A Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- A.T. Still University of Health Sciences
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Numeric Pain Rating Scale (NPRS)
- Status
- Completed
- Last Updated
- 7 years ago
Overview
Brief Summary
This study is designed to compare the short-term effects of two different thoracic spine thrust manipulation techniques on neck range-of-motion, pain, and self-reported disability in people with neck pain.
The null hypothesis is that there will be no differences between the two manipulation techniques for short-term effects on neck range-of-motion, pain, and self-reported disability in people with neck pain.
Detailed Description
Patients will be involved in the study over a 4 week period. Each participant will be asked to attend 4 sessions, with one week in between each session as follows: Week 0 = baseline assessment and treatment 1; Week 1= treatment 2; Week 2 = treatment 3; and week 4 = follow-up assessment. Patients who meet the inclusion/exclusion criteria will be randomized to either a supine or prone thoracic spine thrust manipulation intervention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Between 22 and 50 years of age
- •Primary complaint of neck pain with or without symptoms that spread down into one arm
- •Overall rating of neck pain intensity is at least 3/10; the overall rating is the overall average of the participant's rating of current, least, and worst pain experienced over the previous 24 hours on separate numeric pain rating scales where 0 corresponds to "no pain" and 10 corresponds to "worst pain possible".
- •Neck Disability Index (NDI) score \> 10 points (measure of self-reported disability with a 0 to 50 point scale where higher scores indicate higher levels of disability).
- •Proficient in speaking and reading English to complete outcome questionnaires
Exclusion Criteria
- •Neck pain related to a motor vehicle accident or other trauma within the previous 6 weeks
- •Neck pain that spreads down into both arms
- •Low back pain or thoracic origin of pain
- •Nerve root involvement; defined as the presence of two or more neurological findings (e.g. decreased strength, diminished deep tendon reflex, or decreased sensation) at the same nerve root level
- •Diagnosis of cervical spine stenosis (narrowing of the central canal that contains the spinal cord)
- •History of spinal tumors, spinal infection, cervical spine fracture, or previous neck surgery
- •Pending legal action related to current episode of neck pain
- •Contraindications to thoracic spine thrust manipulation
- •serious pathologies or conditions (tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, history of prolonged steroid use)
- •hyperreflexia
Outcomes
Primary Outcomes
Numeric Pain Rating Scale (NPRS)
Time Frame: Baseline (Week 0)
Patient-rated assessment of pain on scale of 0-10
Neck ROM
Time Frame: Change from Baseline (Week 0) to Follow-up (Week 3) and between Week 1 and Week 3
Cervical rotation and lateral flexion measured with goniometer.
NPRS
Time Frame: Change from Baseline (Week 0) and Follow-up (Week 3) and From Week 1 and Week 3
Patient-rating of pain on a scale of 0-10
Neck Disability Index (NDI)
Time Frame: Baseline (Week 0)
10 Question patient-rated outcome measures specific to neck disability
Shortened Version of Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH)
Time Frame: Baseline (Week 0)
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
NDI
Time Frame: Change from Baseline (Week 0) to Follow-up (Week 3) and from Week 1 to Week 3
10 Question patient-rated outcome measures specific to neck disability
QuickDASH
Time Frame: Change from Baseline (Week 0) to Follow-up (Week 3) and from Week 1 to Week 3
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
Neck Range of Motion (ROM)
Time Frame: Baseline (Week 0)
Cervical rotation and lateral flexion measured with goniometer.