Manual Therapy Versus Manual Therapy and Exercise and Education in Chronic Neck Pain
Condition: Neck Pains; Posterior Cervical Pains; Posterior Neck Pain; Cervicalgia
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      The purpose of this study is to know which combination of treatments are the most effective
      in patients with non-specific neck pain. Study design: This is a single-blind randomized
      controlled trial. (outcomes assessor). Study population: Men and women aged 18 to 60 years
      old with neck pain for at least 12 weeks. Interventions: 3 groups will be treated for a
      period of 4 weeks (8 sessions total; 2 per week).
    

Detailed description: 
      Nonspecific chronic neck pain has a high prevalence and is very common in clinical practice.

      Manual therapy (MT) studies of techniques like mobilization, manipulation, and therapeutic
      exercise, has been demonstrated effectiveness for the treatment of pain and disability in the
      neck. These investigations have thought of this treatments as individual interventions. Thus,
      multimodal ways of treatment to improve patients with nonspecific chronic neck pain are
      necessary.

      The aim of this study is to evaluate the effectiveness of a multimodal treatment protocol
      compared to a unimodal treatment protocol in the medium-term, on patients with chronic
      non-specific neck pain.

      Subjects are randomly allocated into three groups: MT group; MT+Educational therapy (ET)
      group; and MT+ET+Exercise group. Each subject receive a 4 weeks period treatment (8
      sessions). Outcome measures include physical, somatosensory, and psychosocial
      characteristics; which are measure at 0, 4, 8, 16 weeks by a blinded assessor.
    

Intervention name(s): Manual Therapy and Education; Manual Therapy; Manual therapy, Education and Exercise
Intervention type(s): Other; Other; Other
Intervention description(s): Manual therapy will consist on Traction oscillatory,craniocervical region, Mobilization of upper cervical region in flexion, Side glide roll, Mobilization upper cervical anteroposterior with Wedge, Sliding lateral techniques and High-velocity technique in dorsal region. And Education of the physiology of pain and Education about cognitive behavioral perspective will add to manual therapy treatment.; Manual therapy will consist on Traction oscillatory, Maintained traction in the craniocervical region, Mobilization of upper cervical region in flexion, Side glide roll, Mobilization upper cervical anteroposterior with Wedge, Sliding lateral C1- C2 ( 2 minutes) , C2 -C3, and C5 -C6 and High-velocity technique in dorsal region.; Manual therapy will consist on Traction oscillatory,craniocervical region, Mobilization of upper cervical region in flexion, Side glide roll, Mobilization upper cervical anteroposterior with Wedge, Sliding lateral techniques and High-velocity technique in dorsal region. And Education of the physiology of pain and Education about cognitive behavioral perspective and Craniocervical exercise will add to this arm.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: Manual therapy; Exercise; Education