Different Types of Manual Therapy Techniques in Patients With Chronic Neck Pain (CNP)

Universidad Rey Juan Carlos

Status: Completed

Conditions: Neck Pain

Treatments: Procedure: Mobilization; Procedure: Manipulation; Procedure: Mobilization with movement

Study type: Interventional

Funder types: Other

Identifiers

NCT01792895

A04-12

Details and patient eligibility

About

The purpose of this study was to investigate the comparative effectiveness of high velocity and low amplitude (HVLA)vs Mobilization (Mob) vs Mobilization with movement technique (MWMT) in sample of patients with chronic neck pain (CNP). Secondly to evaluate the immediate effects in range of motion and pain thresholds, and the interaction between psychological factors and the outcomes of these three types of manual therapy.

The hypothesis is that all manual therapies techniques will produce similar effects.

Full description

The randomized controlled trial included patients with mechanically reproducible CNP, ≥ age 18-years who are randomized into three groups of treatment. The main outcome measures were the Visual Analogue scale (VAS), and, with secondary measures of Neck Disability Index (NDI), Global Rating Of Change (GROC), Cervical Range Of Motion (CROM), Pressure Pain Threshold (PPT), State Trait Anxiety Inventory (STAI-T), Beck depression Inventory (BDI-II), Tampa Scale for Kinesiophobia, Pain Catastrophizing Scale (PCS).

Enrollment: 61 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Clinical Diagnosis of Chronic neck pain

Exclusion criteria

• Neck pain is associated with whiplash injuries.
• Resting blood pressure greater than 140/90 mmHg.
• Cervical radiculopathy.
• Cervical disc herniation.
• Fibromyalgia syndrome.
• Previous neck surgery.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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61 participants in 3 patient groups

Manipulation group

Active Comparator group

Description:

This Technique will be applied over four sessions, during two weeks

Treatment:

Procedure: Mobilization with movement

Procedure: Mobilization

Mobilisation

Active Comparator group

Description:

This treatment will be applied on cervical spine during four sessions, over two weeks

Treatment:

Procedure: Mobilization with movement

Procedure: Manipulation

Mobilization with movement

Active Comparator group

Description:

This Technique will be applied over four sessions, during two weeks

Treatment:

Procedure: Manipulation

Procedure: Mobilization