Thrust Manipulation vs. Non-thrust Mobilizations for Mechanical Neck Pain
| Status: | Recruiting |
|---|---|
| Conditions: | Orthopedic, Pain |
| Therapuetic Areas: | Musculoskeletal, Orthopedics / Podiatry |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | February 2016 |
| End Date: | November 2017 |
| Contact: | David W Griswold, DPT |
| Email: | dwgriswold@ysu.edu |
| Phone: | 330-941-2419 |
A Pragmatically Applied Cervical and Thoracic Non-thrust Mobilizations Versus Thrust Manipulation for Patients With Mechanical Neck Pain: A Multicenter Randomized Clinical Trial
The purpose of this clinical trial is to compare the use of thrust manipulation to
non-thrust mobilizations for mechanical neck pain when they are applied to both the cervical
and thoracic spine. Both of these techniques have been compared in previous trials but a
pragmatic approach will be employed as well as controlling for clinical equipoise.
non-thrust mobilizations for mechanical neck pain when they are applied to both the cervical
and thoracic spine. Both of these techniques have been compared in previous trials but a
pragmatic approach will be employed as well as controlling for clinical equipoise.
A total sample size of 136 subjects with mechanical neck pain will be recruited to
participant in this trial from multiple clinic and university sites around the country. Each
subject will be evaluated by a licensed physical therapist that specializes in orthopedic
manual therapy (OMT). Each treating therapist will be blinded be the data collection and
each data collection therapist will be blinded to the treatment allocation. Subjects data
will be collected at the initial visit, second visit, and at discharge. The maximum number
of weeks that a subject may be enrolled is 8 weeks (2 months). At that point, they are
discharged from the study. The treating therapist will allocate the subject through the
already completed randomization procedures. Once the subject is randomized, the treating
therapist will perform the OMT based on their clinical reasoning and in a manner they feel
would benefit the patient the most. In addition to the OMT, each subject will receive a home
exercise program, advice, encouragement, and education. A number of outcome variables will
be collected regarded pain and disability as well as one physical performance measure.
participant in this trial from multiple clinic and university sites around the country. Each
subject will be evaluated by a licensed physical therapist that specializes in orthopedic
manual therapy (OMT). Each treating therapist will be blinded be the data collection and
each data collection therapist will be blinded to the treatment allocation. Subjects data
will be collected at the initial visit, second visit, and at discharge. The maximum number
of weeks that a subject may be enrolled is 8 weeks (2 months). At that point, they are
discharged from the study. The treating therapist will allocate the subject through the
already completed randomization procedures. Once the subject is randomized, the treating
therapist will perform the OMT based on their clinical reasoning and in a manner they feel
would benefit the patient the most. In addition to the OMT, each subject will receive a home
exercise program, advice, encouragement, and education. A number of outcome variables will
be collected regarded pain and disability as well as one physical performance measure.
Inclusion Criteria:
- Chief complaint of neck pain. (Non-specific neck pain with a primary location between
the superior nuchal line and the first thoracic spinous process)
- Age >18
- A minimum Neck Disability Index (NDI) score ≥ 20%
Exclusion Criteria:
- Contraindications to OMT including; malignancy, myelopathy, fracture, metabolic
disease, rheumatoid arthritis, long-term corticosteroid use.
- Nerve root compression diagnosed as having at least 2 of the following:
- Upper extremity muscle weakness within a specific cervical/thoracic myotome
- Diminished deep tendon reflexes of the biceps brachii, brachioradialis, or
triceps muscle.
- Diminished sensation to light touch or pinprick in a specific upper extremity
dermatome.
- History of neck or thoracic spine surgery
- Neck pain of <2 on the NPRS
- Currently receiving other forms of conservative care and unwilling to stop for the
duration of their participation in the study.
- Any pending litigation related to their neck pain
- Therapist is unable to elicit the chief complaint with passive accessory
intervertebral movements (PAIVM).
We found this trial at
1
site
Click here to add this to my saved trials
