Comparison of Two Spinal Manipulation Treatments in Patients With Chronic Mechanical Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: Spinal manipulation
- Registration Number
- NCT04268667
- Lead Sponsor
- Clínica Ciudad de Almería
- Brief Summary
There is enough evidence to suggest that the spinal manipulation of the upper cervical spine and cervicothoracic spine are effective in decreasing neck pain. Therefore, the purpose of this randomized controlled trial is to compare the effects of an isolated application of upper cervical spine thrust joint manipulation with the application of a full combination of cervical, cervico-thoracic and thoracic spine thrust joint manipulation on neck pain, disability and cervical range of motion in individuals with chronic mechanical neck pain.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 186
- Symptom persistence for more than 12 weeks.
- Age from 18 to 55 years.
- Localized pain in the cervical spine.
- Symptoms are caused by cervical movement or sustained postures.
- Stage acute of symptoms.
- Any contraindication to cervical spinal manipulation (fracture, osteoporosis, joint infections or vertebrobasilar insufficiency).
- Patients with previous neck trauma or cervical spine surgery.
- Patients diagnosed with cervical radiculopathy.
- Patients diagnosed with fibromyalgia.
- Have been treated with manual therapy in the last 3 months.
- Receiving other treatment during the course of the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Upper cervical spine manipulation group Spinal manipulation Spinal thrust joint manipulation on the atlantoaxial joint Cervicothoracic spine manipulations group Spinal manipulation Different spinal thrust joint manipulations on the thoracic spine (T6), mid-cervical spine (C3-C4) and cervicothoracic junction (C7-T1).
- Primary Outcome Measures
Name Time Method Change in neck pain at rest: Numeric Pain Rating Scale (0-10) Baseline and 7 days post-treatment Neck pain at rest. Measured with the Numeric Pain Rating Scale (0 = ''no pain'' and 10 = ''worst imaginable pain).
Change in neck disability: Neck Disability Index (0-50) Baseline and 7 days post-treatment Neck disability is measured with Neck Disability Index (10 items). A higher score indicates greater disability.
- Secondary Outcome Measures
Name Time Method Change in flexion movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in flexion. Measured with a Cervical Range of Motion (CROM) device
Change in extension movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in extension. Measured with a Cervical Range of Motion (CROM) device
Change in rigth lateral flexion movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in right lateral flexion. Measured with a Cervical Range of Motion (CROM) device
Change in left lateral flexion movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in left lateral flexion. Measured with a Cervical Range of Motion (CROM) device
Change in right rotation movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in right rotation. Measured with a Cervical Range of Motion (CROM) device
Change in left rotation movement: Cervical Range of Motion device Baseline and 7 days post-treatment Range of cervical motion in left rotation. Measured with a Cervical Range of Motion (CROM) device
Trial Locations
- Locations (1)
Clínica Ciudad de Almería
🇪🇸Almería, Spain