The Effect of Manipulation of the Cervical Spine on Pain Biomarkers
NCT ID: NCT03176654
Last Updated: 2019-08-01
Study Results
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View full resultsBasic Information
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COMPLETED
NA
28 participants
INTERVENTIONAL
2016-08-15
2016-09-20
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
BASIC_SCIENCE
SINGLE
Study Groups
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HVLAT manipulation
An HVLAT manipulation is applied to the site of pain or restriction with the patient in supine. This technique uses both primary levers (pre-manipulation rotation - away (30 ° - 45 °) from the side of pain or limitation) and secondary levers (Side bending - towards coupled with lateral shift - away, and posterior-anterior (PA) shift (extension). This is a bimanual technique. For the applicator hand, the anterolateral portion of the first or second phalanx of the second ray was positioned on the superior joint partner of the target vertebrae using a cradle hold. The other hand is placed on the posterolateral aspect of the occiput (above the ear). While maintaining these positions the clinician performed the thrust with the arc of rotation dependent on the level of the target vertebrae.
HVLAT manipulation
HVLAT will be performed 10 minutes after the first blood draw.
Sham HVLAT manipulation
Subjects in the control group were instructed to lay on a table in the same position as the HVLAT manipulation group. The clinician went through the same basic steps as the HVLAT manipulation, localizing the appropriate vertebral landmarks but without carrying out the final HVLA thrust procedure.
Sham HVLAT manipulation
Sham HVLAT will be performed 10 minutes after the first blood draw.
Interventions
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HVLAT manipulation
HVLAT will be performed 10 minutes after the first blood draw.
Sham HVLAT manipulation
Sham HVLAT will be performed 10 minutes after the first blood draw.
Eligibility Criteria
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Inclusion Criteria
* A score of 10 or more out of 50 on the Neck Disability Index (NDI) questionnaire
* Symptoms of pain present for 30 days or less and no pain symptoms below your shoulder
Exclusion Criteria
* Cervical spinal stenosis signs (such as incoordination in hands, arms and legs, inability of walking at a brisk pace, or bowel and bladder incontinence)
* Nerve root compression (such as changes in sensation, muscle weakness, or decreased reflexes)
* Works the night shift
* Steroid medication within 3 months
* Pregnancy or postpartum
* Pending legal action regarding their neck pain
* History of whiplash associated disorder and/or cervical spine surgery
20 Years
45 Years
FEMALE
Yes
Sponsors
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Loma Linda University
OTHER
Responsible Party
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Everett Lohman
D.Sc., P.T., OCS Professor Allied Health.
Principal Investigators
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Everett Lohman, D.Sc.
Role: STUDY_CHAIR
Loma Linda University
Locations
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Loma Linda University
Loma Linda, California, United States
Countries
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References
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Gross A, Miller J, D'Sylva J, Burnie SJ, Goldsmith CH, Graham N, Haines T, Bronfort G, Hoving JL; COG. Manipulation or mobilisation for neck pain: a Cochrane Review. Man Ther. 2010 Aug;15(4):315-33. doi: 10.1016/j.math.2010.04.002. Epub 2010 May 26.
Bronfort G, Haas M, Evans R, Leininger B, Triano J. Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat. 2010 Feb 25;18:3. doi: 10.1186/1746-1340-18-3.
Other Identifiers
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5160076
Identifier Type: -
Identifier Source: org_study_id
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