Effectiveness Comparison of Thoracic Thrust Manipulation in People With Neck or Low Back Pain

NCT ID: NCT04981574

Last Updated: 2021-10-28

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

2021-08-04

Study Completion Date

2021-10-27

Brief Summary

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Objective:

To compare the effectiveness of thoracic thrust manipulation, together with massages techniques and stretching, between people with neck pain versus people with low back pain.

Methods:

The research will be performed from August 2021 to October 2021 at the University of Alcala de Henares. (Madrid)

A minimum of forty-six (46) volunteers will participate in this research, and they will be divided in two groups of twenty-three (23). One group will be formed by candidates suffering from neck pain (group A) and the other one by candidate with low back pain (group B).

Both groups will receive the same treatment and specific stretching exercises as applicable in accordance to the pain area, e.g.: group A will get the massage and the stretching exercises more suitable for the neck pain and group B the same but for the low back pain. Nevertheless both groups will receive the same technical thrust manipulation in thoracic area.

All these treatments will be applied of the volunteers at the University of Alcalá.

The treatment includes the following activities:

1. Twenty (20) minutes massage in the pain area, as applicable.
2. Technical thrust manipulation in thoracic area.
3. Ten (10) minutes stretching in accordance to the pain area treated. The stretching shall be repeated twice a week by each volunteer.

A total of six (6) sessions will be carried out during six (6) weeks, one session per week.

Pain, disability, kinesiophobia, HRQoL will be assessed as follow:

1. Before first session. (In this evaluation will be also analyzed demographic variables i.e.: height, weight, age, gender, academic level, smoker/no smoker)
2. Between third and fourth session.
3. After sixth session.
4. Four weeks after sixth session.

Detailed Description

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Conditions

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Neck Pain Low Back Pain

Keywords

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neck pain low back pain spinal manipulation acute pain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

It is a controlled clinical trial with parallel groups
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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A group: neck pain

Group Type EXPERIMENTAL

Massage and stretching on neck area and thoracic thrust manipulation

Intervention Type OTHER

1. Twenty (20) minutes massage in the neck area. The volunteer will be in prone position during the massage.
2. Technical thrust manipulation in thoracic area. For this technique the volunteer will be in supine position with their arms folded on the chest (making a "V"). The therapist will locate one hand on the spinous processes to be treated, and the other one on the arms of the patient to make easier the manipulation.
3. Ten (10) minutes specific stretching for the neck area. These stretching exercises shall be repeated twice a week by each volunteer. Stretching will be made on the trapezius superior, musculus levator scapulae and sternocleidomastoideus holding the position thirty (30) seconds. Each muscle stretch shall be repeated three times.

B group: low back pain

Group Type EXPERIMENTAL

Massage and stretching on low back area and thoracic thrust manipulation

Intervention Type OTHER

1. Twenty (20) minutes massage in the low back area. The volunteer will be in prone position during the massage.
2. Technical thrust manipulation in thoracic area. For this technique the volunteer will be in supine position with their arms folded on the chest (making a "V"). The therapist will locate one hand on the spinous processes to be treated, and the other one on the arms of the patient to make easier the manipulation.
3. Ten (10) minutes specific stretching for the low back area. These stretching exercises shall be repeated twice a week by each volunteer. Stretching activities will be: cat-cow pose, lower back stretches and knee twist holding the position thirty (30) seconds. Each muscle stretch shall be repeated three times.

Interventions

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Massage and stretching on neck area and thoracic thrust manipulation

1. Twenty (20) minutes massage in the neck area. The volunteer will be in prone position during the massage.
2. Technical thrust manipulation in thoracic area. For this technique the volunteer will be in supine position with their arms folded on the chest (making a "V"). The therapist will locate one hand on the spinous processes to be treated, and the other one on the arms of the patient to make easier the manipulation.
3. Ten (10) minutes specific stretching for the neck area. These stretching exercises shall be repeated twice a week by each volunteer. Stretching will be made on the trapezius superior, musculus levator scapulae and sternocleidomastoideus holding the position thirty (30) seconds. Each muscle stretch shall be repeated three times.

Intervention Type OTHER

Massage and stretching on low back area and thoracic thrust manipulation

1. Twenty (20) minutes massage in the low back area. The volunteer will be in prone position during the massage.
2. Technical thrust manipulation in thoracic area. For this technique the volunteer will be in supine position with their arms folded on the chest (making a "V"). The therapist will locate one hand on the spinous processes to be treated, and the other one on the arms of the patient to make easier the manipulation.
3. Ten (10) minutes specific stretching for the low back area. These stretching exercises shall be repeated twice a week by each volunteer. Stretching activities will be: cat-cow pose, lower back stretches and knee twist holding the position thirty (30) seconds. Each muscle stretch shall be repeated three times.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age between 18 and 65 years
* Non-specific neck/low back pain for the last three (3) months before the first session.

Exclusion Criteria

* Previous surgery in the areas covered by this research (neck and/or low back)
* Red flags: Cancer or tumor, fracture...
* Scoliosis or osteoporosis
* Neck or low back pain with radiculopathy symptoms
* Central nervous system involvement
* Fear to manipulation
* Neck pain associated with whiplash injuries on the last six (6) months
* Pregnant women
* Not understand, write and speak Spanish fluently
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Jaén

OTHER

Sponsor Role lead

Responsible Party

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Alexander Achalandabaso

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Alexander Achalandabaso

Role: STUDY_DIRECTOR

University of Jaén

Locations

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Alicia Masip

Alcalá de Henares, Madrid, Spain

Site Status

Countries

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Spain

Other Identifiers

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Alcalá

Identifier Type: -

Identifier Source: org_study_id