Immediate Effects of Manipulation Versus Stretching on Upper Trapezius Pressure Pain Thresholds

Not Applicable

Completed

• Conditions: Neurophysiological Mechanisms Manipulation
• Interventions: Procedure: CT Manipulation; Procedure: Upper trapezius stretch

• Registration Number: NCT02081430
• Lead Sponsor: University of Nevada, Las Vegas

Brief Summary

The purpose of this study is to determine the immediate effects of cervicothoracic manipulation and upper trapezius stretching on upper trapezius pressure pain threshold and cervical ROM.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-05
• Study First Submitted: 2014-03-04
• Study First Submitted QC: 2014-03-06
• Study First Posted: 2014-03-07
• Primary Completion: 2014-08
• Study Completion: 2014-08
• Status Verified: 2014-11
• Last Update Submitted: 2014-11-03
• Last Update Posted: 2014-11-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

1. Absence of current neck pain
2. Aged 18 - 70 years
3. Able to lie on stomach or back without difficulty

Exclusion Criteria

1. 'Red flag' items indicated in Neck Medical Screening Questionnaire such as history of a tumor, bone fracture, metabolic diseases, Rheumatoid Arthritis, osteoporosis, severe atherosclerosis, prolonged history of steroid use, etc.
2. History of neck whiplash injury
3. Diagnosis from physician of cervical spinal stenosis (narrowing of spinal canal) or presence of symptoms (pain, pins and needles, numbness) down both arms
4. Presence of central nervous system involvement such as exaggerated reflexes, changes in sensation in the hands, muscle wasting in the hands, impaired sensation of the face, altered taste, and presence of abnormal reflexes
5. Evidence of neurological signs consistent with nerve root entrapment (pinched nerve in the neck)
6. Prior surgery to neck or upper back
7. A medical condition which may influence assessment of pain or pressure pain thresholds (i.e. taking analgesics, sedatives, history of substance abuse, or cognitive deficiency)
8. Diagnosis from physician of fibromyalgia syndrome
9. Currently pregnant, or could be pregnant

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CT Manipulation	CT Manipulation	Prone cervicothoracic manipulation
Upper trapezius stretch	Upper trapezius stretch	Passive sustained stretch to upper trapezius muscle

Primary Outcome Measures

Name	Time	Method
Pain Pressure Threshold	up to 10 minutes	Using a standardized pain pressure algometer, subjects will have recordings of pressure at which onset of pain is noted

Secondary Outcome Measures

Name	Time	Method
Cervical Range of Motion	up to 10 minutes	Using a CROM device, cervical spine range of motion will be measured in angular degrees

Trial Locations

Locations (1)

University of Nevada Las Vegas; 🇺🇸 Las Vegas, Nevada, United States