Development of a Clinical Prediction Rulefor Neck Manipulation

Not Applicable

Completed

• Conditions: Mechanical Neck Pain
• Interventions: Procedure: Manipulation

• Registration Number: NCT01620905
• Lead Sponsor: University of Nevada, Las Vegas

Brief Summary

Cervical spine manipulation has been shown to be helpful for some patients with neck pain. This study sought to determine factors which were predictive of which patients with neck pain would benefit from manipulation.

Detailed Description

Not available

Study Timeline

• Study Start: 2008-11
• Primary Completion: 2011-06
• Study Completion: 2011-06
• Study First Submitted: 2012-06-13
• Study First Submitted QC: 2012-06-13
• Study First Posted: 2012-06-15
• Status Verified: 2016-05
• Last Update Submitted: 2016-05-10
• Last Update Posted: 2016-05-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 82

Inclusion Criteria

• age 18 to 60 years
• primary report of neck pain with or without unilateral upper extremity symptoms
• baseline neck disability index score of 10 points (out of 50) or greater

Exclusion Criteria

• any medical red flags suggesting that the etiology of symptoms might be nonmusculoskeletal
• diagnosis of cervical spinal stenosis (as identified in the patients' medical intake form)
• bilateral upper extremity symptoms
• evidence of central nervous system involvement
• history of whiplash injury within 6 weeks of the examination
• pending legal action regarding their neck pain
• 2 or more positive neurologic signs consistent with nerve root compression (changes in sensation, myotomal weakness, or decreased deep tendon reflexes)
• any history of cervical spine surgery, rheumatoid arthritis, osteoporosis, osteopenia, or ankylosing spondylitis.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Cervical spine manipulation	Manipulation	Subjects received cervical spine manipulation

Primary Outcome Measures

Name	Time	Method
Global Rating of Change Scale	48 hours post intervention	15 point likert scale rating perceived recovery

Secondary Outcome Measures

Name	Time	Method
Neck Disability Index	48 hours and 96 hours post intervention	10 item questionnaire measuring perceived disability (range 0 to 50)
Numeric Pain Rating Scale	48 hours and 96 hours post intervention	Average pain scores (0 - no pain to 10 - worst imaginable pain) taken for current rating, best in last 24 hours and worst in last 24 hours

Trial Locations

Locations (1)

UNLV PT Department; 🇺🇸 Las Vegas, Nevada, United States