Thoracic Manipulation and Mobilization for Neck Pain

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: Thoracic manipulation; Other: Thoracic mobilization

• Registration Number: NCT02051478
• Lead Sponsor: Universidad Rey Juan Carlos

Brief Summary

The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-09
• Primary Completion: 2013-06
• Study Completion: 2013-06
• Status Verified: 2014-01
• Study First Submitted: 2014-01-28
• Study First Submitted QC: 2014-01-30
• Last Update Submitted: 2014-01-30
• Study First Posted: 2014-01-31
• Last Update Posted: 2014-01-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 55

Inclusion Criteria

• mechanical idiopathic neck pain
• bilateral pain symptoms
• chronic pain (>3 months of duration)

Exclusion Criteria

• whiplash injury
• previous spine surgery
• diagnosis of cervical radiculopathy or myelopathy
• diagnosis of fibromyalgia
• having undergone any physical therapy intervention in the previous year
• pregnancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Thoracic manipulation	Thoracic manipulation	A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied.
Thoracic mobilization	Thoracic mobilization	Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes

Primary Outcome Measures

Name	Time	Method
Change in Pressure pain thresholds	Change between baseline and 1o minutes immediate after the intervention	The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle

Secondary Outcome Measures

Name	Time	Method
Change in Neck pain intensity	Change between baseline and 1o minutes immediate after the intervention	Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain)

Trial Locations

Locations (1)

Universidad Rey Juan Carlos; 🇪🇸 Alcorcón, Madrid, Spain