Preventive Care of Chronic Cervical Pain and Disabilities
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Purpose
The aim of this study is to determine which of tertiary prevention spinal manipulative therapy (SMT) or a home exercise program is the more efficient approach to reduce pain and increase functional capacity, quality of life and general health condition. To do so, 60 participants with chronic cervical pain, will be recruited and divided into 3 groups according to the intervention they will receive: control group, experimental group 1 who will receive preventive chiropractic care in the form of spinal manipulations and experimental group 2 will have to perform an individualized home exercise program on a daily basis. We hypothesize that a group of patient receiving SMT + a home exercise program will present less pain and functional disabilities over a 1 year period. The innovative value of this project is mainly related to the fact that it will generate new and potentially very useful data concerning the clinical significance of preventive chiropractic care. Moreover, such data will be beneficial to our profession as chiropractic makes a step towards prevention, wellness and public health.
| Condition | Intervention |
|---|---|
|
Neck Pain |
Other: spinal manipulation Other: Spinal manipulation + exercises |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Factorial Assignment Masking: Double Blind (Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Preventive Care of Chronic Cervical Pain and Disabilities; Comparison of Spinal Manipulative Therapy and Individualized Home Exercise Programs |
- Neck Pain [ Time Frame: Up to 10 months ] [ Designated as safety issue: No ]Visual analog pain scale (score 0-10 cm; 0 being no neck pain and 10 extreme neck pain)
- Fear Avoidance Belief, Quality of Life, Range of Motion [ Time Frame: One year ] [ Designated as safety issue: No ]
| Enrollment: | 117 |
| Study Start Date: | October 2007 |
| Study Completion Date: | September 2008 |
| Primary Completion Date: | September 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| No Intervention: 1 | |
|
Active Comparator: 2
spinal manipulation
|
Other: spinal manipulation
Monthly cervical spinal manipulation
|
|
Experimental: 3
Spinal manipulation + exercises
|
Other: Spinal manipulation + exercises
Monthly cervical spine manipulation and daily home exercises
|
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Adults between 18 and 60 years old from the city and the surrounding Trois-Rivières with chronic cervical pain of non-traumatic origin (chronic or recurrent cervical pain that lasted at least 6 months)
Exclusion Criteria:
Exclusion criteria for the project are:
- Surgery to the cervical spine
- Neoplasms
- Severe osteoarthritis
- Ankylosing spondylitis
- Hypertension
- Referred pain in the cervical area
- Central or peripheric nervous system dysfunction
- Vascular disease
- Treated cardiovascular disease
- Inflammatory or infectious disease of the cervical spine
- Metabolic or endocrine diseases
- Pregnancy
- Specific rehabilitation training for the neck or already under manual therapy for neck pain
- Patient suffering from dizziness, vertigo or headache suspected to be cervicogenic or of unknown origin will not be involved in the study.
Contacts and Locations| Canada, Quebec | |
| Université du Québec à Trois-Rivières | |
| Trois-Rivieres, Quebec, Canada, G9A 1R2 | |
| Principal Investigator: | Martin Descarreaux, PhD | Université du Québec à Trois-Rivières |
More Information
No publications provided by Université du Québec à Trois-Rivières
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Martin Descarreaux, Professor, Université du Québec à Trois-Rivières |
| ClinicalTrials.gov Identifier: | NCT00566930 History of Changes |
| Other Study ID Numbers: | Chronic cervical pain UQTR, FCER Grant #06-03-02 |
| Study First Received: | November 30, 2007 |
| Results First Received: | June 12, 2012 |
| Last Updated: | September 13, 2012 |
| Health Authority: | Canada: Ethics Review Committee |
Additional relevant MeSH terms:
|
Neck Pain Pain Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013