The Effects of Thoracic Spine Mobilizations in Individuals With Neck Pain.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Chatham University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Neck Pain
- Last Updated
- 8 years ago
Overview
Brief Summary
To determine the affects of Physical Therapists clinical reasoning using thoracic spine mobilization for neck pain compared to a standard protocol.
Detailed Description
The purpose of this research is to compare the effects of two commonly used, safe, thoracic spine treatments: grade 1-4 as performed by Cleland et. al. and grade 1-4 mobilization to the thoracic spine as selected by the Physical Therapist for cervical spine pain. The immediate effects of thoracic spine mobilization have been shown to facilitate greater range of motion increases in the cervical spine and greater pain decreases within a treatment session and on follow-up visits. There is no research utilizing pain threshold perception as an objective outcome of these treatments. Only one study compared the two treatment techniques and concluded that future research should be completed which includes manual therapy for the thoracic spine. (Cleland 2007) If the PT identifies an appropriate patient they will ask if they are interested in being a research subject. The Physical Theapist recruiting subjects all have completed their Doctor of Physical Therapy Degree and have advanced training in manual Physical Therapy. The techniques employed are considered standard practice and are defined as entry level skills by the Comission of Accredicdation of Physical Therapy Programs. These techniques are typically taught in DPT degree programs.
Investigators
Steve Karas
Assistant Professor
Chatham University
Eligibility Criteria
Inclusion Criteria
- •Patients with Neck Pain
- •Ages 18 - 60
Exclusion Criteria
- •Red flags: leg weakness, night pain, history of cancer, upper motor neuron signs, infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004), cervical stenosis, CNS involvement, signs consistent with nerve root compression, previous surgery, pending legal action
- •The inclusion and exclusion above represent a conservative approach based on combining criteria of recent studies in published review articles. (Cross, 2011; Walser, 2009
Outcomes
Primary Outcomes
Neck Pain
Time Frame: 2 weeks
0-10 scale
Neck Disability Index
Time Frame: 2 weeks
Assessment of function of neck using a valid and reliable written tool.
Global Rating of Change
Time Frame: 2 weeks
A written scale assessing overall improvement