.
The Neck Disability Index Thai version (NDI-TH) Change from baseline at 3 weeks The Neck Disability Index Thai version (NDI-TH) questionnaire (Appendix C), which is a reliable instrument to assess functional disability in neck pain patients with high internal consistency (ICC = 0.85) (Uthaikhup et al., 2011), will be used to assess the subjects' perceived disability level which can be show the impact of their neck pain to the daily living.
Cervical Range of Motion (CROM) Change from baseline at 3 weeks The Cervical Range of Motion (CROM) device (Performance Attainment Associates, USA) will be used to measure the cervical range of motion, including flexion, extension, lateral flexion and rotation.
Upper limb tension test 1 (ULTT1) Change from baseline at 3 weeks The details of performing ULTT1 can be described as follow: the examiner will stand at side of tested limb with turn facing towards patient's head, and hold patient's one hand to control his or her thumb and fingers. Next, the examiner will use other hand to keep patient's shoulder in depression position to prevent the movement of shoulder girdle elevation during shoulder abduction. Then, the examiner will perform shoulder abduction with 110 degrees, forearm supination with the wrist and fingers extend, laterally rotation of shoulder, and elbow extension respectively. The last component of the test is the examiner asked patient turning their head to opposite side of tested arm. In current study, the researcher will measure the changing response of first sequence, that patient have a symptoms, to investigate that the intervention may affect the neural tension or not.