Effects of Cervical Spine Manipulation in Patients With Mechanical Neck Pain

NCT ID: NCT05649397

Last Updated: 2023-07-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-12-01
• Study Completion Date: 2023-07-10

Brief Summary

Mechanical neck pain is known as one of the most common disorders in musculoskeletal system. In elderly population, prevalence of neck pain ranges up to 38% while point prevalence and lifetime prevalence ranges from 6% to 22% and 14.2% to 71% respectively . Neck pain is defined by the international association for the study of pain as: "Pain perceived as arising from anywhere within the region bounded superiorly by superior nuchal line, inferior by transverse line through the tip of first thoracic spinous process, and laterally by sagittal plane tangential to the lateral border of neck" . There are variable causes of neck pain like trauma, infections, inflammatory conditions, musculoskeletal conditions, rheumatic diseases, and congenital diseases . There are varying degrees of disability and activity limitation caused by neck pain, like work productivity reduction and decrease quality of life . People who have a sedentary lifestyle, poor occupational postures, students with poor posture, people involved in occupation like computer programming, clerical job workers and desk job works are more likely to suffer from mechanical neck pain . Most common cause of mechanical neck pain is muscle tightness, Upper trapezius and levator scapulae are the most involved muscles

Detailed Description

Neck pain can over time negatively affect the central processing of any afferent input received because it can create a disturbance in the proprioceptive input to the Central Nervous System. Vuillerme stated that cervical muscle proprioceptors are stimulated by painful electrical stimuli. Therefore, joint proprioception can be affected in patients with mechanical neck pain .

The conservative management of mechanical neck pain includes many treatment options like electrotherapy which includes moist heat, Transcutaneous Electrical Nerve Stimulation therapy and different manual therapy options like cervical and thoracic mobilization and manipulation, Natural Apophyseal Glides and Sustained Natural Apophyseal Glides, Cyriax technique, manual pressure release, ischemic compression and proprioceptive neuromuscular facilitation. Postural reeducation and strength training of weak muscle group has beneficial effects. Joint mobilization and manipulation are widely used as a treatment for mechanical neck pain, as cervical mobilizations which are low velocity passive oscillatory movements are used by 90% of physiotherapist and chiropractors to treat people with neck pain.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

cervical manipulation

in the cervical manipulation, provide a high velocity, low-amplitude manipulation to each subject's cervical spine.

Group Type: EXPERIMENTAL

cervical manipulation

Intervention Type: OTHER

provide a high velocity, low-amplitude manipulation to each subject's cervical spine.

conventional therapy

• 15 mins moist hot pack
• Neck Isometric exercise
• hold for 5-8 seconds and repeat 10 times
• Cervical range of motion
• 10 repetitions of movement in rotation within pain free range

Group Type: ACTIVE_COMPARATOR

conventional therapy

Intervention Type: OTHER

15 mins moist hot pack Neck Isometric exercise hold for 5-8 seconds and repeat 10 times Cervical range of motion 10 repetitions of movement in rotation within pain free range

Interventions

cervical manipulation

provide a high velocity, low-amplitude manipulation to each subject's cervical spine.

Intervention Type: OTHER

conventional therapy

15 mins moist hot pack Neck Isometric exercise hold for 5-8 seconds and repeat 10 times Cervical range of motion 10 repetitions of movement in rotation within pain free range

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with non-radiating neck pain of moderate intensity scoring 4-8 on the numeric pain rating scale (NPRS)
• Have a Neck Disability Index (NDI) score of 20% or greater (10 points or greater on a 0-to-50 scale)
• Patients who have cervical joint position error greater than 7.1 cm or 4.5 degrees

Exclusion Criteria

• Patients with a positive history of trauma, fracture or surgery of the cervical spine .
• anatomical cervical spine abnormality
• presented with any neurological signs
• history of benign paroxysmal positional vertigo
• Neck pain with radiation to the arm and upper extremity .
• Diagnosed cases of torticollis, and scoliosis
• History of osteoporosis, Any cardiac disorder
• had participated in a neck exercise program in the past 6 months .

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

maria Khalid, MSOMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah international hospital Sihala

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC- 01395 Hafsa Bint Bilal

Identifier Type: -

Identifier Source: org_study_id