Clinical Effects in Cervical Spinal Mobilization and Oscillation Mobilization in Neck Pain

Study Overview
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Brief Summary
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The aim of this study is to compare the clinical effects of spinal mobilization versus vertebral resonant oscillation (POLD) in patients with bilateral mechanical neck pain on pain sensitivity and neck pain intensity.

Detailed Description
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The clinical practice guidelines for manual therapy management the neck pain including the spine mobilization. The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to neutral zone to described by Panjabi 1992. The spinal mobilizations has a posterior-anterior vertebral movement for spinous process, described by Maitland 2000.

Official Title
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Clinical Effects in Cervical Spinal Mobilization Versus Resonant Oscillation Mobilization (POLD) in Neck Pain. A Randomized Clinical Trial.

Conditions
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Neck Pain, Manual Therapy

Intervention / Treatment
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* Other: Spine Mobilizations
* Other: Vertebral Resonant Oscillation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: neck pain symptoms of mechanical nature age from 18 to 60 years bilateral symptoms symptoms for at least 3 month of duration Exclusion Criteria: whiplash injury previous spine surgery diagnosis of cervical radiculopathy or myelopathy having undergone any physical therapy intervention in the previous 6 month pregnancy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Spine Mobilizations<br>Patients receive spinal mobilizations in grades II to III of central posterior-anterior from cervical and thoracic spine as described Maitland in 2000. | Other: Spine Mobilizations<br>* Patients receive spinal mobilizations in grades II to III of central posterior-anterior from cervical and thoracic spine as described Maitland in 2000<br>|
| Experimental: Vertebral Resonant Oscillation (POLD method)<br>The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to neutral zone to described by Panjabi 1992. | Other: Vertebral Resonant Oscillation<br>* The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens ; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to neutral zone to described by Panjabi 1992.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in pain intensity before and after the intervention | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of neck pain | Baseline, one week after the last session, 1 months and 3 months after the last session. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in disability before and after the intervention | Neck Pain Disability Index (NDI) | Baseline, one week after the last session, 1 months and 3 months after the last session. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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mobilization, resonant oscillation