Whiplash Injuries
Conditions
Keywords
Cervical spine, Neck pain, Manual therapy, Controlled clinical trial
Brief summary
The purpose of this study is to determine the short-term effects of a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury.
Detailed description
Design: Randomized clinical trial. Objectives: to determine the short-term effects of a a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury. Methods and measures: sixty patients will be randomly assigned to 1 of 2 groups: the experimental group received a manual therapy protocol and the placebo group received two manual therapy techniques. Neck pain, disability and cervical range of motion data will be collected at baseline and 24-hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome variable.
Interventions
The manual therapy protocol consists in the application of the following techniques: stretching diaphragm, Inhibition for phrenic center, Neuromuscular technique, technique jones and balance technique functional.
OTHERTwo manual techniques
The two manual techniques applied to control group are: inhibition for phrenic center and neuromuscular technique.
Sponsors
Universidad de Granada
Universidad Rey Juan Carlos
Universidad de Almeria
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
25 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* To met Quebec Task Force Classification of WAD II- neck pain symptoms and musculoskeletal signs. * No evidence of conduction loss on clinical neurological examination.
Exclusion criteria
* Concussion during the motor vehicle accident. * Loss of consciousness. * Head or upper quadrant injury during the accident. * Sought treatment prior to their accident for neck pain. * A previous history of whiplash * Neck pain * Headaches * Psychiatric or psychologic condition * Neurologic or circulatory disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change on Numerical Pain Rating Scale | At baseline and 2 weeks | The numerical pain rating scale is used to record the patient´s current level of neck pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability index | At baseline and 2 weeks | The neck disability index consists of 10 questions addressing functional activities such as personal care, lifting, reading, work, driving, sleeping, recreational, pain intensity, concentration and headache. |
| Cervical Range of Motion | At baseline and 2 weeks | Cervical range of motion is assessed with the patient sitting comfortably on a chair, with both feet flat on the floor, hips and knees at 90º of flexion, and buttocks positioned against the back of the chair. |
| Tampa scale for kinesiophobia | At baseline and 2 weeks | The 17-item Tampa scale for kinesiophobia assesses fear of movement or of injury or reinjury. |
Countries
Spain
Outcome results
None listed