Effect of neural mobilization techniques compared to joint articulation on pain levels in patients suffering from neck pain only
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 11
研究概览
简要总结
Background Neurodynamic mobilizations(NM) are considered as useful diagnostic and therapeutic tools in case of nervous system impairment. However, no study has ever appraised their applicability in patients suffering from mechanical non-specific neck pain(MNSNP) or within the osteopathic field. Objectives This pilot study was undertaken to establish a foundation for larger experimental trials, specifically regarding the clinical benefits of integrating a program of neural mobilizations for the upper limb(ULNT) to osteopathic treatment, in participants affected by neck pain without arm symptoms. Methods 11 patients with MNSNP received an extra treatment in addition to the standard black box pragmatic osteopathic session. Through random assignation, the intervention group received a set of ULNT with median nerve bias, whereas the active control group, articulations of the acromion clavicular joint. The study lasted up to5 weeks and the Visual Analogue Scale(VAS), the Neck Disability Index(NDI) Questionnaire, and a pressure pain threshold algometer(PPT) represented the outcome measurements. Results Despite the significant improvements in VAS(p<0.05), NDI score and PPT for both pre and post treatment, patients from the intervention group demonstrated significantly greater pain reduction than the control group at both sessions 1and2. Conclusions This pilot study has shown the possible greater clinical benefit of implementing NM within osteopathic field in patients with MNSNP
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomised controlled trial
- 主要目的
- Treatment
- 盲法
- Blinded (masking used)
入排标准
- 年龄范围
- 18 Years 至 65 Years（—）
- 性别
- All
入选标准
- •Patients suffering from mechanical non specific neck pain with no symptoms to arms or torso and that resulted negative to at least two of the following tests:
- •Spurling's test
- •Valsalva maneuver
- •Neck distraction test
- •Shoulder abduction test
- •- Subjects with an adequate English proficiency
排除标准
- •Participants unable to lie comfortably in a supine position for at least 5 minutes
- •Pre-existing diagnosed neck or upper limb pathologies or comorbid condition that may
- •affect neck or upper limb function;
- •Cognitive or communicative deficits which would prevent the patient from providing
- •accurate feedback;
- •Traumatic pathology of the arm;
- •Red flags noted in the medical screening questionnaire such as tumour, fracture, infections,
- •history of metabolic disease, spinal surgery or prolonged use of corticosteroid use;
- •Signs of central nervous system involvement;
- •Inability to lie supine;
- •History of diagnosed pathologies such as Parkinsonism, Alzheimer, Amyotrophic lateral
- •sclerosis , Multiple sclerosis, Guillain-Barré syndrome.