The Use of a Home Exercise Program to Augment a Manual Therapy Intervention: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 72
- 试验地点
- 3
- 主要终点
- Change in Neck Disability Index (NDI)
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
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.
干预措施: Augmented Exercise and Manual Therapy (Other)
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.
干预措施: General Exercise and Manual Therapy (Other)
结局指标
主要结局
Change in Neck Disability Index (NDI)
时间窗: baseline; 36-48 hours; 96 hours
A functional questionnaire completed by the subject
次要结局
- 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)
- Change in Self Reported Activity Scale (SAA)(Baseline; 36-48 hours; 96 hours)
研究者
Shannon Petersen
Associate Professor
Des Moines University