Acute Effect of Passive Joint Mobilization in Non-Specific Neck Pain

Mücahit ÖZTOP

Status: Completed

Conditions: Neck Pain

Treatments: Other: Passive Cervical Joint Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT04605510

60116787-020/46072

Details and patient eligibility

About

Aim of present study is investigating the acute effects of passive joint mobilization on pain perception and range of motion. Study protocol includes passive joint mobilization application to study group with neck pain and blood sample collection of study and healthy control group.

Full description

Our purpose of planning this study is to examine the acute effect of passive joint mobilization application on pain perception and range of motion in women with non-specific neck pain.

The hypotheses we will test for this purpose;

H1- Passive joint mobilization application increases the range of motion of the cervical joint in women with non-specific neck pain.

H2- Passive joint mobilization application increases the pressure pain threshold in women with non-specific neck pain.

H3- Passive joint mobilization increases serum Orexin A and Neurotensin levels in women with non-specific neck pain.

Enrollment: 53 patients

Sex: Female

Ages: 24 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

For Intervention Group;

• Having neck pain lasting more than 30 days and being diagnosed with non-specific neck pain
• Having obtained 14/50 points and above in Neck Disability Index
• Expressing neck pain at least 34/100 points and above on a Visual Analog Scale
• Being 20-45 years old and female

For Healthy Control Group;

• Healthy volunteers without a chronic illness and musculoskeletal pain

Exclusion criteria

• Congenital anomalies
• Previously diagnosed orthopedic diseases related to the spine
• Pregnancy and having just given birth
• Within the last 3 months; use of corticosteroids, cytotoxic drugs, or immunosuppressants
• Liver or kidney failure
• Acute or chronic infections (including HIV)
• Serious pathologies (such as cancer, spondylolisthesis, rheumatoid arthritis or ankylosing spondylitis)
• Symptoms of cervical spinal stenosis (such as incoordination of hands, arms and legs, bowel and bladder incontinence)
• Radix compression (such as sensory changes, muscle weakness or decreased reflexes)
• Whiplash or a history of cervical surgery

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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53 participants in 2 patient groups

Intervention Group

Experimental group

Description:

24 female participants with non-specific neck pain included in the mobilization group will undergo detailed manual cervical examination. In the evaluation, the most painful segment with dysfunction will be selected and mobilization application and algometric measurements will be performed on this segment. Grade 3 Central Posterior-Anterior (CPA) passive joint mobilization with Maitland method will be applied in 3 sets, 30 seconds, to the segment with the detected dysfunction.

Treatment:

Other: Passive Cervical Joint Mobilization

Healthy Control Group

No Intervention group

Description:

Healthy volunteer participants included in the control group will only be applied an evaluation protocol and blood samples will be taken without any application.