The Impact of Practitioner and Instructional Set on Subject Expectations of Cervical Spine Manipulation
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Global Perceived Effect Scale (GPE)
研究概览
简要总结
Determine effects of perceptions and expectations on experience of cervical spine manipulation
详细描述
The purpose of this study is to better understand how therapists may affect a patient's thoughts/ beliefs/ opinions on cervical spine (neck) manipulation. Current evidence suggests that patients who have a positive expectation about neck manipulation are more likely to report benefit from it, and we wish to determine if the perceived experience level of the therapist and the words they use to describe neck manipulation will affect the patient's perception.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Investigator, Outcomes Assessor)
盲法说明
Participants randomly assigned to one of 2 instructional sets (positive/ negative) and randomly assigned to one of 2 practitioner experience levels (experienced/ novice)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •age 18-65 years;
- •must report having no current episode of mechanical neck pain;
- •must be willing to participate;
- •must indicate they have not had their neck manipulated by a physical therapist, osteopath or chiropractor within the last 5 years.
排除标准
- •'Red flag' items indicated in your Neck Medical Screening Questionnaire such as: history of a tumor, bone fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, severe atherosclerosis, prolonged history of steroid use, heart disease, and stroke.
- •History of neck whiplash injury.
- •Diagnosis from your physician of cervical spinal stenosis (narrowing of spinal canal) or presence of symptoms (pain, pins and needles, numbness) in both arms.
- •Presence of central nervous system involvement such as exaggerated reflexes, changes in sensation in the hands or face, muscle wasting in the hands, altered taste, and presence of abnormal reflexes.
- •Evidence of neurological signs suggesting nerve root entrapment (pinched nerve in the neck).
- •Prior surgery to your neck or upper back.
- •A medical condition which may change your sensation of pain or pressure pain thresholds (i.e. taking analgesics, sedatives, history of substance abuse, or cognitive deficiency).
- •Diagnosis from your physician of fibromyalgia syndrome.
- •Currently pregnant, or think you may be pregnant.
结局指标
主要结局
Global Perceived Effect Scale (GPE)
时间窗: Immediate
7 point Likert scale anchored with "1" completely recovered to "7" worse than ever.
次要结局
- Perception of comfort scale(Immediate)
- Beliefs about cervical spine manipulation(Immediate)
研究者
Emilio J Puentedura, PT, DPT, PhD
Principal Investigator
University of Nevada, Las Vegas