Acute Non-complicated Postural Neck Pain
Conditions
Brief summary
The purpose of this study is to determine if post-manipulation elastic therapeutic tape (ETT) with TheraBand® Kinesiology Tape to neck pain patients can impact neck range of motion (ROM) and post-manipulation pain. A convenience sample of 50 patients, between the ages of 18-64, who present with acute non-complicated postural neck pain will be recruited from an outpatient chiropractic clinic. Upon providing consent to participate, patients will be randomly assigned into 2 groups; Control Group (manipulation only) and Tape Group (manipulation plus tape). Pain and neck ROM will be recorded at 3 different intervals: (1) pre-cervical manipulation, (2) within 5 minutes of cervical manipulation, (3) with 24-48 hours after manipulation.
Detailed description
The purpose of this study is to determine if post-manipulation elastic therapeutic tape (ETT) with TheraBand® Kinesiology Tape to neck pain patients can impact neck range of motion (ROM) and post-manipulation pain. A convenience sample of 50 patients, between the ages of 18-64, who present with acute non-complicated postural neck pain will be recruited from an outpatient chiropractic clinic. Complications would include discogenic pain or radicular symptoms. Inclusionary criteria would also consist of onset less than 18 days and the indications for cervical manipulation, including pain, decreased range of motion, and hypertonicity. Exclusionary criteria will include pregnancy, contraindications to manipulation, and previous neck surgery. Patients will be recruited on the first visits to ensure they haven't receive manipulation before for this current plan of care. Upon providing consent to participate, patients will be randomly assigned into 2 groups; Control Group (n=25) and Tape Group (n=25). Pain and neck ROM will be recorded at 3 different intervals: (1) pre-cervical manipulation, (2) within 5 minutes of cervical manipulation, (3) with 24-48 hours after manipulation. The control group will receive manipulation only, while the Tape Group will have ETT TheraBand® Kinesiology Tape applied immediately following cervical manipulation. The taping protocol will be applied by the investigator and consist of a Y strip applied at 25% tension running superior to inferior from the hair line to T1-2 and a horizontal I strip applied at 50% tension at the site of pain. Six cervical ranges of motion values will be recorded utilizing the Acumar DataCapture hand-held dual inclinometer. Range of motion will be measured at maximum (max) degrees and average degrees of 6 trials and will include: flexion (F), extension €, left side-bending (LSB), right side-bending (RSB), left rotation (LR), and right rotation (RR). Measure of pain will be asked of each patient using the Numeric Pain Rating Scale (NPRS) from 0-10. They will be asked to rate their pain at rest and when in motion.
Interventions
One approach to treating musculoskeletal conditions is a elastic therapeutic taping technique designed to target muscles and lymphatic system. Limited research on the efficacy of elastic therapeutic taping (ETT) is available for specific patient populations, including neck pain. ETT it is theorized to impact muscle function by inhibiting or facilitating the muscle, improve blood flow, reduce pain, and improve joint alignment. In a study by Gonzalez-Iglesias et al. the investigators reported that neck pain and range of motion significantly improved immediately and 24 hours after the application of ETT in acute whiplash patients as compared to a sham taping.
Sponsors
Sport and Spine Rehab Clinical Research Foundation
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
will include ages of 18-64 who present with non-complicated postural neck pain, indications for cervical manipulation, including pain, decreased range of motion, and hypertonicity.
Exclusion criteria
will include discogenic pain or radicular symptoms, pregnancy, contraindications to manipulation, and previous neck surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Cervical Range of Motion | 3 Testing sessions: (T1) Baseline, (T2) Immediate Post, and (T3) 24-48hours | Six cervical ranges of motion values will be recorded utilizing the Acumar DataCapture hand-held dual inclinometer. Range of motion will be measured at maximum (max) degrees and average degrees of 6 trials and will include: flexion (F), extension (E), left side-bending (LSB), right side-bending (RSB), left rotation (LR), and right rotation (RR). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Numeric Pain Rating Scale (NPRS) | 3 Testing sessions: (T1) Baseline, (T2) Immediate Post, and (T3) 24-48hours | Subjects rate their pain on the Numeric Pain Rating Scale (NPRS), a scale from 0-10, 0 being none and 10 being the worst imaginable. |
Countries
United States
Participant flow
Recruitment details
A convenience sample of who presented with acute non-complicated neck pain were recruited from an outpatient chiropractic clinic
Participants by arm
| Arm | Count |
|---|---|
| Manipulation Plus Tape The Tape Group had TheraBand® Kinesiology Tape, an elastic therapeutic tape (ETT), applied immediately following cervical manipulation from a licensed chiropractor. The taping protocol was applied by the investigator and consist of a Y strip applied at 25% tension running superior to inferior from the hair line to T1-2 and a horizontal I strip applied at 50% tension at the site of pain. | 27 |
| Manipulation Only The control group received manipulation from a licensed chiropractor only | 23 |
| Total | 50 |
Baseline characteristics
| Characteristic | Manipulation Plus Tape | Manipulation Only | Total |
|---|---|---|---|
| Age, Continuous | 36.9 years | 36.5 years | 36.7 years |
| Sex: Female, Male Female | 16 Participants | 12 Participants | 28 Participants |
| Sex: Female, Male Male | 11 Participants | 11 Participants | 22 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 0 / 27 | 0 / 23 |
| other Total, other adverse events | 0 / 27 | 0 / 23 |
| serious Total, serious adverse events | 0 / 27 | 0 / 23 |
Outcome results
Primary
Change in Cervical Range of Motion
Six cervical ranges of motion values will be recorded utilizing the Acumar DataCapture hand-held dual inclinometer. Range of motion will be measured at maximum (max) degrees and average degrees of 6 trials and will include: flexion (F), extension (E), left side-bending (LSB), right side-bending (RSB), left rotation (LR), and right rotation (RR).
Time frame: 3 Testing sessions: (T1) Baseline, (T2) Immediate Post, and (T3) 24-48hours
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Extension Max | 41.7 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Right Rotation Max | 52.6 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Left Side Bending Max | 30.5 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Flexion Max | 39.5 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Left Side Bending Max | 36.7 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Right Side Bending Max | 35.3 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Right Side Bending Max | 31.6 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Flexion Max | 42.44 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Right Side Bending Max | 39 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Left Side Bending Max | 27.9 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Left Rotation Max | 54.5 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Extension Max | 34.3 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Left Rotation Max | 53.2 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Right Rotation Max | 56.5 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T3 Left Rotation Max | 52.8 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Extension Max | 36.5 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T2 Right Rotation Max | 53.8 degrees |
| Manipulation Plus Tape | Change in Cervical Range of Motion | T1 Flexion Max | 37.9 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Right Rotation Max | 52.5 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Right Side Bending Max | 34.5 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Right Rotation Max | 50.2 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Right Rotation Max | 50.9 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Flexion Max | 36.9 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Flexion Max | 37.5 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Flexion Max | 39 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Extension Max | 32.4 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Extension Max | 38.7 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Left Side Bending Max | 28 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Left Side Bending Max | 33.7 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Left Side Bending Max | 32.2 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Right Side Bending Max | 32.7 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Right Side Bending Max | 35.1 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T1 Left Rotation Max | 51.7 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T2 Left Rotation Max | 53.2 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Left Rotation Max | 50 degrees |
| Manipulation Only | Change in Cervical Range of Motion | T3 Extension Max | 36.9 degrees |
Secondary
Change in Numeric Pain Rating Scale (NPRS)
Subjects rate their pain on the Numeric Pain Rating Scale (NPRS), a scale from 0-10, 0 being none and 10 being the worst imaginable.
Time frame: 3 Testing sessions: (T1) Baseline, (T2) Immediate Post, and (T3) 24-48hours
| Arm | Measure | Group | Value (MEAN) |
|---|---|---|---|
| Manipulation Plus Tape | Change in Numeric Pain Rating Scale (NPRS) | T3 Pain | 4.9 units on a scale |
| Manipulation Plus Tape | Change in Numeric Pain Rating Scale (NPRS) | T1 Pain | 6.1 units on a scale |
| Manipulation Plus Tape | Change in Numeric Pain Rating Scale (NPRS) | T2 Pain | 5.4 units on a scale |
| Manipulation Only | Change in Numeric Pain Rating Scale (NPRS) | T1 Pain | 5.7 units on a scale |
| Manipulation Only | Change in Numeric Pain Rating Scale (NPRS) | T2 Pain | 5 units on a scale |
| Manipulation Only | Change in Numeric Pain Rating Scale (NPRS) | T3 Pain | 4.9 units on a scale |