Neurophysiological Mechanisms Manipulation
Conditions
Brief summary
The purpose of this study is to determine the immediate effects of cervicothoracic manipulation and upper trapezius stretching on upper trapezius pressure pain threshold and cervical ROM.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Absence of current neck pain 2. Aged 18 - 70 years 3. Able to lie on stomach or back without difficulty
Exclusion criteria
1. 'Red flag' items indicated in Neck Medical Screening Questionnaire such as history of a tumor, bone fracture, metabolic diseases, Rheumatoid Arthritis, osteoporosis, severe atherosclerosis, prolonged history of steroid use, etc. 2. History of neck whiplash injury 3. Diagnosis from physician of cervical spinal stenosis (narrowing of spinal canal) or presence of symptoms (pain, pins and needles, numbness) down both arms 4. Presence of central nervous system involvement such as exaggerated reflexes, changes in sensation in the hands, muscle wasting in the hands, impaired sensation of the face, altered taste, and presence of abnormal reflexes 5. Evidence of neurological signs consistent with nerve root entrapment (pinched nerve in the neck) 6. Prior surgery to neck or upper back 7. A medical condition which may influence assessment of pain or pressure pain thresholds (i.e. taking analgesics, sedatives, history of substance abuse, or cognitive deficiency) 8. Diagnosis from physician of fibromyalgia syndrome 9. Currently pregnant, or could be pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Pressure Threshold | up to 10 minutes | Using a standardized pain pressure algometer, subjects will have recordings of pressure at which onset of pain is noted |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Range of Motion | up to 10 minutes | Using a CROM device, cervical spine range of motion will be measured in angular degrees |
Countries
United States