Impact of chiropractic care on upper limb movement performance in individuals with recurrent neck pai

Not Applicable

Recruiting

• Conditions: Subclinical neck pain; Impaired Upper Limb Proprioception; Sensorimotor dysfunction; Impaired Upper Limb Motor Control; Neck Dysfunction; Physical Medicine / Rehabilitation - Other physical medicine / rehabilitation; Neurological - Other neurological disorders; Musculoskeletal - Other muscular and skeletal disorders

• Registration Number: ACTRN12621001278820
• Lead Sponsor: Bernadette Murphy

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2021-09-21
• Last Update Posted: 19 September 2022

Recruitment & Eligibility

• Status: Recruiting
• Sex: All
• Target Recruitment: 72

Inclusion Criteria

Healthy and neck pain participants must be males and females aged 18 – 35, who are attending Ontario Tech University. Neck pain participants are to have mild-to-moderate neck pain and/or neck stiffness for at least 6 months and not started any treatment in the past 4 weeks or not yet sought treatment, this population is known as subclinical neck pain. Healthy participants are to be free from chronic or recurrent neck, shoulder, or elbow pain and have full pain-free neck and shoulder range of motion for at least 3 months prior to data collection. All participants will be screened for these inclusion and exclusion criteria using the chronic pain grade scale questionnaire (see secondary outcome 1). Individuals must have a score between 1 and 3 (out 4) on the Chronic Pain Grade Scale Questionnaire for time periods when they do experience neck pain, and a history of recurrent neck pain to be eligible for the SCNP group. Healthy participants must have a score of less than 1 on the Chronic Pain Grade scale. Because participants are subclinical”, not all participants will have progressed to the point where their pain has led to disability; therefore, to ensure we capture a range of SCNP participants, we plan to include participants’ who scored 1 to 3 on the Chronic Pain Grade scale questionnaire, and/or >30mm for intensity of pain on the visual analog scale. Right-handed individuals will be tested due to known differences in cortical excitability and sensorimotor processing between dominant and non-dominant limbs. Participants who score > +40 on the Edinburgh Handedness Inventory (Deemed right-handed) will be included in this study. Participants that are deemed ambidextrous, but have a strong inclination for right-hand dominance will also be included in the study. The SCNP participants will also screened by a registered chiropractor to ensure that they have a spinal joint dysfunction(s).

Exclusion Criteria

SCNP participants (control or intervention group) must not have any contraindications to spinal adjustments, such as spinal instability, recurrent dizziness or vertigo, hypertension or upper limb radiculopathy. Participants cannot have any neurological conditions that are known to impact neural function and/or neural processing (e.g. multiple sclerosis, stroke, Parkinson’s etc.). All participants will be screened for these inclusion and exclusion criteria using a safety screening checklist. Participants who have any upper limb condition that impairs mobility and functionality, will be excluded from this study. Left-handed participants will be excluded from the study (I.e. < -40 on the Edinburgh Handedness Inventory) due to known differences in motor control in left handed individuals.

Study & Design

• Study Type: Interventional
• Study Design: Not specified