The Effects of Vertebral Manipulation and Pain Education in Chronic Neck Pain

Santa Catarina Federal University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Spinal Manipulation; Other: Sham; Other: Pain Education

Study type: Interventional

Funder types: Other

Identifiers

NCT02982369

U1111-1190-4280 (Other Identifier)

MBracht

Details and patient eligibility

About

This study aims to investigate the effects of vertebral manipulation and pain education on subjects with neck pain. For this purpose, 90 subjects who present chronic neck pain will be selected and allocated randomly into 2 groups: vertebral manipulation group and pain education group.

Enrollment: 90 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Main complaint of Neck Pain for at least six (6) months;
• Score of at least 10 points in NDI (Neck Disability Index);
• Pain and / or restriction of cervical movements;
• Pain reported at least 3 points on the NPRS (Numeric Pain Rating Scale);
• The definition of the term Neck Pain follows the classification of TFNP.

Exclusion criteria

• Previous history of rheumatic disease, cervical myelopathy, tumors, vertebrobasilar insufficiency, central or peripheral neurological disorders;
• History of major trauma, fracture or surgery in the neck, shoulder and/or upper limb;
• Signs of nerve root compression as important muscle weakness affecting the upper limbs, reduction, loss or increase of biceps and triceps reflexes, decreased sensation in the dermatomes of the upper limb;
• Red flags contraindicating spinal manipulation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 2 patient groups

Spinal Manipulation

Experimental group

Description:

High-velocity and low-amplitude (HVLA) manipulation techniques to the cervical and thoracic region and pain education. The subjects will receive the treatment twice a week, for four weeks, totaling eight sessions, with an average duration of 30 minutes.

Treatment:

Other: Pain Education

Other: Spinal Manipulation

Pain Education

Sham Comparator group

Description:

Pain education and a simulation of spinal manipulation (sham), involving manual contact over the cervical and thoracic region totaling 10 minutes. The subjects will receive the treatment twice a week, for four weeks, totaling eight sessions, with an average duration of 30 minutes.

Treatment:

Other: Sham

Other: Pain Education