Neck Pain
Conditions
Keywords
disability evaluation, musculoskeletal manipulations, neck pain, spinal manipulation
Brief summary
There is enough evidence to suggest that the spinal manipulation of the upper cervical spine and cervicothoracic spine are effective in decreasing neck pain. Therefore, the purpose of this randomized controlled trial is to compare the effects of an isolated application of upper cervical spine thrust joint manipulation with the application of a full combination of cervical, cervico-thoracic and thoracic spine thrust joint manipulation on neck pain, disability and cervical range of motion in individuals with chronic mechanical neck pain.
Interventions
OTHERSpinal manipulation
Application of upper cervical spine thrust joint manipulation or application of a full combination of cervical, cervico-thoracic and thoracic spine thrust joint manipulation.
Sponsors
Clínica Ciudad de Almería
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 55 Years
Healthy volunteers
No
Inclusion criteria
* Symptom persistence for more than 12 weeks. * Age from 18 to 55 years. * Localized pain in the cervical spine. * Symptoms are caused by cervical movement or sustained postures.
Exclusion criteria
* Stage acute of symptoms. * Any contraindication to cervical spinal manipulation (fracture, osteoporosis, joint infections or vertebrobasilar insufficiency). * Patients with previous neck trauma or cervical spine surgery. * Patients diagnosed with cervical radiculopathy. * Patients diagnosed with fibromyalgia. * Have been treated with manual therapy in the last 3 months. * Receiving other treatment during the course of the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in neck pain at rest: Numeric Pain Rating Scale (0-10) | Baseline and 7 days post-treatment | Neck pain at rest. Measured with the Numeric Pain Rating Scale (0 = ''no pain'' and 10 = ''worst imaginable pain). |
| Change in neck disability: Neck Disability Index (0-50) | Baseline and 7 days post-treatment | Neck disability is measured with Neck Disability Index (10 items). A higher score indicates greater disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in rigth lateral flexion movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in right lateral flexion. Measured with a Cervical Range of Motion (CROM) device |
| Change in left lateral flexion movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in left lateral flexion. Measured with a Cervical Range of Motion (CROM) device |
| Change in flexion movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in flexion. Measured with a Cervical Range of Motion (CROM) device |
| Change in left rotation movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in left rotation. Measured with a Cervical Range of Motion (CROM) device |
| Change in right rotation movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in right rotation. Measured with a Cervical Range of Motion (CROM) device |
| Change in extension movement: Cervical Range of Motion device | Baseline and 7 days post-treatment | Range of cervical motion in extension. Measured with a Cervical Range of Motion (CROM) device |
Countries
Spain
Outcome results
None listed