The Value of Traction in the Treatment of Cervical Radiculopathy
The Value of Mechanical Traction in the Treatment of Cervical Radiculopathy
1 other identifier
interventional
86
1 country
2
Brief Summary
The purpose of this study is to determine the effectiveness of adding mechanical traction to standard physical therapy treatments for patients with neck and arm pain.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Jul 2009
Typical duration for phase_3
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2009
CompletedFirst Submitted
Initial submission to the registry
September 16, 2009
CompletedFirst Posted
Study publicly available on registry
September 17, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2013
CompletedNovember 17, 2014
November 1, 2014
2.7 years
September 16, 2009
November 14, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Neck Disability Questionnaire
Baseline, 4 weeks, 6 months, 1year
Secondary Outcomes (1)
Global Rating of Change
Baseline, 4 weeks, 6 months, 1 year
Study Arms (3)
Standard exercise
ACTIVE COMPARATORSubjects will be instructed in neck and postural exercises.
Over-door traction and exercise.
EXPERIMENTALSubjects will receive traction utilizing an over-the-door traction unit in addition to neck and postural exercises.
Mechanical traction and exercise
EXPERIMENTALMechanical cervical traction will be utilized in addition to neck and postural exercises.
Interventions
Mechanical cervical traction will be applied at a moderate force and adjusted based on symptom relief. In addition, subjects will be trained in cervical and postural exercises.
Eligibility Criteria
You may qualify if:
- Primary complaint of neck pain with symptoms (pain and/or numbness) extending distal to the acromioclavicular joint or caudal to the superior border of the scapula (may be unilateral or bilateral).
- Age between 18-70 years old
- Neck Disability Score score \>10 points
You may not qualify if:
- Red flags indicative of a serious or non-musculoskeletal condition (i.e. tumor, fracture, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
- Diagnosis of cervical spinal stenosis based on CT or MRI imaging
- Evidence of cervical myelopathy or central nervous system involvement, (e.g., hyperreflexia, intrinsic muscle wasting of the hands, unsteadiness during gait, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, presence of pathologic reflexes (i.e. positive Hoffman's or Babinski reflex).
- Prior surgery to the neck or thoracic spine
- Inability to comply with treatment and follow-up schedule
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Intermountain Health Care, Inc.lead
- University of Utahcollaborator
- 59th Medical Wingcollaborator
- Empi, A DJO Companycollaborator
Study Sites (2)
Wilford Hall Medical Center
Lackland Air Force Base, Texas, 78235, United States
Intermountain Healthcare, Rehab Agency
Salt Lake City, Utah, 84119, United States
Related Publications (1)
Fritz JM, Thackeray A, Brennan GP, Childs JD. Exercise only, exercise with mechanical traction, or exercise with over-door traction for patients with cervical radiculopathy, with or without consideration of status on a previously described subgrouping rule: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 Feb;44(2):45-57. doi: 10.2519/jospt.2014.5065. Epub 2014 Jan 9.
PMID: 24405257RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Julie Fritz
IHC Health Services, Inc., Dba: TOSH
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Research Operations Coordinator
Study Record Dates
First Submitted
September 16, 2009
First Posted
September 17, 2009
Study Start
July 1, 2009
Primary Completion
March 1, 2012
Study Completion
January 1, 2013
Last Updated
November 17, 2014
Record last verified: 2014-11