Visceral Manipulation Treatment to Patients With Non-specific Neck Pain With Functional Dyspepsia

University of Nove de Julho

Status: Completed

Conditions: Functional Dyspepsia; Neck Pain

Treatments: Other: Control group (CG); Other: Visceral manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT03043625

VM-2016

Details and patient eligibility

About

Background: Non-specific neck pain (NS-NP) is characterized by pain in structures located in the region between the superior nuchal line and the spinal process of the first thoracic vertebra, without association with any specific systemic disease provided by multifactorial and/or little known causes.

Objective: The objective of the present study will be to verify the clinical effects of MV through visceral nociceptive inhibition in NS-NP patients with functional dyspepsia.

Methods: In this study sixty NS-NP patients with functional dyspepsia (age: 18 and 50 years) will be randomized in into two groups: visceral manipulation group (VMG) (n =30) and control group (CG) (n =30). The VMG will be treated with visceral manipulation to the stomach and liver wile CG received placebo treatment. The immediate effects and 7 days after treatment will be evaluated through pain, cervical range, and electromyographic activity of the upper trapezius.

Enrollment: 60 patients

Sex: All

Ages: 18 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of neck pain for a minimal period of the three months;
• neck with restricted movement (active or passive) in at least one direction;
• Neck Disability Index considering score range of 11-24 (score out of a 50) ;
• numerical rating scale (NRS) for perceived pain intensity considering 3-7 points on an 11-point;
• Presence of symptoms related to functional dyspepsia, according to the Rome III diagnostic criteria: uncomfortable postprandial fullness, early satiety, epigastric pain and epigastric burning, accompanied by no evidence of structural disease capable of explaining the symptoms .

Exclusion criteria

• Individuals with history of neurological disorders (i.e., irradiated pain) or neck surgery; systemic disease; connective tissue disorder and herniated disc;
• current pregnancy;
• medical diagnosis of fibromyalgia;
• physical therapy treatment with, massage, or acupuncture in the previous two weeks;
• use of analgesic, muscle relaxant, psychotropic agent, or anti-inflammatory agent in the previous three days;
• chronic neck pain resulting from a traumatic incident; chronic musculoskeletal condition (e.g., muscular disorder, polyarthritis).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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60 participants in 2 patient groups, including a placebo group

Visceral manipulation Group (VMG)

Experimental group

Description:

The VMG wil be treated with visceral manipulation to the stomach and liver

Treatment:

Other: Visceral manipulation

Control group (CG)

Placebo Comparator group

Description:

The CG will be received placebo treatment. In the placebo treatment, the therapist should place the hands over the navel region without exerting any local tension for 1 minute.

Treatment:

Other: Control group (CG)