Neck Pain
Conditions
Keywords
Cervical spine, Spinal manipulation
Brief summary
Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability, widespread pressure pain sensitivity, and cervicokinethesia in patients with mechanical neck pain.
Detailed description
Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability and cervicokinethesia in patients with mechanical neck pain. Patients will receive cervical spine manipulation in either right or left side of the neck and will be assessed on pain intensity, neck-related disability, widespread pressure pain sensitivity, and cervicokinethesia by an assessor blinded to the allocation group.
Interventions
OTHERRight Cervical Manipulation
We will use a high-velocity, mid-range, left rotational force to the right articular pillar of C3, on the right articular pillar of C4 with the patient in supine, with left rotation and right side-bending.
OTHERLeft Cervical Manipulation
We will use a high-velocity, mid-range, left rotational force to the left articular pillar of C3, on the left articular pillar of C4 with the patient in supine, with right rotation and left side-bending.
The sham procedure will simulate C3/C4 manipulation in both sides without any therapeutic thrust
Sponsors
Universidad Rey Juan Carlos
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
\- Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.
Exclusion criteria
* any contraindication to manipulation, e.g., positive extension-rotation test; * whiplash injury; * previous cervical surgery; * cervical radiculopathy or myelopathy; * diagnosis of fibromyalgia syndrome; * having undergone spinal manipulative therapy in the previous 6 months; * less than 18 or greater than 65 years of age.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in cervical kinesthetic sense before and after the intervention | Baseline and 15 minutes after the intervention | The joint position sense error (JPSE) will be calculated to determine cervicokinethesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in disability before and after the intervention | Baseline and one week after the intervention | The Neck Disability Index (NDI) will be used to determine neck-related disability |
| Changes in neck pain intensity before and after the intervention | Baseline and one week after the intervention | An 11 points numerical pain rate scale (NPRS, 0-10) will be used to assess the intensity of neck pain |
| Changes in widespread pressure pain sensitivity before and after the intervention | Baseline and 15 minutes after the intervention | Pressure pain thresholds will be assessed over C5/C6 zygapophyseal joints and the tibialis anterior muscle |
Countries
Spain
Outcome results
None listed