None listed
Conditions
Brief summary
The aim of the study is to assess the effectiveness of manual therapy and exercise for neck pain, and to establish which clinical characteristics predict treatment outcome.
Interventions
Manual therapy: Participants will receive 4 (once a week) 30 minute sessions of manual therapy including the following techniques which will be applied at the discretion of the physiotherapists . - Grade II-III segmental postero-anterior and/or antero-posterior mobilisations following the movement plane of the cervical zygapophyseal joints (downslope or upslope). These will be applied to pain reproducing and adjacent cervical segments. - Pressure maintained suboccipital inhibition manual technique. - Cervical longitudinal traction. - Grade II-III segmental postero-anterior mobilisations to the upper thoracic spine
Sponsors
Study design
Eligibility
Inclusion criteria
- Primary complaint of neck pain. - Non-traumatic (insidious) history of onset. - Mechanical in nature i.e. pain has clear aggravating and easing positions or movements.
Exclusion criteria
- Radicular pain. - Referral to other health professional to exclude red flags not required. - Signs of central hyperexcitability (e.g. widespread, non-anatomical/nonspecific distribution of pain; stimulus-independent spontaneous pain). - Whiplash injury. - Have or are awaiting neck surgery. - Inflammatory disease or spinal condition.