Thoracic Manipulation and Mobilization for Neck Pain

Study Overview
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Brief Summary
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The purpose of this randomized clinical trial was to examine the widespread effects of thoracic spine thrust manipulation and thoracic non-thrust mobilization on pressure pain sensitivity and neck pain intensity in patients with chronic mechanical neck pain.

Official Title
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CHANGES IN PRESSURE PAIN SENSITIVITY AND NECK PAIN AFTER THORACIC THRUST MANIPULATION OR NON-THRUST MOBILIZATION IN PATIENTS WITH MECHANICAL NECK PAIN

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Thoracic mobilization
* Other: Thoracic manipulation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: mechanical idiopathic neck pain bilateral pain symptoms chronic pain (>3 months of duration) Exclusion Criteria: whiplash injury previous spine surgery diagnosis of cervical radiculopathy or myelopathy diagnosis of fibromyalgia having undergone any physical therapy intervention in the previous year pregnancy

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Thoracic manipulation<br>A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied. | Other: Thoracic manipulation<br>* A high-velocity, end range, anterior-posterior thrust applied through the elbows to the mid-thoracic spine will be applied<br>|
| Active Comparator: Thoracic mobilization<br>Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes | Other: Thoracic mobilization<br>* Patients will receive 20 seconds bouts of grade III-IV of central posterior-anterior (PA) non-thrust mobilization from T3 to T6 spinous process as described by Maitland et al for an overall intervention time of approximately 2 minutes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pressure pain thresholds | The amount of pressure applied for the pressure sensation to first change to pain will be assessed with an electronic algometer (Somedic AB, Farsta, Sweden) over the C5-C6 zygapophyseal joint, second metacarpal and tibialis anterior muscle | Change between baseline and 1o minutes immediate after the intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Neck pain intensity | Participants will rate the intensity of their neck pain at rest on an 11-point numerical pain rate scale (NPRS, 0: no pain, 10: maximum pain) | Change between baseline and 1o minutes immediate after the intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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manipulation, mobilization, spine, pressure pain