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Trial record 46 of 12460 for:    cervical

Cyriax Manipulation in Cervical Discogenic Pain

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ClinicalTrials.gov Identifier: NCT03827135
Recruitment Status : Completed
First Posted : February 1, 2019
Last Update Posted : May 20, 2019
Sponsor:
Information provided by (Responsible Party):
Riphah International University

Brief Summary:
The aim of this research is to find and compare the effect of traditional physical therapy and Cyriax manipulation on pain, range of motion and disability in patients with cervical discogenic pain. Randomized controlled trials done at Benazir Bhutto hospital, Rawalpindi . The sample size was 40. The subjects were divided in two groups, 20 subjects in traditional physical therapy group and 20 in Cyriax manipulation group. Study duration was of 6 months. Sampling technique applied was purposive non probability sampling technique. Only 25-45 years individual with cervical discogenic pain were included. Tools used in the study are Numeric pain rating scale (NPRS) and neck disablity index (NDI). Data was be analyzed through SPSS 21.

Condition or disease Intervention/treatment Phase
Cervical Discogenic Pain (Disorder) Other: Traditional physical therapy Other: Cyriax manipulation Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 40 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effects of Cyriax Manipulation in Cervical Discogenic Pain
Actual Study Start Date : January 15, 2018
Actual Primary Completion Date : June 20, 2018
Actual Study Completion Date : June 30, 2018

Arm Intervention/treatment
Active Comparator: Traditional physical therapy
Cervical isometrics and Muscle Stretching
Other: Traditional physical therapy

Cervical isometrics 10 repetitions×1 set, 4 days/week and targeted muscle strechings (trapezius, scalenes and sternocleidomastoid) 10 repetitions×1 set, 4 days/week.

Total of 4 sessions were given each consisting of 40 mins.


Experimental: Cyriax manipulation
Experimental group was given cyriax manipulation protocol along with the cervical isometrics and muscle stretching.
Other: Cyriax manipulation

Experimental group was given cyriax manipulation protocol along with the cervical isometrics and muscle strechings.

Traction with rotation was not given in cases of bilateral arm pain. cervical isometrics 10 repetitions×1 set, 4 days/week and targeted muscle strechings (trapezius, scalenes and sternocleidomastoid) 10 repetitions×1 set, 4 days/week.

Total of 4 sessions were given each consisting of 40 mins.





Primary Outcome Measures :
  1. Neck disability index [ Time Frame: 4th Day ]
    Changes from base line Northwick disability index was developed first in Northwick Park hospital, England. It was designed to measure the neck pain and disability over time. It consists of 10, five parts sections. At the end, score is calculated by dividing the obtained score by total (50) multiplied by 100. As the driving section was missing in all the female patients, total score was considered as 45 instead of 50.


Secondary Outcome Measures :
  1. NPRS [ Time Frame: 4th Day ]
    Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain.

  2. ROM Cervical Spine ( Flexion) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine flexion was taken with the Help of Goniometer

  3. ROM Cervical Spine ( extension) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine extension was taken with the Help of Goniometer

  4. ROM Cervical Spine ( Right side flexion) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine right side flexion was taken with the Help of Goniometer

  5. ROM Cervical Spine ( left side Flexion) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine left side flexion was taken with the Help of Goniometer

  6. ROM Cervical Spine ( right rotation) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine right rotation was taken with the Help of Goniometer

  7. ROM Cervical Spine ( left rotation) [ Time Frame: 4th Day ]
    Changes from the Baseline ROM range of Motion of Cervical spine left rotation was taken with the Help of Goniometer



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Ages Eligible for Study:   25 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Diagnosed and confirmed cases of cervical disco genic pain by Weiner's criteria and Cyriax clinical assessment,
  • Discogenic cases with pain either in cervico-scapular area, radiating to arm without any neurological symptoms were the main objects of study.

Exclusion Criteria:

  • Patients have vertebrobasilar insufficiency (tested by VBI tests),
  • Altanto axial instability (tested by sharp purser test),
  • Osteoporosis, Rheumatoid arthritis,
  • Neuropathies,
  • Recent surgeries and neuropathies were excluded from study.

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 ClinicalTrials.gov identifier (NCT number): NCT03827135


Locations
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Pakistan
Riphah International University
Islamabad, Federal, Pakistan, 44000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Abdul Ghafoor Sajjad, PHD* Riphah International University

Publications:

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Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT03827135     History of Changes
Other Study ID Numbers: RiphahIU Aisha Razzaq
First Posted: February 1, 2019    Key Record Dates
Last Update Posted: May 20, 2019
Last Verified: May 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Riphah International University:
Cervical Discogenic pain
Cyriax manipulation
Neck Pain Disability index