None listed
Conditions
Brief summary
Neurodynamic mobilizations (NM) have often been evaluated as useful diagnostic and therapeutic tools in case of nervous system impairment. However, no study has ever appraised their applicability in patients suffering from mechanical non-specific neck pain (MNSNP) or within the osteopathic field. For this purpose, eleven patients with MNSNP, in addition to the standard black box pragmatic osteopathic session, were randomly assigned to either an intervention group of ULNT1a with median nerve bias (1a), or to an active control group of articulations of the acromion clavicular joint. Considering the different myofascial mechanical load provided, the experimental hypothesis was ULNT1a group to show significantly greater improvements than the control group.
Interventions
Intervention: In addition to a weekly standard osteopathic treatment, a group of 10 participants will receive bilateral ULNT1 mobilizations while, the other, acromioclavicular mobilizations grade 1. Follow-up: one session per week for 5 weeks or less if the patient, practitioners or tutor consider inappropriate continuing with further sessions.
Both standard osteopathic sessions will be performed by third and fourth year students in Osteopathy, supervised by registered and experienced osteopaths
Intervention: In addition to a weekly standard osteopathic treatment, a group of 10 participants will receive bilateral ULNT1 mobilizations while, the other, acromioclavicular mobilizations grade 1. Follow-up: one session per week for 5 weeks or less if the patient, practitioners or tutor consider inappropriate continuing with further sessions. Both standard osteopathic sessions will be performed by third and fourth year students in Osteopathy, supervised by registered and experienced osteopaths. Each session will last 40 minutes and include soft tissue, mobilization, muscle energy, myofascial release, high velocity low amplitude, functional techniques, advices or home exercises according to what is most suitable to each patient at that time. On top of that, an interventional group will get 2*10 upper limb neuromobilization techniques (ULNT1 median nerve bias) mobilizations, while the control, acromioclavicular mobilizations grade 1. Sequence included within ULNT1 mobilizations will consist in: shoulder girdle depression, glenohumeral abduction to 110°, forearm supination, wrist and finger extension, glenohumeral external rotation and elbow extension as final component of the succession system. Both interventional and control group will approximately last 10 minutes each. These two different approaches, will follow the osteopathic treatment and will be performed by a MSc student currently attending his second and last year (main researcher and author of this trial) of the Master course in Osteopathy. He is also a recognised HCPC physiotherapist with experience in Neurodynamic mobilizations. Each degree of movement will be monitored by the use of a goniometer. Material required are: - Consent form and Screening health Questionnaire - Visual Analogue Scale (VAS), Neck Disability Index Scale and a Mark-10 algometer (applied on the area of main pain) which will subjectively and objectively measure the patient's pain level. - Plinth - Chair while patient waits to enter the treatment room. - Cover plinth
Sponsors
University College Of Osteopathy
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
- Patients suffering from mechanical non specific neck pain with no symptoms to arms or torso and that resulted negative to at least two of the following tests: Spurling's test Valsalva maneuver Neck distraction test Shoulder abduction test - Subjects with an adequate English proficiency
Exclusion criteria
• Participants unable to lie comfortably in a supine position for at least 5 minutes • Pre-existing diagnosed neck or upper limb pathologies or comorbid condition that may affect neck or upper limb function; • Cognitive or communicative deficits which would prevent the patient from providing accurate feedback; • Traumatic pathology of the arm; • Red flags noted in the medical screening questionnaire such as tumour, fracture, infections, history of metabolic disease, spinal surgery or prolonged use of corticosteroid use; • Signs of central nervous system involvement; • Inability to lie supine; • History of diagnosed pathologies such as Parkinsonism, Alzheimer, Amyotrophic lateral sclerosis , Multiple sclerosis, Guillain-Barré syndrome.
Outcome results
None listed