Effects of Pain, Disability and Cervicokinesthesia After Cervical Manipulation

Universidad Rey Juan Carlos

Status: Completed

Conditions: Neck Pain

Treatments: Other: Right Cervical Manipulation; Other: Sham Cervical Manipulation; Other: Left Cervical Manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT02645630

URJC2015-161120155015

Details and patient eligibility

About

Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability, widespread pressure pain sensitivity, and cervicokinethesia in patients with mechanical neck pain.

Full description

Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability and cervicokinethesia in patients with mechanical neck pain. Patients will receive cervical spine manipulation in either right or left side of the neck and will be assessed on pain intensity, neck-related disability, widespread pressure pain sensitivity, and cervicokinethesia by an assessor blinded to the allocation group.

Enrollment: 55 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.

Exclusion criteria

• any contraindication to manipulation, e.g., positive extension-rotation test;
• whiplash injury;
• previous cervical surgery;
• cervical radiculopathy or myelopathy;
• diagnosis of fibromyalgia syndrome;
• having undergone spinal manipulative therapy in the previous 6 months;
• less than 18 or greater than 65 years of age.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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55 participants in 3 patient groups

Right Cervical Manipulation

Experimental group

Description:

Patients assigned to this group will receive a cervical spine manipulation targeting the C3/C4 segment on the right side.

Treatment:

Other: Right Cervical Manipulation

Left Cervical Manipulation

Experimental group

Description:

Patients assigned to this group will receive a cervical spine manipulation targeting the C3/C4 segment on the left side.

Treatment:

Other: Left Cervical Manipulation

Sham Cervical Manipulation

Active Comparator group

Description:

Patients assigned to this group will receive a sham cervical spine manipulation targeting the C3/C4 segment on both sides. No therapeuthic thrust will be applied.

Treatment:

Other: Sham Cervical Manipulation