The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain

NCT ID: NCT04545645

Last Updated: 2020-09-11

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-01

Study Completion Date

2020-09-01

Brief Summary

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The main objective of this research is to evaluate the influence of different distraction stimuli on neural mechano-sensitivity tests.

Detailed Description

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Conditions

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Chronic Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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Neural Stress Provoked by the Median Nerve

Group Type ACTIVE_COMPARATOR

median nerve mobilization

Intervention Type BEHAVIORAL

The patient is placed in a supine position and his cervical spine with 25º of lateral flexion on the opposite side of the member in which we perform the test. First a passive scapular depression is performed, 90º of shoulder abduction combining external shoulder rotation. Next, a supination of the forearm is performed with wrist extension and finger extension. Finally, the elbow is extended to the limit of resistance or when the investigator observes the elevation of the shoulder girdle.

Neural stress provocation with cognitive auditory distraction

Group Type EXPERIMENTAL

Neural stress provocation with cognitive auditory distraction

Intervention Type BEHAVIORAL

Neural provocation of the median nerve is performed but an auditory distraction is added with a metronome with a constant time of 50 beats per minute.

Providing neural stress with a motor distraction

Group Type EXPERIMENTAL

Providing neural stress with a motor distraction

Intervention Type BEHAVIORAL

The neural provocation of the median nerve is performed and we add a motor distraction that consists of the patient intermittently squeezing a ball with the opposite hand.

Neural stress provocation with both distractions

Group Type EXPERIMENTAL

Neural stress provocation with auditory and motor cognitive distraction.

Intervention Type BEHAVIORAL

The neural provocation of the median nerve is performed, we add auditory distraction with the metronome with a constant time of 50 BPM and a motor distraction consisting of squeezing a ball to the rhythm that sounds the metronome.

Interventions

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median nerve mobilization

The patient is placed in a supine position and his cervical spine with 25º of lateral flexion on the opposite side of the member in which we perform the test. First a passive scapular depression is performed, 90º of shoulder abduction combining external shoulder rotation. Next, a supination of the forearm is performed with wrist extension and finger extension. Finally, the elbow is extended to the limit of resistance or when the investigator observes the elevation of the shoulder girdle.

Intervention Type BEHAVIORAL

Neural stress provocation with cognitive auditory distraction

Neural provocation of the median nerve is performed but an auditory distraction is added with a metronome with a constant time of 50 beats per minute.

Intervention Type BEHAVIORAL

Providing neural stress with a motor distraction

The neural provocation of the median nerve is performed and we add a motor distraction that consists of the patient intermittently squeezing a ball with the opposite hand.

Intervention Type BEHAVIORAL

Neural stress provocation with auditory and motor cognitive distraction.

The neural provocation of the median nerve is performed, we add auditory distraction with the metronome with a constant time of 50 BPM and a motor distraction consisting of squeezing a ball to the rhythm that sounds the metronome.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Men and women aged between 18 and 65 years
* Medical diagnosis of non specific chronic neck pain with more than 6 months of evolution of neck pain

Exclusion Criteria

* Patients with rheumatic diseases, cervical hernia, cervical whiplash syndrome, neck surgeries o a history of arthrodesis
* Systemic diseases
* Vision, hearing or vestibular problems
* Severe trauma or a traffic accident that had an impact on the cervical area.
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centro Universitario La Salle

OTHER

Sponsor Role collaborator

Universidad Autonoma de Madrid

OTHER

Sponsor Role lead

Responsible Party

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Roy La Touche Arbizu

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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CSEU La Salle

Madrid, , Spain

Site Status

Countries

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Spain

Other Identifiers

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uammadrid30

Identifier Type: -

Identifier Source: org_study_id

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