Impact of Practitioner and Instructional Set on Subject Perceptions and Expectations of Cervical Spine Manipulation
- Conditions
- Neck Pain
- Interventions
- Procedure: Cervical spine manipulation
- Registration Number
- NCT03509649
- Lead Sponsor
- University of Nevada, Las Vegas
- Brief Summary
Determine effects of perceptions and expectations on experience of cervical spine manipulation
- Detailed Description
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.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 60
- 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.
- '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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experienced - Negative Cervical spine manipulation Participants will receive cervical spine manipulation after being given a negative description of the technique from an experienced clinician Experienced - Positive Cervical spine manipulation Participants will receive cervical spine manipulation after being given a positive description of the technique from an experienced clinician Novice - Positive Cervical spine manipulation Participants will receive cervical spine manipulation after being given a positive description of the technique from a novice clinician Novice - Negative Cervical spine manipulation Participants will receive cervical spine manipulation after being given a negative description of the technique from a novice clinician
- Primary Outcome Measures
Name Time Method Global Perceived Effect Scale (GPE) Immediate 7 point Likert scale anchored with "1" completely recovered to "7" worse than ever.
- Secondary Outcome Measures
Name Time Method Perception of comfort scale Immediate 5 point Likert scale ranging from 1 "very comfortable" to 5 "very uncomfortable
Beliefs about cervical spine manipulation Immediate 6 questions determining participant's beliefs about safety, comfort and effectiveness of spinal manipulation. Likert scale with statements participants can 'completely disagree', 'somewhat disagree', 'neutral', 'somewhat agree', or 'completely agree' with
Trial Locations
- Locations (1)
University of Nevada Las Vegas - Department of Physical Therapy
🇺🇸Las Vegas, Nevada, United States
University of Nevada Las Vegas - Department of Physical Therapy🇺🇸Las Vegas, Nevada, United States