Effects of Pain, Disability, Widespread Pressure Pain Sensitivity, and Cervicokinesthesia After Cervical Manipulation in Patients With Mechanical Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Universidad Rey Juan Carlos
- Enrollment
- 55
- Locations
- 1
- Primary Endpoint
- Changes in cervical kinesthetic sense before and after the intervention
- Status
- Completed
- Last Updated
- 9 years ago
Overview
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.
Investigators
César Fernández-de-las-Peñas
Head Division
Universidad Rey Juan Carlos
Eligibility Criteria
Inclusion Criteria
- •Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
Changes in cervical kinesthetic sense before and after the intervention
Time Frame: Baseline and 15 minutes after the intervention
The joint position sense error (JPSE) will be calculated to determine cervicokinethesia
Secondary Outcomes
- Changes in disability before and after the intervention(Baseline and one week after the intervention)
- Changes in neck pain intensity before and after the intervention(Baseline and one week after the intervention)
- Changes in widespread pressure pain sensitivity before and after the intervention(Baseline and 15 minutes after the intervention)