Effects of Pain, Disability and Cervicokinesthesia After Cervical Manipulation
- Conditions
- Neck Pain
- Interventions
- Other: Right Cervical ManipulationOther: Sham Cervical ManipulationOther: Left Cervical Manipulation
- Registration Number
- NCT02645630
- Lead Sponsor
- Universidad Rey Juan Carlos
- Brief Summary
Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability, widespread pressure pain sensitivity, and cervicokinethesia in patients with mechanical neck pain.
- Detailed Description
Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability and cervicokinethesia in patients with mechanical neck pain. Patients will receive cervical spine manipulation in either right or left side of the neck and will be assessed on pain intensity, neck-related disability, widespread pressure pain sensitivity, and cervicokinethesia by an assessor blinded to the allocation group.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 55
- Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.
- any contraindication to manipulation, e.g., positive extension-rotation test;
- whiplash injury;
- previous cervical surgery;
- cervical radiculopathy or myelopathy;
- diagnosis of fibromyalgia syndrome;
- having undergone spinal manipulative therapy in the previous 6 months;
- less than 18 or greater than 65 years of age.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Right Cervical Manipulation Right Cervical Manipulation Patients assigned to this group will receive a cervical spine manipulation targeting the C3/C4 segment on the right side. Sham Cervical Manipulation Sham Cervical Manipulation Patients assigned to this group will receive a sham cervical spine manipulation targeting the C3/C4 segment on both sides. No therapeuthic thrust will be applied. Left Cervical Manipulation Left Cervical Manipulation Patients assigned to this group will receive a cervical spine manipulation targeting the C3/C4 segment on the left side.
- Primary Outcome Measures
Name Time Method Changes in cervical kinesthetic sense before and after the intervention Baseline and 15 minutes after the intervention The joint position sense error (JPSE) will be calculated to determine cervicokinethesia
- Secondary Outcome Measures
Name Time Method Changes in disability before and after the intervention Baseline and one week after the intervention The Neck Disability Index (NDI) will be used to determine neck-related disability
Changes in neck pain intensity before and after the intervention Baseline and one week after the intervention An 11 points numerical pain rate scale (NPRS, 0-10) will be used to assess the intensity of neck pain
Changes in widespread pressure pain sensitivity before and after the intervention Baseline and 15 minutes after the intervention Pressure pain thresholds will be assessed over C5/C6 zygapophyseal joints and the tibialis anterior muscle
Trial Locations
- Locations (1)
Cesar Fernandez-de-Las-Peñas
🇪🇸Alcorcon, Madrid, Spain