Comparison between neural mobilization techniques and joint articulation on patients suffering from neck pain only.

Completed

• Conditions: mechanical non-specific neck pain; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation

• Registration Number: ACTRN12618000175279
• Lead Sponsor: niversity College Of Osteopathy

Brief Summary

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

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2018-02-05
• Study Completion: 2018-02-23
• Last Update Posted: 28 January 2019

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 11

Inclusion Criteria

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

Exclusion Criteria

• 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.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
eck pain assessed using 100mm VAS. <br>[Before the first session and at the end of each.]

Secondary Outcome Measures

Name	Time	Method
DI - Neck disability index scale<br>[Before the first session and at the end of the last.<br>];Mark- 10 Corp algometer<br>[Before the first session and at the end of each.]