To Investigate the Effectiveness of Manual Therapy on Head-repositioning Accuracy and Static Postural Balance in Patients With Non-traumatic Chronic Mechanical Neck Pain.
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 145
- 试验地点
- 1
- 主要终点
- Head repositioning accuracy
研究概览
简要总结
To investigate the effect of cervical manual mobilization on head repositioning accuracy and postural balance in patients with chronic mechanical neck pain in a randomized controlled trial. Hypothesis: There is no difference between the intervention group (manual mobilization) and control group head repositioning accuracy and postural balance.
详细描述
The aim of the study is to investigate the effectiveness of manual therapy to standing balance and head-neck proprioception sense in patients with chronic neck pain. The study will recruit 120 chronic neck pain patients and randomize the into 2 groups of 60. Group 1 will receive a course of manual therapy and infrared radiation for 15 minutes (twice weekly for 12 sessions). The other group (control) will receive infrared radiation therapy only. Manual therapy will be provided by experienced physiotherapists and assessed by a separate assessor. All outcome measures will be assessed at the beginning of study, upon completion of intervention, 3-month and 6-month after the completion of study. All measurements collected will be analysed by computerized statistical software in order to calculate the effectiveness of manual therapy and relationship among those outcome measurements.
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 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 to 65 years
- •Presented with a complaint of neck pain (defined as pain in the region from the upper thoracic spine to the occiput and the surrounding musculature) for more than 7 weeks.
- •Had not received neck pain treatment in the past 1 month
排除标准
- •Onset of presenting neck pain episode after trauma (eg, whiplash)
- •History of cervical injury of trauma since the onset of presenting neck pain episode
- •History of cervical injury or trauma
- •Neck pain due to fracture, tumor, infection, severe spondyloarthropathy, or other non-mechanical cause such as inflammatory arthritis;
- •Progressive neurological deficit, myelopathy, herniated nucleus pulpous, or severe incapacitating pain;
- •Being treated by electrical devices;
- •Blood coagulation disorder or were using corticosteroids or anticoagulant medications;
- •History of stroke or transient ischemic attacks;
- •Vertebrobasilar artery insufficiency;
- •Neurologic disease (eg, multiple sclerosis, Parkinson's disease, syringomyelia);
- •Congenital anomalies involving the C-spine;
- •Systemic disease (eg, diabetes mellitus);
- •Pain involving third-party liability or Workers' Compensation.
研究组 & 干预措施
Manual mobilization on cervical spine
Manual mobilization given on cervical spine with infra-red therapy and self exercise and advice pamphlet.
干预措施: Manual mobilization on cervical spine (Procedure)
Infra-red radiation therapy
Infra-red radiation therapy with self exercise pamphlet given to patients with chronic mechanical neck pain.
干预措施: Infra-red therapy with self exercise pamphlet (Procedure)
结局指标
主要结局
Head repositioning accuracy
时间窗: up to 6 month post intervention
Head re-positioning accuracy by using laser-pointer mounted in a cyclist helmet.
次要结局
- Postural balance(up to 6 month post intervention)
- Numeric Pain Rating Scale(up to 6 month post intervention)
- Active neck range of motion(up to 6 month post intervention)
- Northwick Park Questionnaire(up to 6 month post intervention)
研究者
Eddy Siu Hon Kit
Physiotherapist
The Hong Kong Polytechnic University