The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain

NCT04545645 | Completed

• 1 other identifier: uammadrid30
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of this research is to evaluate the influence of different distraction stimuli on neural mechano-sensitivity tests.

Conditions

Chronic Pain

Outcome Measures

Primary Outcomes (2)

• Mechanosensitivity based on range of motion

  The inclinometer, an instrument characterized by the constant use of gravity as a reference point to evaluate mobility, is used to evaluate the range of nerve movement.

  Change in pressure pain threshold immediately at the end of the intervention

• Pain intensity

  It is the subjective feeling of self-reported pain ranging from 0-100 points.

  Change in pain intensity immediately at the end of the intervention

Study Arms (4)

Neural Stress Provoked by the Median Nerve

ACTIVE COMPARATOR

Behavioral: median nerve mobilization

Neural stress provocation with cognitive auditory distraction

EXPERIMENTAL

Behavioral: Neural stress provocation with cognitive auditory distraction

Providing neural stress with a motor distraction

EXPERIMENTAL

Behavioral: Providing neural stress with a motor distraction

Neural stress provocation with both distractions

EXPERIMENTAL

Behavioral: Neural stress provocation with auditory and motor cognitive distraction.

Interventions

median nerve mobilization BEHAVIORAL

The patient is placed in a supine position and his cervical spine with 25º of lateral flexion on the opposite side of the member in which we perform the test. First a passive scapular depression is performed, 90º of shoulder abduction combining external shoulder rotation. Next, a supination of the forearm is performed with wrist extension and finger extension. Finally, the elbow is extended to the limit of resistance or when the investigator observes the elevation of the shoulder girdle.

Neural Stress Provoked by the Median Nerve

Neural stress provocation with cognitive auditory distraction BEHAVIORAL

Neural provocation of the median nerve is performed but an auditory distraction is added with a metronome with a constant time of 50 beats per minute.

Neural stress provocation with cognitive auditory distraction

Providing neural stress with a motor distraction BEHAVIORAL

The neural provocation of the median nerve is performed and we add a motor distraction that consists of the patient intermittently squeezing a ball with the opposite hand.

Providing neural stress with a motor distraction

Neural stress provocation with auditory and motor cognitive distraction. BEHAVIORAL

The neural provocation of the median nerve is performed, we add auditory distraction with the metronome with a constant time of 50 BPM and a motor distraction consisting of squeezing a ball to the rhythm that sounds the metronome.

Neural stress provocation with both distractions

Eligibility Criteria

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

You may qualify if:

• Men and women aged between 18 and 65 years
• Medical diagnosis of non specific chronic neck pain with more than 6 months of evolution of neck pain

You may not qualify if:

• Patients with rheumatic diseases, cervical hernia, cervical whiplash syndrome, neck surgeries o a history of arthrodesis
• Systemic diseases
• Vision, hearing or vestibular problems
• Severe trauma or a traffic accident that had an impact on the cervical area.

Sponsors & Collaborators

• Universidad Autonoma de Madrid: lead
• Centro Universitario La Salle: collaborator

Study Sites (1)

CSEU La Salle

Madrid, 28023, Spain

Location

MeSH Terms

Conditions

Chronic Pain

Condition Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: BASIC SCIENCE
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 4, 2020
• First Posted: September 11, 2020
• Study Start: September 1, 2019
• Primary Completion: September 1, 2020
• Study Completion: September 1, 2020
• Last Updated: September 11, 2020

Record last verified: 2020-09

Locations

ES (1)