Manual Therapy to Treat Acute Whiplash Injury

NCT ID: NCT01825460

Last Updated: 2013-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2013-09-30

Brief Summary

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The purpose of this study is to determine the short-term effects of a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury.

Detailed Description

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Design: Randomized clinical trial. Objectives: to determine the short-term effects of a a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury.

Methods and measures: sixty patients will be randomly assigned to 1 of 2 groups: the experimental group received a manual therapy protocol and the placebo group received two manual therapy techniques. Neck pain, disability and cervical range of motion data will be collected at baseline and 24-hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome variable.

Conditions

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Whiplash Injuries

Keywords

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Cervical spine Neck pain Manual therapy Controlled clinical trial

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Manual Therapy Protocol

A protocol with five techniques on thoracic area applied twice a week.

Group Type EXPERIMENTAL

Manual Therapy Protocol

Intervention Type OTHER

The manual therapy protocol consists in the application of the following techniques: stretching diaphragm, Inhibition for phrenic center, Neuromuscular technique, technique jones and balance technique functional.

Two manual techniques

Two manual therapies on thoracic area applied twice a week.

Group Type ACTIVE_COMPARATOR

Two manual techniques

Intervention Type OTHER

The two manual techniques applied to control group are: inhibition for phrenic center and neuromuscular technique.

Interventions

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Manual Therapy Protocol

The manual therapy protocol consists in the application of the following techniques: stretching diaphragm, Inhibition for phrenic center, Neuromuscular technique, technique jones and balance technique functional.

Intervention Type OTHER

Two manual techniques

The two manual techniques applied to control group are: inhibition for phrenic center and neuromuscular technique.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* To met Quebec Task Force Classification of WAD II- neck pain symptoms and musculoskeletal signs.
* No evidence of conduction loss on clinical neurological examination.

Exclusion Criteria

* Concussion during the motor vehicle accident.
* Loss of consciousness.
* Head or upper quadrant injury during the accident.
* Sought treatment prior to their accident for neck pain.
* A previous history of whiplash
* Neck pain
* Headaches
* Psychiatric or psychologic condition
* Neurologic or circulatory disorders
Minimum Eligible Age

25 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad de Granada

OTHER

Sponsor Role collaborator

Universidad Rey Juan Carlos

OTHER

Sponsor Role collaborator

Universidad de Almeria

OTHER

Sponsor Role lead

Responsible Party

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Adelaida María Castro-Sánchez

PhD (Lecturer)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adelaida M Castro-Sánchez, PhD

Role: STUDY_DIRECTOR

Universidad de Almeria

Locations

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Adelaida María Castro-Sánchez

Almería, Almeria, Spain

Site Status

Countries

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Spain

References

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Elliott JM, Kerry R, Flynn T, Parrish TB. Content not quantity is a better measure of muscle degeneration in whiplash. Man Ther. 2013 Dec;18(6):578-82. doi: 10.1016/j.math.2013.02.002. Epub 2013 Mar 5.

Reference Type BACKGROUND
PMID: 23465963 (View on PubMed)

Smith J, Bolton PS. What are the clinical criteria justifying spinal manipulative therapy for neck pain?- a systematic review of randomized controlled trials. Pain Med. 2013 Apr;14(4):460-8. doi: 10.1111/pme.12041. Epub 2013 Feb 22.

Reference Type BACKGROUND
PMID: 23432939 (View on PubMed)

Humphreys BK, Peterson C. Comparison of outcomes in neck pain patients with and without dizziness undergoing chiropractic treatment: a prospective cohort study with 6 month follow-up. Chiropr Man Therap. 2013 Jan 7;21(1):3. doi: 10.1186/2045-709X-21-3.

Reference Type BACKGROUND
PMID: 23295018 (View on PubMed)

Isabel de-la-Llave-Rincon A, Puentedura EJ, Fernandez-de-Las-Penas C. Clinical presentation and manual therapy for upper quadrant musculoskeletal conditions. J Man Manip Ther. 2011 Nov;19(4):201-11. doi: 10.1179/106698111X13129729551985.

Reference Type BACKGROUND
PMID: 23115473 (View on PubMed)

Pedler A, Motlagh H, Sterling M. Laterality judgments are not impaired in patients with chronic whiplash associated disorders. Man Ther. 2013 Feb;18(1):72-6. doi: 10.1016/j.math.2012.07.006. Epub 2012 Sep 5.

Reference Type BACKGROUND
PMID: 22959229 (View on PubMed)

Stone AM, Vicenzino B, Lim EC, Sterling M. Measures of central hyperexcitability in chronic whiplash associated disorder--a systematic review and meta-analysis. Man Ther. 2013 Apr;18(2):111-7. doi: 10.1016/j.math.2012.07.009. Epub 2012 Sep 1.

Reference Type BACKGROUND
PMID: 22947552 (View on PubMed)

Goldsmith R, Wright C, Bell SF, Rushton A. Cold hyperalgesia as a prognostic factor in whiplash associated disorders: a systematic review. Man Ther. 2012 Oct;17(5):402-10. doi: 10.1016/j.math.2012.02.014. Epub 2012 Mar 29.

Reference Type BACKGROUND
PMID: 22464187 (View on PubMed)

Oddsdottir GL, Kristjansson E. Two different courses of impaired cervical kinaesthesia following a whiplash injury. A one-year prospective study. Man Ther. 2012 Feb;17(1):60-5. doi: 10.1016/j.math.2011.08.009. Epub 2011 Sep 28.

Reference Type BACKGROUND
PMID: 21955671 (View on PubMed)

Picelli A, Ledro G, Turrina A, Stecco C, Santilli V, Smania N. Effects of myofascial technique in patients with subacute whiplash associated disorders: a pilot study. Eur J Phys Rehabil Med. 2011 Dec;47(4):561-8. Epub 2011 Jul 28.

Reference Type BACKGROUND
PMID: 21796089 (View on PubMed)

Verhagen AP, Lewis M, Schellingerhout JM, Heymans MW, Dziedzic K, de Vet HC, Koes BW. Do whiplash patients differ from other patients with non-specific neck pain regarding pain, function or prognosis? Man Ther. 2011 Oct;16(5):456-62. doi: 10.1016/j.math.2011.02.009. Epub 2011 Mar 13.

Reference Type BACKGROUND
PMID: 21406332 (View on PubMed)

Stokell R, Yu A, Williams K, Treleaven J. Dynamic and functional balance tasks in subjects with persistent whiplash: a pilot trial. Man Ther. 2011 Aug;16(4):394-8. doi: 10.1016/j.math.2011.01.012. Epub 2011 Mar 1.

Reference Type BACKGROUND
PMID: 21367648 (View on PubMed)

Johansson MP, Baann Liane MS, Bendix T, Kasch H, Kongsted A. Does cervical kyphosis relate to symptoms following whiplash injury? Man Ther. 2011 Aug;16(4):378-83. doi: 10.1016/j.math.2011.01.004. Epub 2011 Feb 3.

Reference Type BACKGROUND
PMID: 21295511 (View on PubMed)

Yu LJ, Stokell R, Treleaven J. The effect of neck torsion on postural stability in subjects with persistent whiplash. Man Ther. 2011 Aug;16(4):339-43. doi: 10.1016/j.math.2010.12.006. Epub 2011 Jan 20.

Reference Type BACKGROUND
PMID: 21256074 (View on PubMed)

Other Identifiers

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UAL-326

Identifier Type: -

Identifier Source: org_study_id