Hypoalgesic Effect of Cervical Manipulation

NCT ID: NCT03541538

Last Updated: 2020-07-14

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

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-06-20

Study Completion Date

2018-07-20

Brief Summary

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This study evaluates the hypoalgesic effect of global and specific cervical joint manipulation in healthy individuals. At first the participants received one of the interventions and after 48 hours, the other.

Detailed Description

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Cervical Joint Manipulation (CJM) are often used for pain treatment.

Joint manipulation generates a series of stimuli within the central nervous system through the activation of proprioceptors located in the joint capsule or muscles, stimulates the PAG, causing pain inhibition by activation of non-opioid descending inhibitory pathways.

Conditions

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Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Participants received two interventions randomly at two times: global manipulation (GM) and specific manipulation (MS)
Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Examiner 1 will receive the blinding outcome will be asked: "Which intervention does the patienth as received: global manipulation or especific manipulation" Their responses to these questions will be recorded and used to measure the adequacy of participants and examiners.

Study Groups

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Global manipulation

Manual therapy performed in the cervical region in a non-specific way.

Group Type ACTIVE_COMPARATOR

Global manipulation

Intervention Type DEVICE

The therapist positioned himself at the head of the stretcher and with one hand supported the side of the participant's face. With the other hand supported the opposite face of the same and then performed contralateral rotation of the cervical and a slight traction to the tissue barrier to perform the manipulation impulse of high speed and short amplitude in rotation. The procedure was carried out bilaterally.

Especific manipulation

manual therapy performed specifically on the C6-7 segment

Group Type EXPERIMENTAL

Especific manipulation

Intervention Type DEVICE

The therapist positioned himself at the head of the stretcher and with one hand kept the middle phalange of the second finger laterally on the articular processes of the C6-7 vertebrae. With the contralateral hand he supported the opposing face of the participant by performing a tilt up to the C6-7 segment and contralateral rotation up to the tissue barrier to carry out the impulse quickly and short. The procedure was carried out bilaterally.

Interventions

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Global manipulation

The therapist positioned himself at the head of the stretcher and with one hand supported the side of the participant's face. With the other hand supported the opposite face of the same and then performed contralateral rotation of the cervical and a slight traction to the tissue barrier to perform the manipulation impulse of high speed and short amplitude in rotation. The procedure was carried out bilaterally.

Intervention Type DEVICE

Especific manipulation

The therapist positioned himself at the head of the stretcher and with one hand kept the middle phalange of the second finger laterally on the articular processes of the C6-7 vertebrae. With the contralateral hand he supported the opposing face of the participant by performing a tilt up to the C6-7 segment and contralateral rotation up to the tissue barrier to carry out the impulse quickly and short. The procedure was carried out bilaterally.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* healthy subjects of both sexes
* without pain complaints in the last 90 days

Exclusion Criteria

* previous spinal surgeries
* spinal canal stenosis
* vertebral fracture
* spondylolisthesis
* cancer
* acute infections
* hemorrhagic disorders
* active tuberculosis
* deep vein thrombosis
* osteoporosis
* rheumatic diseases
* metabolic diseases
* cardiorespiratory diseases
* smoking injury
* musculoskeletal injury
* use of pacemaker
* women in menstrual period
* pregnant women
* use of pain-killers in the last 48 hours
* use of anti-inflammatory drugs in the last 48 hours
* previous joint manipulation treatments
* aversion to cervical joint manipulation
* positivity in the vertebral artery test
* headache in the last seven days
Minimum Eligible Age

18 Years

Maximum Eligible Age

30 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Universidade Federal de Sao Carlos

OTHER

Sponsor Role lead

Responsible Party

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Jonathan Daniel Telles

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Richard E Liebano, Dr.

Role: PRINCIPAL_INVESTIGATOR

Universidade Federal de São Carlos - UFScar

Locations

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Ufscar - Universidade Federal de São Carlos

São Carlos, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Related Links

Access external resources that provide additional context or updates about the study.

https://www.sofmmoo.org/documents/mode_action_mv_jym-pv.pdf

La Société Française de Médecine Manuelle

Other Identifiers

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U1111-1214-1243

Identifier Type: -

Identifier Source: org_study_id

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