Hypoalgesic Effect of Cervical Manipulation

NCT03541538 | Completed

• 1 other identifier: U1111-1214-1243
• Study Type: interventional
• Target: 21
• Locations: 1 country
• Sites: 1

Brief Summary

This study evaluates the hypoalgesic effect of global and specific cervical joint manipulation in healthy individuals. At first the participants received one of the interventions and after 48 hours, the other.

Conditions

Pain

Keywords

joint manipulation; cervical; pressure pain; manual therapy

Outcome Measures

Primary Outcomes (1)

• Pressure Pain Threshold at the posterior region of the forearm

  The subjects were placed supine on a stretcher with their elbows fully extended and the anterior portion of the forearm resting on the stretcher. Subjects were instructed to keep their eyes closed during attempts. The examiner used a Somedic Type II digital pressure algometer (Somedic Inc, Hörby, Sweden) on the posterior region of the forearm 10cm below the lateral epicondyle of the elbow towards the third finger, keeping the forearm in pronation. The pressure was then applied perpendicular to the skin at a rate of 40kPa / s using a 1cm2 flat circular probe covered with 1mm of rubber to prevent any skin pain caused by sharp metal edges.

  1 minute after the end of the intervention.

Study Arms (2)

Global manipulation

ACTIVE COMPARATOR

Manual therapy performed in the cervical region in a non-specific way.

Device: Global manipulation

Especific manipulation

EXPERIMENTAL

manual therapy performed specifically on the C6-7 segment

Device: Especific manipulation

Interventions

Global manipulation DEVICE

The therapist positioned himself at the head of the stretcher and with one hand supported the side of the participant's face. With the other hand supported the opposite face of the same and then performed contralateral rotation of the cervical and a slight traction to the tissue barrier to perform the manipulation impulse of high speed and short amplitude in rotation. The procedure was carried out bilaterally.

Global manipulation

Especific manipulation DEVICE

The therapist positioned himself at the head of the stretcher and with one hand kept the middle phalange of the second finger laterally on the articular processes of the C6-7 vertebrae. With the contralateral hand he supported the opposing face of the participant by performing a tilt up to the C6-7 segment and contralateral rotation up to the tissue barrier to carry out the impulse quickly and short. The procedure was carried out bilaterally.

Especific manipulation

Eligibility Criteria

• Age: 18 Years - 30 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• healthy subjects of both sexes
• without pain complaints in the last 90 days

You may not qualify if:

• previous spinal surgeries
• spinal canal stenosis
• vertebral fracture
• spondylolisthesis
• cancer
• acute infections
• hemorrhagic disorders
• active tuberculosis
• deep vein thrombosis
• osteoporosis
• rheumatic diseases
• metabolic diseases
• cardiorespiratory diseases
• smoking injury
• musculoskeletal injury

Sponsors & Collaborators

• Universidade Federal de Sao Carlos: lead

Study Sites (1)

Ufscar - Universidade Federal de São Carlos

São Carlos, São Paulo, 13565-905, Brazil

Location

Related Publications (46)

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Related Links

• La Société Française de Médecine Manuelle

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Richard E Liebano, Dr.

  Universidade Federal de São Carlos - UFScar

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Examiner 1 will receive the blinding outcome will be asked: "Which intervention does the patienth as received: global manipulation or especific manipulation" Their responses to these questions will be recorded and used to measure the adequacy of participants and examiners.
• Purpose: BASIC SCIENCE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Participants received two interventions randomly at two times: global manipulation (GM) and specific manipulation (MS)

Study Record Dates

• First Submitted: May 17, 2018
• First Posted: May 30, 2018
• Study Start: June 20, 2018
• Primary Completion: June 20, 2018
• Study Completion: July 20, 2018
• Last Updated: July 14, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

BR (1)