Development of a Clinical Prediction Rulefor Neck Manipulation

Nevada System of Higher Education (NSHE)

Status

Completed

Conditions

Mechanical Neck Pain

Treatments

Procedure: Manipulation

Study type

Interventional

Funder types

Other

Identifiers

NCT01620905

UNLVPT08072806

Details and patient eligibility

About

Cervical spine manipulation has been shown to be helpful for some patients with neck pain. This study sought to determine factors which were predictive of which patients with neck pain would benefit from manipulation.

Enrollment

82 patients

Sex

All

Ages

18 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

age 18 to 60 years
primary report of neck pain with or without unilateral upper extremity symptoms
baseline neck disability index score of 10 points (out of 50) or greater

Exclusion criteria

any medical red flags suggesting that the etiology of symptoms might be nonmusculoskeletal
diagnosis of cervical spinal stenosis (as identified in the patients' medical intake form)
bilateral upper extremity symptoms
evidence of central nervous system involvement
history of whiplash injury within 6 weeks of the examination
pending legal action regarding their neck pain
2 or more positive neurologic signs consistent with nerve root compression (changes in sensation, myotomal weakness, or decreased deep tendon reflexes)
any history of cervical spine surgery, rheumatoid arthritis, osteoporosis, osteopenia, or ankylosing spondylitis.