A Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 21
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 22 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
- •unsteadiness during gait
- •Loss of visual acuity
- •Impaired sensation of the face
- •Altered taste
- •The presence of pathological reflexes
- •pregnancy or considering pregnancy
研究组 & 干预措施
Supine Thoracic Spine Manipulation
Supine (lying face-up on the treatment table) thoracic spine thrust manipulation will be given 2 times at 3 treatment sessions (Weeks 0, 1, and 2)
干预措施: Supine Thoracic Spine Manipulation (Other)
Prone Thoracic Spine Manipulation
Prone (lying face down on the treatment table) thoracic spine thrust manipulation will be given 2 times at 3 treatment sessions (Weeks 0, 1, and 2).
干预措施: Prone Thoracic Spine Manipulation (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS)
时间窗: Baseline (Week 0)
Patient-rated assessment of pain on scale of 0-10
Neck ROM
时间窗: 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.
Shortened Version of Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH)
时间窗: Baseline (Week 0)
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
NPRS
时间窗: 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)
时间窗: Baseline (Week 0)
10 Question patient-rated outcome measures specific to neck disability
NDI
时间窗: 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
时间窗: 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)
时间窗: Baseline (Week 0)
Cervical rotation and lateral flexion measured with goniometer.
NPRS
时间窗: Change from Week 0 to Week 1
Patient-rating of pain on a scale of 0-10
NDI
时间窗: Change from Baseline (Week 0) to Week 1
10 Question patient-rated outcome measures specific to neck disability
QuickDASH
时间窗: Change from Week 0 to Week 1
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
Neck ROM
时间窗: Change from Baseline (Week 0) to Week 1
Cervical rotation and lateral flexion measured with goniometer.
次要结局
未报告次要终点