Thoracic Manipulation and Mobilization for Neck Pain

Universidad Rey Juan Carlos

Status: Completed

Conditions: Neck Pain

Treatments: Other: Thoracic manipulation; Other: Thoracic mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT02051478

URJC2012/11

Details and patient eligibility

About

The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.

Enrollment: 55 patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• mechanical idiopathic neck pain
• bilateral pain symptoms
• chronic pain (>3 months of duration)

Exclusion criteria

• whiplash injury
• previous spine surgery
• diagnosis of cervical radiculopathy or myelopathy
• diagnosis of fibromyalgia
• having undergone any physical therapy intervention in the previous year
• pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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55 participants in 2 patient groups

Thoracic manipulation

Experimental group

Description:

A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied.

Treatment:

Other: Thoracic manipulation

Thoracic mobilization

Active Comparator group

Description:

Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes

Treatment:

Other: Thoracic mobilization