Short-Term Combined Effects of Thoracic Spine Thrust Manipulation and Cervical Spine Non-Thrust Manipulation in Patients With Mechanical Neck Pain: A RCT
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 64
- 试验地点
- 4
- 主要终点
- Neck Disability Index (NDI)
研究概览
简要总结
Neck pain continues to be a prevalent condition in our society. Manual therapy (hands on techniques for the treatment of neck pain is an intervention commonly implemented in clinical practice. Recently researchers and clinicians have implemented manual therapy techniques to the thoracic spine (midback) to treat patients with neck pain. To date no studies have examined the short-term combined effects of thoracic spine manual therapy and cervical spine manual therapy in the treatment of patients with mechanical neck pain. The purpose this study is to assess the combined effects of thoracic spine thrust manipulation with cervical spine non-thrust manipulation in patients with neck pain.
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 (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Neck pain of less than 3 months
- •No symptoms below the shoulder
- •Baseline Neck Disability Index score of 10 or greater
排除标准
- •Red flags noted in the patient's Medical Screening Questionnaire (i.e. tumor, fracture, metabolic disease, rheumatoid arthritis, osteoporosis, prolonged use of steroid, etc)
- •History of whiplash injury within the past two months
- •Diagnosis of cervical spinal stenosis
- •Uni-lateral or bi-lateral upper extremity radicular symptoms
- •Evidence of central nervous system involvement
- •Two or more positive neurological signs consistent with nerve root involvement: myotomal muscle weakness, dermatomal sensory loss, diminished or absent reflexes
- •Prior surgery to the neck or thoracic spine
- •Pending legal action regarding their neck pain, or patients with no fault or workers compensation claims
- •Insufficient English language skills to complete the questionnaires
- •Inability to comply with treatment and follow-up schedule
- •Women who may be pregnant
结局指标
主要结局
Neck Disability Index (NDI)
时间窗: Short-term outcome 1 week
Neck Disability Index (NDI) is a disease-specific outcome measure specifically used in patients with neck pain. The NDI has been shown to be reliable and valid in individuals with mechanical neck pain.
次要结局
- Global Rating of Change (GROC)(Short-term outcome 1 week)
研究者
Michael Masaracchio PT, DPT, PhD(c), OCS, SCS
Senior Staff Physical Therapist
Masefield and Cavallaro Physical Therapy