Manual Therapy and Augmented Exercise for Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: Augmented Exercise and Manual TherapyOther: General Exercise and Manual Therapy
- Registration Number
- NCT01750736
- Lead Sponsor
- Des Moines University
- Brief Summary
Manual therapy and exercise have shown to be beneficial for people with neck pain, however it is not clear how outcomes following a general exercise program compare to specific exercises intended to augment a specific manual/hands-on intervention. This study will compare outcomes following manual therapy and a specific exercise program with manual therapy and a general exercise program.
- Detailed Description
The purpose of this study is to determine if specific neck exercises intended to augment specific manual therapy treatments result in better outcomes than standard neck exercises in people with neck pain. Clinical tests and measurements as well as patient questionnaires will be completed and compared between groups.
A secondary purpose is to determine if self report of activity is correlated with functional improvements. We hypothesize that a specifically applied home exercise that augments the effects of the manual therapy intervention will lead to improvements in outcomes in patients with neck pain. We hypothesize that higher reports of self activity will be correlated with improvements in outcomes.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 72
- Subjects with complaint of neck pain, neck motion limitations, pain at end-range neck ROM, limited cervical/cervical and thoracic joint mobility, neck pain with manual segmental examination
- The presence of any red flags (i.e. tumor, metabolic diseases, rheumatoid arthritis, osteoporosis, prolonged history of steroid use, signs and symptoms of vertebrobasilar insufficiency, etc.), use of blood thinners, whiplash injury in the past 6 weeks, evidence of central nervous system involvement (such as hyperreflexia, sensory disturbances in the hands, unsteadiness during walking, etc.), history of spinal surgery, workers compensation or pending legal action regarding their neck pain, insufficient English language skills to complete questionnaires, unable to comply with schedule
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Augmented Exercise and Manual Therapy Augmented Exercise and Manual Therapy Subjects will receive manual therapy according to clinical guidelines followed by instruction in a specific exercise to augment the specific manual treatment provided. General Exercise and Manual Therapy General Exercise and Manual Therapy Subjects will receive manual therapy according to clinical guidelines followed by instruction in a general neck range of motion exercise.
- Primary Outcome Measures
Name Time Method Change in Neck Disability Index (NDI) baseline; 36-48 hours; 96 hours A functional questionnaire completed by the subject
- Secondary Outcome Measures
Name Time Method Change in Self Reported Activity Scale (SAA) Baseline; 36-48 hours; 96 hours Change in Numeric Pain Rating Scale (NPRS) baseline; 36-48 hours; 96 hours Change in Pressure Pain Threshold (PPT) Baseline; Immediate post intervention; 36-48 hours; 96 hours Change in Vibratory Measure Baseline; Immediate post intervention; 36-48 hours; 96 hours A specialized tool is used to measure sensory threshold; it is a hand-held sensor with a small vibrating tip held against the skin.
This device measures how the nerves react to vibration. The procedure is non-invasive. Little or no discomfort should be felt during the test.
Trial Locations
- Locations (3)
Des Moines University
🇺🇸Des Moines, Iowa, United States
Walsh University
🇺🇸North Canton, Ohio, United States
Youngstown State University
🇺🇸Youngstown, Ohio, United States