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

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01917071
Recruitment Status : Completed
First Posted : August 6, 2013
Last Update Posted : July 28, 2015
Information provided by (Responsible Party):
Steve Karas, Chatham University

Brief Summary:

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 or disease Intervention/treatment Phase
Neck Pain Other: thoracic spine manipulation Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: The Effect of Directional Specific Thoracic Spine Mobilization on Cervial Spine Pain.
Study Start Date : August 2013
Actual Primary Completion Date : January 2015
Actual Study Completion Date : January 2015

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
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

Primary Outcome Measures :
  1. Neck Disability Index [ Time Frame: 2 weeks ]
    Objective, valid, reliable measure of function in patients with neck pain. Completed as a survey.

Secondary Outcome Measures :
  1. Neck Pain [ Time Frame: 2 weeks ]
    Selection of 0 to 10 level of pain.

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01917071

United States, Pennsylvania
Chatham University
Pittsburgh, Pennsylvania, United States, 15221
Sponsors and Collaborators
Chatham University
Study Director: Steve A Karas, DSc, PT Chatham University

Responsible Party: Steve Karas, Assistant Professor, Chatham University Identifier: NCT01917071     History of Changes
Other Study ID Numbers: Karasmatched
First Posted: August 6, 2013    Key Record Dates
Last Update Posted: July 28, 2015
Last Verified: August 2013

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