Chiropractic Care for Neck Pain: Comparing Diversified Technique and Drop Table Method (CDTDTM)

SEFA HAKTAN HATIK

Status: Not yet enrolling

Conditions: Non Specific Neck Pain; Spinal Manipulation; Chiropractic; Neck Pain

Treatments: Other: Cervical Spine Manipulation; Other: Drop Table Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT07034144

CMT0007

Details and patient eligibility

About

This study aims to compare the effects of two different chiropractic techniques, Diversified and Drop Table, on pain levels, cervical joint range of motion, and neck muscle strength in individuals with non-specific neck pain.

Full description

This randomized controlled trial aims to compare the effectiveness of two chiropractic techniques - the Diversified Technique and the Drop Table Technique - in individuals with mechanical neck pain. Mechanical neck pain is a common musculoskeletal condition associated with impaired cervical mobility, pain, and reduced quality of life.

Participants will be randomly assigned to one of three arms: (1) Diversified Technique group, (2) Drop Table Technique group, and (3) control group with no intervention. The interventions will be administered twice per week for four weeks by a chiropractor following standardized protocols. All participants will undergo evaluations at baseline and at the end of the 4-week intervention period.

The primary outcome measure is pain intensity and quality, assessed using the full version of the McGill Pain Questionnaire (MPQ), which evaluates sensory, affective, and evaluative components of pain. Secondary outcomes include cervical range of motion (CROM) and isometric neck muscle strength, measured with a goniometer and handheld dynamometer, respectively.

This study seeks to provide evidence on the comparative clinical effectiveness of two widely used chiropractic techniques for neck pain management. The findings may guide clinicians in selecting appropriate manual therapy approaches for patients with non-specific mechanical neck pain.

Enrollment: 45 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Sign a voluntary informed consent form.
• Be between 18 and 65 years of age.
• Have previously consulted an orthopedist or physical therapist for neck pain.
• Have no contraindications to chiropractic interventions.
• Have no history of cervical surgery.
• Report neck pain lasting longer than 7 days.

Exclusion criteria

• Are under 18 or over 65 years of age.
• Have experienced cervical trauma within the last month.
• Have any systemic illness.
• Have any contraindication for chiropractic intervention (e.g., brain tumor, cervical fracture).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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45 participants in 3 patient groups

Diversified Group

Experimental group

Description:

Participants in this group will receive chiropractic treatment using the Diversified Technique. The intervention will be applied twice per week for 4 weeks by a chiropractor. The treatment will focus on cervical spine adjustments targeting areas of joint dysfunction associated with mechanical neck pain. Each session will last approximately 20 minutes. Standardized protocols will be followed to ensure consistency.

Treatment:

Other: Cervical Spine Manipulation

Drop Table Group

Experimental group

Description:

Participants in this group will receive chiropractic treatment using the Drop Table Technique. The intervention will be applied twice per week for 4 weeks by a chiropractor. The treatment will involve high-velocity, low-amplitude thrusts delivered with the assistance of a segmented drop table designed to reduce resistance and enhance precision during spinal adjustments. The focus will be on the cervical spine region related to mechanical neck pain. Each session will last approximately 20 minutes, following standardized protocols to ensure treatment consistency.

Treatment:

Other: Drop Table Technique

Control Group

No Intervention group

Description:

This group did not undergo any interventions.