The Effect of Directional Specific Thoracic Spine Mobilization on Cervical Spine Pain

NCT ID: NCT01917071

Last Updated: 2015-07-28

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

2013-08-31

Study Completion Date

2015-01-31

Brief Summary

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Hypothesis: There is no difference in directional specific manipulation of the thoracic spine for patients with neck pain.

Patients seeking physical therapy for neck pain routinely have their thoracic spine manipulated. This study seeks to determine if directional limitations in the spine can be specifically determined and treated to decrease neck pain.

Detailed Description

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Manipulation of the thoracic spine is the most commonly used manual therapy intervention by manual therapists. It is not known whether we can accurately assess and treat directional limitations in the thoracic spine to improve neck pain.

One way is to assess where the limitation is and treat it. Another method is to distract the joint. We want to know if matching the limitation to the manipulation method will give patients with neck pain better results.

The patient lays on their back. The therapist places a hand on the inferior vertebrae of the motion segment. The patient relaxes and the therapist pushes in an anterior to posterior direction either moving the vertebrae into flexion or entension.

Conditions

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Neck Pain

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Matched Group

Receives thoracic spine manipulation in the direction of motion limitation.

Group Type EXPERIMENTAL

thoracic spine manipulation

Intervention Type OTHER

a manual technique applied to the mid back to promote motion

Interventions

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thoracic spine manipulation

a manual technique applied to the mid back to promote motion

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients with Neck Pain; ages 18 - 60

Exclusion Criteria

* red flags: leg weakness, night pain, history of cancer, upper motor neuron signs, infection, tumors, osteoporosis, fracture (Boissonnault, 2011) (Cleland, 2004) history of whiplash within 6 weeks, cervical stenosis, CNS involvement, signs consistent with nerve root compression, previous surgery, pending legal action
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Chatham University

OTHER

Sponsor Role lead

Responsible Party

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Steve Karas

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Steve A Karas, DSc, PT

Role: STUDY_DIRECTOR

Chatham University

Locations

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Chatham University

Pittsburgh, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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Karasmatched

Identifier Type: -

Identifier Source: org_study_id

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