Cervical Spinal Manipulation and Visteral Osteopathy for Mechanical Neck Pain

NCT06649903 | Completed

• 1 other identifier: Cihat Seyrek
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 2

Brief Summary

This study compares two treatment techniques, cervical spinal manipulation (CSM) and visceral osteopathy (VO), in patients with mechanical neck pain (MNP). The aim of the study was to evaluate the effects of these treatments on pain levels, neck mobility, and muscle strength in both the neck and upper extremities.

Conditions

Neck Pain

Keywords

neck pain treatment; visceral osteopathy; servical spinal manupilation; osteopathy

Outcome Measures

Primary Outcomes (2)

• VAS pain scale

  The Visual Analog Scale (VAS) for pain is a subjective measurement tool used to assess an individual\'s pain intensity. It consists of a straight line, typically 10 centimeters in length, with endpoints that represent the extremes of pain: one end signifies \"no pain\" (0) and the other indicates \"worst pain imaginable\" (10). Participants mark a point on the line that corresponds to their pain level at the moment of assessment. The distance from the \"no pain\" end to the marked point is then measured in centimeters, providing a numerical value that quantifies the intensity of the pain experienced. This scale is commonly used in clinical settings for its simplicity and effectiveness in capturing the subjective experience of pain.

  At baseline and immediately following the intervention session.

• Microfet 2 Dynamometer

  The Microfet 2 Dynamometer is a handheld device used to objectively measure muscle strength in clinical and research settings. It employs a digital force transducer that provides accurate and reliable assessments of isometric muscle strength across various muscle groups. It is commonly used in physical therapy and rehabilitation to evaluate muscle function, track progress over time, and inform treatment decisions. Its compact size and versatility make it suitable for various assessments, including grip strength, limb strength, and specific muscle testing. The device is particularly valuable for ensuring standardized measurements in strength evaluation protocols.

  At baseline and immediately following the intervention session.

Secondary Outcomes (1)

• Hand Dynamometer

  At baseline and immediately following the intervention session.

Study Arms (2)

Cervical Spinal Manipulation (CSM)

EXPERIMENTAL

This arm includes participants who receive a single session of high-velocity, low-amplitude spinal manipulation aimed at reducing pain and improving cervical range of motion and muscle strength in individuals with mechanical neck pain. The intervention is administered by a qualified physiotherapist, following established protocols for cervical spinal manipulation.

Behavioral: Chiropractic

Visceral Osteopathy

EXPERIMENTAL

Participants in this arm undergo a single session of visceral osteopathy techniques focused on improving pain and functional outcomes in individuals with mechanical neck pain. The VO techniques are designed to enhance mobility and alleviate discomfort through manipulation of the viscera and associated structures, performed by a trained osteopath.

Behavioral: Osteopathy

Interventions

Chiropractic BEHAVIORAL

high speed low amplitude neck manipulation

Cervical Spinal Manipulation (CSM)

Osteopathy BEHAVIORAL

the stomach and liver technique was applied

Visceral Osteopathy

Eligibility Criteria

• Age: 16 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Participants is included if they had neck pain present for at least one week, reduced cervical ROM, a manual muscle test score of 4 or higher for the neck muscles, and no neurological pain in the neck.

Sponsors & Collaborators

• Atlas University: lead

Study Sites (2)

Istanbul Atlas University

Istanbul, Kagıthane, 34408, 34403, Turkey (Türkiye)

Location

Atlas University

Istanbul, Kağıthane, 34413, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Manipulation, Chiropractic; Osteopathic Physicians

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physicians; Health Personnel; Health Care Facilities Workforce and Services

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: Assoc. Prof.

Model Details: It is a randomized controlled study.

Study Record Dates

• First Submitted: October 17, 2024
• First Posted: October 21, 2024
• Study Start: November 1, 2023
• Primary Completion: December 22, 2023
• Study Completion: October 25, 2024
• Last Updated: November 4, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)