Effect of Upper Thoracic Spine Manipulation on Cervical Symptoms and Selected Muscle Activities in Chronic Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Pain intensity
研究概览
简要总结
This study will investigate the immediate and short-term effects of upper thoracic manipulation versus sham upper thoracic manipulation on Pain intensity, Cervical ROM, the myoelectric activity of the sternocleidomastoid muscle and upper trapezius muscle during Maximum voluntary isometric contraction.
详细描述
This study will investigate the immediate and short-term effects of upper thoracic manipulation versus sham upper thoracic manipulation on Pain intensity measured by the visual analogue scale, Cervical ROM measured by CROM, the myoelectric activity of the sternocleidomastoid muscle and upper trapezius muscle during Maximum voluntary isometric contraction measured by Neuro-Soft using surface electrodes. All outcomes will be measured Pre-intervention, Immediately Post-Intervention, One-week Post-intervention, Two-week post-intervention.
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 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Male and female subjects diagnosed and classified as having chronic non-specific NP with mobility disorders based on clinical guidelines of NP:
- •Having NP for at least 3 months that may be associated with referred shoulder or upper extremity pain (Blanpied et al., 2017; Erdem et al., 2021; Puntumetakul et al., 2015).
- •Present with a limitation of cervical ROM and their pain can be provoked by sustained end-range spinal movements or positions will be included (Blanpied et al., 2017).
- •Patients present with unilateral or bilateral symptoms will be included (Blanpied et al., 2017; Yang et al., 2015).
- •Age between 18-40 (J. Dunning & Rushton, 2009)
- •Negative four tests of the Wainner cluster to exclude NP with radiating pain (Wainner et al., 2003).
- •Hypomobility of at least one of the upper thoracic vertebrae (T1-T4) during segmental mobility assessment (Ssavedra-Hernández et al., 2011).
排除标准
- •Subjects diagnosed as cervical radiculopathy or myelopathy (Ssavedra-Hernández et al., 2011).
- •A history of whiplash injury, past cervical or thoracic surgery, rheumatoid arthritis, spinal fracture, heart disease, a recent significant trauma, and meningitis (Joshi et al., 2020; Puntumetakul et al., 2015).
- •The presence of contraindications of spinal manipulation as spinal infection and spinal osteoporosis(Ssavedra-Hernández et al., 2011).
研究组 & 干预措施
Upper thoracic manipulation group
The Patients in this group will receive Upper Thoracic Manipulation.
干预措施: Upper Thoracic Manipulation (Other)
Sham Upper Thoracic Manipulation
The patients in this group will receive the sham upper thoracic manipulation.
干预措施: Sham Comparison (Other)
结局指标
主要结局
Pain intensity
时间窗: Pre-intervention, Immediately Post-Intervention, One-week Post-intervention, Two-week post-intervention.
A hard copy of the Visual analogue scale will be given to the patient who will be asked to mark a perpendicular line between the two borders of the scale to express his/her pain level. It will be measured pre-treatment, post-treatment, and each week for 2 weeks. The level of pain will be measured at the end range of active extension.
次要结局
- Cervical Range of Motion(Pre-intervention, Immediately Post-Intervention, One-week Post-intervention, Two-week post-intervention.)
- Sternocleidomastoid muscle activity(Pre-intervention, Immediately Post-Intervention, One-week Post-intervention, Two-week post-intervention.)
- Upper trapezius muscle activity(Pre-intervention, Immediately Post-Intervention, One-week Post-intervention, Two-week post-intervention.)
研究者
Mohamed Nagy Hassan Abdelhamid
Assistant lecturer
Cairo University