Study on the Effect of Cervical Mobilization on Motor Function and Pressure Pain Threshold in Pain Free Individuals

This study has been completed.
Sponsor:
Information provided by:
Curtin University of Technology
ClinicalTrials.gov Identifier:
NCT01161758
First received: July 8, 2010
Last updated: July 13, 2010
Last verified: November 2005
  Purpose

Passive accessory cervical mobilization is widely used as a clinical approach to the management of musculoskeletal pain of spinal origin. The purpose of the study is to determine if passive cervical mobilization can improve motor function in situations where motor performance is not impaired by the presence of pain.


Condition Intervention
Neck Pain
Other: Passive cervical mobilisation
Other: Manual contact

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double Blind (Subject, Investigator, Outcomes Assessor)
Primary Purpose: Basic Science
Official Title: A Crossover Study on the Effect of Cervical Mobilization on Motor Function and Pressure Pain Threshold in Pain Free Individuals

Resource links provided by NLM:


Further study details as provided by Curtin University of Technology:

Primary Outcome Measures:
  • Electromyography of sternocleidomastoid muscle. [ Time Frame: Pre intervention (baseline) and 1 minute post intervention ] [ Designated as safety issue: No ]
    Measurement of sternocleidomastoid muscle activation during deep neck flexion. The degree of neck flexion is determined by a pressure biofeedback unit place underneath the neck. EMG of the left and right sternocleidomastoids are recorded for 5seconds at each level of neck flexion


Secondary Outcome Measures:
  • Pressure pain threshold [ Time Frame: Pre intervention (baseline) and 1 minute post intervention ] [ Designated as safety issue: No ]
    The algometer to measure pressure pain threshold was applied at a constant rate of 40 kPa/sec on the posterior aspect of the left and right articular pillar of C5/C6.


Enrollment: 24
Study Start Date: April 2005
Study Completion Date: December 2005
Primary Completion Date: October 2005 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Passive cervical mobilisation
Grade III cervical mobilization technique as described by Maitland. Applied to left C5/6 Segment.
Other: Passive cervical mobilisation
Passive cervical mobilization which involved an oscillatory grade III unilateral postero-anterior mobilization applied to the left C5/C6 segment. The mobilization consisted of 3 periods of 1 minute applications with a resting period of 1 minute in between.
Other Name: Physiotherapy
Placebo Comparator: Manual contact
Manual contact control, which involved light manual contact on the left C5/C6 segment as if to perform the treatment technique.
Other: Manual contact
Manual contact control, which involved light manual contact on the left C5/C6 segment as if to perform the treatment technique. The light manual contact consisted of 3 periods of 1 minute applications with a resting period of 1 minute in between.
Other Name: placebo light touch
No Intervention: Non-contact control
Non-contact control, which involved the subject resting in the treatment position without any physical contact between the researcher and the subject.

Detailed Description:

Cervical mobilization has been shown to elicit effects on pain perception, autonomic function and motor function in subjects who experience musculoskeletal pain. The improvement in motor function may be a direct effect of the treatment or secondary to a hypoalgesic effect. This study aims to demonstrate whether it is possible to alter motor function following joint mobilization, in situations where motor performance is not impaired by pain.

  Eligibility

Ages Eligible for Study:   18 Years to 55 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • No history of neck or back pain over the last six months
  • Without any previous experience with spinal manual therapy techniques

Exclusion Criteria:

  • History of musculoskeletal or rheumatologic conditions
  • Any kind of spinal surgery
  • Dizziness
  • Previous trauma to the cervical spine
  • Neurological signs or symptoms
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01161758

Sponsors and Collaborators
Curtin University of Technology
Investigators
Principal Investigator: Benjamin Soon Tze Chin, MManipTher The University of Queensland
Principal Investigator: Annina Schmid, MManipTher The University of Queensland
Principal Investigator: Elias Fridriksson, MManipTher Curtin University of Technology
Principal Investigator: Philip Cheong, MManipTher Curtin University of Technology
Principal Investigator: Elisabeth Gresslos, MManipTher Curitn University of Technology
Study Chair: Anthony Wright, PhD Curtin University of Technology
  More Information

No publications provided

Responsible Party: Prof Anthony Wright, Curtin University of Technology
ClinicalTrials.gov Identifier: NCT01161758     History of Changes
Other Study ID Numbers: PT0004
Study First Received: July 8, 2010
Last Updated: July 13, 2010
Health Authority: Australia: Human Research Ethics Committee

Keywords provided by Curtin University of Technology:
physical therapy
pain threshold
electromyography
musculoskeletal manipulation
neck muscles

Additional relevant MeSH terms:
Neck Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on August 28, 2014