Cervical Spinal Manipulation and Visteral Osteopathy for Mechanical Neck Pain

Not Applicable

Completed

• Conditions: Neck Pain

• Registration Number: NCT06649903
• Lead Sponsor: Atlas University

Brief Summary

This study compares two treatment techniques, cervical spinal manipulation (CSM) and visceral osteopathy (VO), in patients with mechanical neck pain (MNP). The aim of the study was to evaluate the effects of these treatments on pain levels, neck mobility, and muscle strength in both the neck and upper extremities.

Detailed Description

The purpose of this study is to compare the acute effects of cervical spinal manipulation (CSM) treatment and visceral osteopathy (VO) techniques on pain, cervical range of motion (ROM), muscle strength, and grip strength in individuals with mechanical neck pain (MNP).

The study is going to include a total of 30 subjects aged 18-60 diagnosed with MNP. The subjects are randomly divided into two groups. The CSM group received high-velocity, low-amplitude (HVLA) spinal manipulation, while the other group underwent VO techniques. Each treatment technique is going to be applied in only one session. Pain intensity is assessed using the Visual Analog Scale (VAS). Cervical ROM and the craniovertebral angle (CVA) are evaluated using a goniometer. Neck and elbow muscle strength are measured with a hand-held dynamometer, and grip strength is assessed using a hand-grip dynamometer.

Study Timeline

• Study Start: 2023-11-01
• Primary Completion: 2023-12-22
• Status Verified: 2024-10
• Study First Submitted: 2024-10-17
• Study First Submitted QC: 2024-10-17
• Study First Posted: 2024-10-21
• Study Completion: 2024-10-25
• Last Update Submitted: 2024-11-01
• Last Update Posted: 2024-11-04

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Participants is included if they had neck pain present for at least one week, reduced cervical ROM, a manual muscle test score of 4 or higher for the neck muscles, and no neurological pain in the neck.

Exclusion Criteria

• Exclusion criteria included individuals with rheumatic diseases, a history of spinal surgery, neck fractures, tumors in the neck region, vertebrobasilar artery insufficiency, blood clotting disorders, or inadequate mental capacity.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
VAS pain scale	At baseline and immediately following the intervention session.	The Visual Analog Scale (VAS) for pain is a subjective measurement tool used to assess an individual\'s pain intensity. It consists of a straight line, typically 10 centimeters in length, with endpoints that represent the extremes of pain: one end signifies \"no pain\" (0) and the other indicates \"worst pain imaginable\" (10).; Participants mark a point on the line that corresponds to their pain level at the moment of assessment. The distance from the \"no pain\" end to the marked point is then measured in centimeters, providing a numerical value that quantifies the intensity of the pain experienced. This scale is commonly used in clinical settings for its simplicity and effectiveness in capturing the subjective experience of pain.
Microfet 2 Dynamometer	At baseline and immediately following the intervention session.	The Microfet 2 Dynamometer is a handheld device used to objectively measure muscle strength in clinical and research settings. It employs a digital force transducer that provides accurate and reliable assessments of isometric muscle strength across various muscle groups.; It is commonly used in physical therapy and rehabilitation to evaluate muscle function, track progress over time, and inform treatment decisions. Its compact size and versatility make it suitable for various assessments, including grip strength, limb strength, and specific muscle testing. The device is particularly valuable for ensuring standardized measurements in strength evaluation protocols.

Secondary Outcome Measures

Name	Time	Method
Hand Dynamometer	At baseline and immediately following the intervention session.	A hand dynamometer is a electronic device used to measure grip strength, which is an important indicator of overall muscle strength and function.; The hand dynamometer is widely used in clinical, rehabilitation, and research settings to assess the strength of the hand and forearm muscles. This measurement can provide valuable information regarding a patient\'s recovery progress, functional capacity, and overall health status.; Consistent use of the hand dynamometer can help establish baselines, track changes in muscle strength over time, and guide treatment interventions for various conditions affecting hand function.

Trial Locations

Locations (2)

Istanbul Atlas University; 🇹🇷 İstanbul, Kagıthane, Turkey

Atlas University; 🇹🇷 İstanbul, Kağıthane, Turkey