Manual Therapy Effectiveness in Comparison With Electric Nerve Stimulation (TENS) in Patients With Neck Pain
Primary Care Randomized Clinical Trial: Manual Therapy Effectiveness in Comparison With TENS in Patients With Neck Pain
1 other identifier
interventional
90
1 country
1
Brief Summary
This study investigated effectiveness of manual therapy (MT) with Electric Nerve Stimulation (TENS) to reduce pain intensity in patients with mechanical neck disorder (MND). A randomized multi-centered controlled clinical trial was performed in 12 Primary Care Physiotherapy Units in Madrid Region.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started May 2005
Typical duration for not_applicable
1 active site
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
May 1, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2007
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2007
CompletedFirst Submitted
Initial submission to the registry
June 29, 2010
CompletedFirst Posted
Study publicly available on registry
June 30, 2010
CompletedNovember 7, 2017
November 1, 2017
2 years
June 29, 2010
November 5, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain intensity measured in millimeters (Visual Visual Analogue Scale, VAS)
Study Arms (2)
manual therapy
EXPERIMENTALTENS
ACTIVE COMPARATORElectric Nerve Stimulation (TENS)
Interventions
Ten treatment sessions of 30 minutes of MT or TENS on alternate days were provided by primary care physical therapists. MT techniques: neuromuscular technique, postisometric stretching, spray and stretching and Jones technique.
Ten treatment sessions of 30 minutes of MT or TENS on alternate days were provided by primary care physical therapists. TENS electrode placement were: in the painful area, in the metamere or in the nerve´s pathway. It was applied at a frequency of 80 Hz, with ≤150 µs pulse duration and adjusted amplitude.
Eligibility Criteria
You may qualify if:
- diagnoses of subacute or chronic MND without neurological damage, according to the Classification of the Quebec Task Force on Spinal Disorders (Spitzer 1987);
- full physical and psychological capacity to follow the clinical trial's requirements;
- consent to participate
You may not qualify if:
- Signs of neurological damage according to the Neurologic Screening Checklist (Hoving et al. 2002),
- pregnant women,
- previous neck rachis surgery,
- patients who received physical therapy or an alternative treatment of the neck or shoulder 6 months prior to the beginning of the study,
- patients who intended to receive other treatments during the study
- patients with important psychiatric disorders or other health problems that would contraindicate the techniques to be used (i.e. pacemaker).
- Patients with neck pain caused by an inflammatory, neurological or rheumatic disease, severe osteoporosis, fracture, luxation or vertebrobasilar insufficiency
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Gerencia Atencion Primaria Area 3lead
- University of Alcalacollaborator
Study Sites (1)
Servicio Madrileño de Salud
Madrid, 28803, Spain
Related Publications (4)
Escortell Mayor E, Lebrijo Perez G, Perez Martin Y, Asunsolo del Barco A, Riesgo Fuertes R, Saa Requejo C; TEMA-TENS Group. [Randomized clinical trial for primary care patients with neck pain: manual therapy versus electrical stimulation]. Aten Primaria. 2008 Jul;40(7):337-43. doi: 10.1157/13124126. Spanish.
PMID: 18620635BACKGROUNDEscortell-Mayor E, Riesgo-Fuertes R, Garrido-Elustondo S, Asunsolo-Del Barco A, Diaz-Pulido B, Blanco-Diaz M, Bejerano-Alvarez E; TEMA-TENS Group. Primary care randomized clinical trial: manual therapy effectiveness in comparison with TENS in patients with neck pain. Man Ther. 2011 Feb;16(1):66-73. doi: 10.1016/j.math.2010.07.003. Epub 2010 Aug 5.
PMID: 20691631BACKGROUNDElustondo SG, Fuertes RR, Mayor EE, del Barco AA, Martin YP, Castro BM. Satisfaction of patients with mechanical neck disorders attended to by primary care physical therapists. J Eval Clin Pract. 2010 Jun;16(3):445-50. doi: 10.1111/j.1365-2753.2009.01138.x. Epub 2010 Mar 10.
PMID: 20337831BACKGROUNDEscortell Mayor E, Lebrijo Perez G, Sanchez Sanchez B, Asunsolo del Barco A. [Difficulties in carrying out public projects of investigation in primary care]. Aten Primaria. 2008 Oct;40(10):536-7. doi: 10.1157/13127242. No abstract available. Spanish.
PMID: 19054468RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Esperazna Escortell, MD
Servicio Madrileño de Salud, Madrid, Spain
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
Study Record Dates
First Submitted
June 29, 2010
First Posted
June 30, 2010
Study Start
May 1, 2005
Primary Completion
May 1, 2007
Study Completion
May 1, 2007
Last Updated
November 7, 2017
Record last verified: 2017-11