Cervical and Upper Thoracic Mobilization and Manipulation for Mechanical Neck Pain
|ClinicalTrials.gov Identifier: NCT02036905|
Recruitment Status : Completed
First Posted : January 15, 2014
Last Update Posted : January 26, 2016
|Condition or disease||Intervention/treatment|
|Neck Pain||Other: Cervical and thoracic mobilization Other: cervical and thoracic manipulation|
Show Detailed Description
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||20 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Care Provider, Outcomes Assessor)|
|Official Title:||Comparing the Early Use of Cervical/Upper Thoracic Mobilization and Manipulation for Individuals With Mechanical Neck Pain.|
|Study Start Date :||July 2013|
|Primary Completion Date :||June 2014|
|Study Completion Date :||August 2015|
Experimental: Cervical and thoracic mobilization
Cervical and thoracic mobilization: described as a repetitive low-velocity oscillatory movement applied to a joint segment. It is graded 1-4 based on the size of the amplitude and where in range it is being applied. The mobilization technique chosen will be based on the examination and clinical reasoning process of the therapist. The cervical and thoracic mobilization will be applied to the most provocative level.
Other: Cervical and thoracic mobilization
Described in arm description
Experimental: Cervical and thoracic manipulation
Cervical and thoracic manipulation: is defined as high-velocity low-amplitude thrust at end range of a particular spinal segment. The therapist performs this technique by taking up all available slack at a particular segment and applying a high-velocity thrust through the end-range restriction. The manipulation technique will be chosen based on the examination and clinical reasoning process of the therapist.
Other: cervical and thoracic manipulation
described in arm description
- Change in Neck Disability Index (NDI) [ Time Frame: Initial evaluation, 2nd visit expected average day 3, and discharge expected average 4 weeks. ]The NDI is a reliable and valid outcome tool for patients with neck pain. It is a self-report measurement tool that was specifically constructed to measure the degree of disability for persons with neck pain. There are 10 total items that are ranked from 0-5 giving a total possible number of 50 points. The larger the score, the greater the disability for that individual.
- change in numeric pain rating scale (NPRS) [ Time Frame: initial evaluation, 2nd visit expected average day 3, discharge expected average 4 weeks ]The NPRS is used to determine the patient's pain level. The patient is asked to rate their level of pain on an 11-point numerical scale 0-10 with 0 being "no pain" and 10 being the "worst possible pain."
- Change in patient specific functional scale (PSFS) [ Time Frame: Initial evaluation, 2nd visit expected average day 3, and at discharge expected average 4 weeks. ]The PSFS is a three item questionnaire where the patient is asked to list 3 items they are having difficulty with and rate them on a 0-10 scale with 0 being unable to perform and 10 being able to perform with no limitation.
- Change in the global rating of change [ Time Frame: after visit 2 (expected average day 3) and again at discharge expected average 4 weeks. ]The global rating of change is a 15-point scale where 0 is no change in condition, -7 is a very great deal worse and +7 is a very great deal better. The patient is asked to rate their overall current current condition compared with when they first started care.
- Percent recovery [ Time Frame: Measured at discharge expected average of 4 weeks into protocol ]The patient is asked to rate their overall improvement on a scale of 0% (no better) to 100% completely better
- Change in deep cervical flexor endurance test [ Time Frame: Initial examination, after 2 visit (expected average day 3) and at discharge ( expected average 4 weeks), ]The patient lies in supine and maximally tucks chin to activate the deep cervical flexors. The patient then is asked to lift their head 0.5-1.0 inches off the table and maintain the chin tuck and hold for as long as possible. The investigator times the hold and records when the position cannot be maintained any longer.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02036905
|United States, Ohio|
|Solon, Ohio, United States, 44139|
|United States, Pennsylvania|
|Pain Relief and Physical Therapy|
|Havertown, Pennsylvania, United States, 19083|
|Principal Investigator:||David W. Griswold, DPT||Youngstown State University|
|Principal Investigator:||David W Griswold, DPT||Youngstown State University|