Immediate Effects of Manipulation Versus Stretching on Upper Trapezius Pressure Pain Thresholds

NCT02081430 | Completed DMC

• 1 other identifier: UNLVPT-1301
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the immediate effects of cervicothoracic manipulation and upper trapezius stretching on upper trapezius pressure pain threshold and cervical ROM.

Conditions

Neurophysiological Mechanisms Manipulation

Outcome Measures

Primary Outcomes (1)

• Pain Pressure Threshold

  Using a standardized pain pressure algometer, subjects will have recordings of pressure at which onset of pain is noted

  up to 10 minutes

Secondary Outcomes (1)

• Cervical Range of Motion

  up to 10 minutes

Study Arms (3)

CT Manipulation

EXPERIMENTAL

Prone cervicothoracic manipulation

Procedure: CT Manipulation

Upper trapezius stretch

ACTIVE COMPARATOR

Passive sustained stretch to upper trapezius muscle

Procedure: Upper trapezius stretch

Control

NO INTERVENTION

8 Minute wait

Interventions

CT Manipulation PROCEDURE

CT Manipulation

Upper trapezius stretch PROCEDURE

Upper trapezius stretch

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Absence of current neck pain
• Aged 18 - 70 years
• Able to lie on stomach or back without difficulty

You may not qualify if:

• 'Red flag' items indicated in Neck Medical Screening Questionnaire such as history of a tumor, bone fracture, metabolic diseases, Rheumatoid Arthritis, osteoporosis, severe atherosclerosis, prolonged history of steroid use, etc.
• History of neck whiplash injury
• Diagnosis from physician of cervical spinal stenosis (narrowing of spinal canal) or presence of symptoms (pain, pins and needles, numbness) down both arms
• Presence of central nervous system involvement such as exaggerated reflexes, changes in sensation in the hands, muscle wasting in the hands, impaired sensation of the face, altered taste, and presence of abnormal reflexes
• Evidence of neurological signs consistent with nerve root entrapment (pinched nerve in the neck)
• Prior surgery to neck or upper back
• A medical condition which may influence assessment of pain or pressure pain thresholds (i.e. taking analgesics, sedatives, history of substance abuse, or cognitive deficiency)
• Diagnosis from physician of fibromyalgia syndrome
• Currently pregnant, or could be pregnant

Sponsors & Collaborators

• University of Nevada, Las Vegas: lead

Study Sites (1)

University of Nevada Las Vegas

Las Vegas, Nevada, 89154, United States

Location

Study Officials

• Emilio J Puentedura, PT, DPT, PhD

  UNLV

  PRINCIPAL INVESTIGATOR

• William J Hanney, PT, DPT, PhD

  UCF

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: March 4, 2014
• First Posted: March 7, 2014
• Study Start: May 1, 2013
• Primary Completion: August 1, 2014
• Study Completion: August 1, 2014
• Last Updated: November 5, 2014

Record last verified: 2014-11

Locations

US (1)