Clinical trial NCT02645630: Effects of Pain, Disability and Cervicokinesthesia After Cervical Manipulation
Official title: Effects of Pain, Disability, Widespread Pressure Pain Sensitivity, and Cervicokinesthesia After Cervical Manipulation in Patients With Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Cervical spine
Spinal manipulation
Lead sponsor: Universidad Rey Juan Carlos
Sponsor class: OTHER
First posted: 2016-01-05
Enrollment: 55
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability, widespread pressure pain sensitivity, and cervicokinethesia in patients with mechanical neck pain.

Detailed description: Cervical spine manipulation has been found to be effective in patients with mechanical neck pain. Discrepancies exist on the side of manipulation and the placebo effect of this manual intervention. In addition, some authors have proposed that spinal manipulation can alter proprioception of the cervical spine. The aim of this study will be to investigate the effects of cervical spine manipulation on pain, disability and cervicokinethesia in patients with mechanical neck pain. Patients will receive cervical spine manipulation in either right or left side of the neck and will be assessed on pain intensity, neck-related disability, widespread pressure pain sensitivity, and cervicokinethesia by an assessor blinded to the allocation group.

Eligibility criteria: Inclusion Criteria:

- Generalized neck-shoulder pain with symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature.

Exclusion Criteria:

* any contraindication to manipulation, e.g., positive extension-rotation test;
* whiplash injury;
* previous cervical surgery;
* cervical radiculopathy or myelopathy;
* diagnosis of fibromyalgia syndrome;
* having undergone spinal manipulative therapy in the previous 6 months;
* less than 18 or greater than 65 years of age.

Primary outcomes:
measure: Changes in cervical kinesthetic sense before and after the intervention
timeFrame: Baseline and 15 minutes after the intervention
Secondary outcomes:
measure: Changes in disability before and after the intervention
timeFrame: Baseline and one week after the intervention
measure: Changes in neck pain intensity before and after the intervention
timeFrame: Baseline and one week after the intervention
measure: Changes in widespread pressure pain sensitivity before and after the intervention
timeFrame: Baseline and 15 minutes after the intervention
Other outcomes:
Locations:
city: Alcorcon
country: Spain
facility: Cesar Fernandez-de-Las-Peñas
state: Madrid
Study officials:
affiliation: Universidad Rey Juan Carlos
name: CESAR FERNANDEZ-DE-LAS-PEÑAS, PT, PhD
role: PRINCIPAL_INVESTIGATOR
References: