Different Types of Manual Therapy Techniques in Patients With Chronic Neck Pain

NCT01792895 | Completed DMC

• 1 other identifier: A04-12
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to investigate the comparative effectiveness of high velocity and low amplitude (HVLA)vs Mobilization (Mob) vs Mobilization with movement technique (MWMT) in sample of patients with chronic neck pain (CNP). Secondly to evaluate the immediate effects in range of motion and pain thresholds, and the interaction between psychological factors and the outcomes of these three types of manual therapy. The hypothesis is that all manual therapies techniques will produce similar effects.

Conditions

Neck Pain

Keywords

Posterior Neck Pain; Cervical spine pain; Manual therapy

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale

  visual analogue scale (VAS). Despite being a subjective evaluation, it has been documented in previous studies its reliability and validity and its sensitivity to the clinical changes. For this reason, this scale has been used in numerous clinical trials on neck pains to evaluate the results. The patient places a vertical mark on a flat horizontal line of 10 cm. One extreme is 0 (no pain) and the other extreme is 10 (maximum pain) and it must be a difference of 2 points in the evaluation range to produce minimal improvement which is clinically significant.

  The Patients will be followed for 12 weeks after treatment

Secondary Outcomes (3)

• Neck disability

  The Patients will be followed for 12 weeks after treatment

• Active Cervical Range of Motion

  The Patients will be followed for 12 weeks after treatment

• Pressure Pain thresholds (PPTs)

  pre-treatment and post-treatment

Other Outcomes (5)

• Satisfaction

  The Patients will be followed for 12 weeks after treatment

• Anxiety

  pre-treatment

• Depression

  pre-treatment

Study Arms (3)

Manipulation group

ACTIVE COMPARATOR

This Technique will be applied over four sessions, during two weeks

Procedure: Mobilization; Procedure: Mobilization with movement

Mobilisation

ACTIVE COMPARATOR

This treatment will be applied on cervical spine during four sessions, over two weeks

Procedure: Manipulation; Procedure: Mobilization with movement

Mobilization with movement

ACTIVE COMPARATOR

This Technique will be applied over four sessions, during two weeks

Procedure: Manipulation; Procedure: Mobilization

Interventions

Manipulation PROCEDURE

The Cervical Spine Manipulation is a manual therapy technique directed at the hypomobile and painful vertebral level. The subject was supine with the cervical spine in a neutral position. The index finger of the therapist applies contact over the posterolateral aspect of the zygapophyseal joint of the hypomobile vertebra. The therapist performs the technique taking account the most limited movement; lateral or rotational. A maximum of 2 attempts will performed on each subject regardless audible cavitation.

Mobilisation; Mobilization with movement

Mobilization PROCEDURE

The mobilization is a passive oscillatory technique, applied over cervical region in the hypomobile cervical level, the patient will be in prone and the therapist standing at the head of the patients with his thumbs in opposition placed at the level of the facet of the hypomobile cervical vertebra. A posteroanterior(PA) oscillatory pressure is applied, through the thumbs, over the process of the hypomobile vertebra. This oscillatory mobilization, is performed at a frequency of 2Hz (with metronome control/steps) for 2 minutes and repeated 3 times. The rest time between each mobilization was 1 minute.

Manipulation group; Mobilization with movement

Mobilization with movement PROCEDURE

This is a manual therapy technique that consist of applied a sustain pressure over cervical hypomobile symptomatic level and request to patient a pain free movement. For performs it, the therapist placed his thumbs on the articular process of that level. The patient sitting. Then, the subject had to perform actively the painful motion while the therapist guides the movement of that vertebra and resists it while returning to neutral. The strength applied was parallel to the plane of the joint, and the procedure was performed in 3 sets of 10 repetitions.

Manipulation group; Mobilisation

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Clinical Diagnosis of Chronic neck pain

You may not qualify if:

• Neck pain is associated with whiplash injuries.
• Resting blood pressure greater than 140/90 mmHg.
• Cervical radiculopathy.
• Cervical disc herniation.
• Fibromyalgia syndrome.
• Previous neck surgery.

Sponsors & Collaborators

• Universidad Rey Juan Carlos: lead
• Universidad Europea de Madrid: collaborator

Study Sites (1)

Universidad Rey Juan Carlos

Alcorcón, Madrid, 28922, Spain

Location

Related Links

• web site of the University

MeSH Terms

Conditions

Neck Pain

Interventions

Movement

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Physiological Phenomena; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Josue Fernandez-Carnero, PhD

  Universidad Europea de Madrid/Universidad Rey Juan Carlos

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD and Physical Therapist

Study Record Dates

• First Submitted: February 12, 2013
• First Posted: February 15, 2013
• Study Start: January 1, 2011
• Primary Completion: June 1, 2012
• Study Completion: December 1, 2012
• Last Updated: October 22, 2013

Record last verified: 2013-10

Locations

ES (1)