The Effect of Directional Specific Thoracic Spine Mobilization on Cervical Spine Pain

This study is currently recruiting participants. (see Contacts and Locations)
Verified August 2013 by Chatham University
Sponsor:
Information provided by (Responsible Party):
Steve Karas, Chatham University
ClinicalTrials.gov Identifier:
NCT01917071
First received: August 2, 2013
Last updated: August 5, 2013
Last verified: August 2013
  Purpose

Hypothesis: There is no difference in directional specific manipulation of the thoracic spine for patients with neck pain.

Patients seeking physical therapy for neck pain routinely have their thoracic spine manipulated. This study seeks to determine if directional limitations in the spine can be specifically determined and treated to decrease neck pain.


Condition Intervention
Neck Pain
Other: thoracic spine manipulation

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: The Effect of Directional Specific Thoracic Spine Mobilization on Cervial Spine Pain.

Resource links provided by NLM:


Further study details as provided by Chatham University:

Primary Outcome Measures:
  • Neck Disability Index [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    Objective, valid, reliable measure of function in patients with neck pain. Completed as a survey.


Secondary Outcome Measures:
  • Neck Pain [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]
    Selection of 0 to 10 level of pain.


Estimated Enrollment: 60
Study Start Date: August 2013
Estimated Study Completion Date: August 2015
Estimated Primary Completion Date: August 2015 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Matched Group
Receives thoracic spine manipulation in the direction of motion limitation.
Other: thoracic spine manipulation
a manual technique applied to the mid back to promote motion

Detailed Description:

Manipulation of the thoracic spine is the most commonly used manual therapy intervention by manual therapists. It is not known whether we can accurately assess and treat directional limitations in the thoracic spine to improve neck pain.

One way is to assess where the limitation is and treat it. Another method is to distract the joint. We want to know if matching the limitation to the manipulation method will give patients with neck pain better results.

The patient lays on their back. The therapist places a hand on the inferior vertebrae of the motion segment. The patient relaxes and the therapist pushes in an anterior to posterior direction either moving the vertebrae into flexion or entension.

  Eligibility

Ages Eligible for Study:   18 Years to 60 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Patients with Neck Pain; ages 18 - 60

Exclusion Criteria:

  • red flags: leg weakness, night pain, history of cancer, upper motor neuron signs, infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004) history of whiplash within 6 weeks, cervical stenosis, CNS involvement, signs consistent with nerve root compression, previous surgery, pending legal action
  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: NCT01917071

Contacts
Contact: Steve A Karas, DSc 412 365 2798 skaras@chatham.edu

Locations
United States, Pennsylvania
Chatham University Recruiting
Pittsburgh, Pennsylvania, United States, 15221
Contact: Steve A Karas, DSc    412-365-2798    skaras@chatham.edu   
Principal Investigator: Steve A Karas, DSc         
Sponsors and Collaborators
Chatham University
Investigators
Study Director: Steve A Karas, DSc, PT Chatham University
  More Information

No publications provided

Responsible Party: Steve Karas, Assistant Professor, Chatham University
ClinicalTrials.gov Identifier: NCT01917071     History of Changes
Other Study ID Numbers: Karasmatched
Study First Received: August 2, 2013
Last Updated: August 5, 2013
Health Authority: United States: Chatham University Institutional Review Board

ClinicalTrials.gov processed this record on September 22, 2014