MedPath

Validation of the Cervicothoracic Differentiation Test

Not Applicable
Completed
Conditions
Neck Pain
Registration Number
NCT06287242
Lead Sponsor
University of Hartford
Brief Summary

The goal of this clinical trial is to compare the effects of two spinal manipulations in adults between the ages of 18-65 based on the results of a non-invasive clinical test. The main question it aims to answer is: • Does matched or unmatched region of manipulation based on the CTDT result in greater reduction of pain levels and improvement in range of motion in adults with neck pain compared to unmatched manipulations? Participants will be asked to:

* rate their pain with neck movement, complete brief questionnaires about their pain,

* have their neck range of motion measured,

* perform a test known as the cervico-thoracic differentiation test (CTDT),

* receive either a cervical or thoracic manipulation,

* repeat the range of motion measurements.

* A second session will occur 7-10 days later where questionnaires and range of motion measures will be repeated.

Researchers will compare the effects of manipulation matched to CTDT test result to individuals in the unmatched CTDT manipulation group to see if the CTDT may indicate which region will provide a greater treatment effect for individuals with neck pain.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • between the ages of 18 and 65,
  • must report neck pain with a Visual Analogue Scale (VAS) greater than or equal to 3/10.
Exclusion Criteria
  • History of motor vehicle accident (MVA) within the past 6 months,
  • hypertension greater than or equal to 160/100,
  • non-mechanical neck pain (pain that is not reproducible with movement),
  • any past or present history of cancer,
  • upper motor neuron (CNS) lesion symptoms ( a positive Clonus sign, Babinski sign, or hyperreflexia of DTR's),
  • any infection that originates from the spine
  • Current confirmed or suspected pregnancy, or recent postpartum (6 mos),
  • known osteoporosis,
  • rheumatoid arthritis,
  • long-term use of corticosteroids (>6mos),
  • history of neck surgery,
  • history of vertebral or rib fractures,
  • blood clotting disorders,
  • connective tissue disorders,
  • radicular/neural pain/symptoms. Radicular pain and symptoms would include dermatomal changes (sensory loss or hypersensitization), myotomal changes (weaknesses of muscular along nerve distributions), decreased reflexes (hyporeflexia), pain that travels down the upper extremities, and pain that is referred into the upper extremities.
  • clinical signs of instability of the vertebral segments in their neck

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
pain with motionimmediate post intervention, 7-10 days

pain occurring with the participants most provocative cervical motion as measured on a 100mm visual analog scale (VAS)

Secondary Outcome Measures
NameTimeMethod
neck disability index7-10 days post intervention

questionnaire assessing disability due to neck pain

range of motionimmediate post intervention, 7-10 days

cervical range of motion as measured with the cervical range of motion device (CROM)

pain at restimmediate post intervention, 7-10 days

pain occurring with participant at rest

Trial Locations

Locations (1)

University of Hartford

🇺🇸

West Hartford, Connecticut, United States

University of Hartford
🇺🇸West Hartford, Connecticut, United States

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