Neck Pain
Conditions
Brief summary
This study aims to investigate the effects of vertebral manipulation and pain education on subjects with neck pain. For this purpose, 90 subjects who present chronic neck pain will be selected and allocated randomly into 2 groups: vertebral manipulation group and pain education group.
Interventions
OTHERSpinal Manipulation
High-velocity and low-amplitude (HVLA) manipulation techniques to the cervical and thoracic region
OTHERPain Education
Subjects will receive pain education based in biopsychosocial approach
OTHERSham
A simulation of spinal manipulation (sham), involving manual contact over the cervical and thoracic region totaling 10 minutes.
Sponsors
Santa Catarina Federal University
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
* Main complaint of Neck Pain for at least six (6) months; * Score of at least 10 points in NDI (Neck Disability Index); * Pain and / or restriction of cervical movements; * Pain reported at least 3 points on the NPRS (Numeric Pain Rating Scale); * The definition of the term Neck Pain follows the classification of TFNP.
Exclusion criteria
* Previous history of rheumatic disease, cervical myelopathy, tumors, vertebrobasilar insufficiency, central or peripheral neurological disorders; * History of major trauma, fracture or surgery in the neck, shoulder and/or upper limb; * Signs of nerve root compression as important muscle weakness affecting the upper limbs, reduction, loss or increase of biceps and triceps reflexes, decreased sensation in the dermatomes of the upper limb; * Red flags contraindicating spinal manipulation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | 4 weeks after randomization | Intensity of pain will be measured by the numeric pain rating scale (NPRS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pressure Pain Threshold | 4 weeks and 3 months after randomization | Pressure pain Threshold will be measured with a digital algometer |
| Disability | 4 weeks and 3 months after randomization | Disability will be measured by the Neck Disability Index (NDI) |
| Fear Avoidance Beliefs | 4 weeks and 3 months after randomization | Fear Avoidance will be measured by the Fear Avoidance Beliefs Questionnaire (FABQ) |
| Cytokines | 4 weeks after randomization | Level of concentration of pro and anti-inflammatory cytokines |
| Kinesiophobia | 4 weeks and 3 months after randomization | Kinesiophobia will be measured byTampa Scale for Kinesiophobia |
| Pain Intensity | 3 months after randomization | Intensity of pain will be measured by the numeric pain rating scale (NPRS) |
| Health-related Quality of Life | 4 weeks and 3 months after randomization | Quality of Life will be measured by the 12-Item Health Survey (SF-12) |
Countries
Brazil
Outcome results
None listed