Effects of Single Thoracic Manipulation and Special Massage Technique (RT Technique) on Chronic Mechanical Neck Pain

NCT03187808 | Completed DMC

• 1 other identifier: BNOJPH-KKU-RP-001
• Study Type: interventional
• Target: 30
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study aims to compare the immediate effects of using a single thoracic manipulation combined with special massage technique (RT technique) and single thoracic manipulation alone on pain level at rest, cervical range of motion, upper limb neurodynamic test, neck disability, and adverse effects in chronic mechanical neck pain patients.

Conditions

Neck Pain

Keywords

Neck pain, Thoracic manipulation, special massage

Outcome Measures

Primary Outcomes (1)

• Pain level at rest

  A Visual Analog Scale (VAS) will be used for recording level of pain at rest.

  Change from baseline at 3 weeks

Secondary Outcomes (4)

• Cervical Range of Motion (CROM)

  Change from baseline at 3 weeks

• Upper limb tension test 1 (ULTT1)

  Change from baseline at 3 weeks

• The Neck Disability Index Thai version (NDI-TH)

  Change from baseline at 3 weeks

• Adverse effects

  Change from baseline at 3 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Group A is a group of performing single thoracic manipulation at zygapophyseal joint of T6-T7.

Other: Single thoracic manipulation

Group B

EXPERIMENTAL

Group B is a group of performing single thoracic manipulation combined with special massage technique (RT technique).

Other: Single thoracic manipulation; Other: Special massage technique (RT technique)

Interventions

Single thoracic manipulation OTHER

The subjects, who were randomly allocated to single thoracic manipulation group, will receive the single thoracic manipulation interventions directly to both sides of zygapophyseal joints of T6-T7. Each subject will be asked to lie on prone position on an experimental table. After that, the researcher will mark on both sides of zygapophyseal joints of T6-T7. Then, the subject will be instructed to take a deep inhalation and exhalation. During the exhalation, the therapist will perform the single thoracic manipulation (screw thrust technique) at zygapophyseal joints of T6-T7. If the audio pop is not heard during the first attempt, the therapist will ask the subject to reposition and repeat the technique. The procedure will be performed for maximum of 2 attempts and within 2 minutes.

Group A; Group B

Special massage technique (RT technique) OTHER

The special massage technique or RT technique is a treatment that was developed by Puntumetakul and colleagues in 2013 (copyright registration number 314783). The subjects in this group will be asked to lie on side lying position with 90 degrees of hip flexion and 90 degrees of knee flexion. The researcher will perform the RT technique by press their thumb on the treatment lines beside the posterior vertebral line from level of inferior angle of scapula to the lowest rib for 5 seconds per point and 3 sets per treatment line (Figure 8). Total time of this procedure is approximately 2 minutes.

Group B

Eligibility Criteria

• Age: 18 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• They have neck pain on posterior neck or shoulder, which is the area from superior nuchal line to spinous process of 1st thoracic vertebrae, with mechanical characteristics consisting of the symptoms provoked by sustained prolonged neck posture, neck movement or palpation of cervical musculature (Martı´nez-Segura et al., 2006).
• They have symptoms for at least 3 months in duration.
• They have pain level at rest at least mild level (from 3 score or greater) measured by Visual Analog Scale (Jensen et al., 2003).
• They have a baseline Neck Disability Index (NDI) Thai version score of 10% or greater (Suvarnnato et al., 2013).

You may not qualify if:

• The subjects will be excluded from current study if they have the following conditions including:
• Cervical radiculopathy or myelopathy
• History of whiplash injury within 6 weeks of examination
• History of cervical surgery or thoracic surgery
• History of cervical or thoracic injuries including fracture or dislocation
• Fibromyalgia syndrome
• The serious spinal conditions including spinal osteoporosis, spinal tuberculosis, and tumors
• History of treated by spinal manipulation within 2 months before participating in the study
• The diseases that are contra-indication to receive a spinal manipulation, such as hypertension, heart disease and meningitis
• Pregnancy

Sponsors & Collaborators

• Khon Kaen University: lead

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• RUNGTHIP PUNTUMETAKUL, Ph.D

  Faculty of Associated Medical Science, Khon Kaen University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Study Record Dates

• First Submitted: January 16, 2017
• First Posted: June 15, 2017
• Study Start: July 1, 2016
• Primary Completion: February 1, 2017
• Study Completion: April 1, 2017
• Last Updated: June 15, 2017

Record last verified: 2017-06

Data Sharing

• IPD Sharing: Will not share