The Effect of Directional Specific Thoracic Spine Mobilization on Cervical Spine Pain
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.
|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.|
- 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.
- Neck Pain [ Time Frame: 2 weeks ] [ Designated as safety issue: No ]Selection of 0 to 10 level of pain.
|Study Start Date:||August 2013|
|Study Completion Date:||January 2015|
|Primary Completion Date:||January 2015 (Final data collection date for primary outcome measure)|
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
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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01917071
|United States, Pennsylvania|
|Pittsburgh, Pennsylvania, United States, 15221|
|Study Director:||Steve A Karas, DSc, PT||Chatham University|