Effects of Cervical Spine Manipulation in Patients With Mechanical Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

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.
    

Intervention name(s): cervical manipulation; conventional therapy
Intervention type(s): Other; Other
Intervention description(s): provide a high velocity, low-amplitude manipulation to each subject's cervical spine.; 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
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: pain; proprioception; blood pressure; respiratory rate; cervical manipulation