Hypoalgesic Effect of Cervical Manipulation

Universidade Federal de Sao Carlos

Status: Completed

Conditions: Pain

Treatments: Device: Especific manipulation; Device: Global manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT03541538

U1111-1214-1243

Details and patient eligibility

About

This study evaluates the hypoalgesic effect of global and specific cervical joint manipulation in healthy individuals. At first the participants received one of the interventions and after 48 hours, the other.

Full description

Cervical Joint Manipulation (CJM) are often used for pain treatment.

Joint manipulation generates a series of stimuli within the central nervous system through the activation of proprioceptors located in the joint capsule or muscles, stimulates the PAG, causing pain inhibition by activation of non-opioid descending inhibitory pathways.

Enrollment: 21 patients

Sex: All

Ages: 18 to 30 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• healthy subjects of both sexes
• without pain complaints in the last 90 days

Exclusion criteria

• previous spinal surgeries
• spinal canal stenosis
• vertebral fracture
• spondylolisthesis
• cancer
• acute infections
• hemorrhagic disorders
• active tuberculosis
• deep vein thrombosis
• osteoporosis
• rheumatic diseases
• metabolic diseases
• cardiorespiratory diseases
• smoking injury
• musculoskeletal injury
• use of pacemaker
• women in menstrual period
• pregnant women
• use of pain-killers in the last 48 hours
• use of anti-inflammatory drugs in the last 48 hours
• previous joint manipulation treatments
• aversion to cervical joint manipulation
• positivity in the vertebral artery test
• headache in the last seven days

Trial design

Primary purpose: Basic Science

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Double Blind

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21 participants in 2 patient groups

Global manipulation

Active Comparator group

Description:

Manual therapy performed in the cervical region in a non-specific way.

Treatment:

Device: Global manipulation

Especific manipulation

Experimental group

Description:

manual therapy performed specifically on the C6-7 segment

Treatment:

Device: Especific manipulation