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A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain

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ClinicalTrials.gov Identifier: NCT01938209
Recruitment Status : Completed
First Posted : September 10, 2013
Last Update Posted : September 10, 2013
Sponsor:
Collaborator:
Megan J. Olson Hunt
Information provided by (Responsible Party):
Steve Karas, Chatham University

Brief Summary:
Thirty-nine patients with cervical spine pain were randomly assigned to either a seated thoracic manipulation or targeted supine thoracic manipulation group. Pain and flexion range of motion measures were taken before and after the intervention.

Condition or disease Intervention/treatment Phase
Neck Pain Other: seated thoracic manipulation Other: supine specific thoracic spine manipulation Not Applicable

Detailed Description:

DESIGN: Randomized clinical trial OBJECTIVES: To determine the effectiveness of seated thoracic manipulation versus targeted supine thoracic manipulation on cervical spine pain and flexion range of motion. There is evidence that thoracic spine manipulation is an effective treatment for patients with cervical spine pain. This evidence includes a variety of techniques to manipulate the thoracic spine. While each of them is effective, no research has compared techniques to determine which produces the best outcomes.

METHODS: Thirty-nine patients with cervical spine pain were randomly assigned to either a seated thoracic manipulation or targeted supine thoracic manipulation group. Pain and flexion range of motion measures were taken before and after the intervention.


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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 39 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Randomized Control Trial of the Immediate Effects of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Spine Flexion Range of Motion and Pain
Study Start Date : September 2011
Actual Primary Completion Date : October 2012
Actual Study Completion Date : October 2012

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: seated general thoracic spine manipulation
seated general thoracic spine manipulation
Other: seated thoracic manipulation
seated general thoracic spine manipulation

Experimental: supine specific thoracic spine manipulation
Specific supine manipulation
Other: supine specific thoracic spine manipulation
supine specific thoracic spine manipulation




Primary Outcome Measures :
  1. neck pain [ Time Frame: pain measure taken immediately on first visit ]
    As measured by patient response at end range of flexion on a scale of 0 - 10.


Secondary Outcome Measures :
  1. neck range of motion [ Time Frame: range of motion assessed immediately in first visit ]
    As measure using a bubble goniometer, shich has been shown to be valid and reliable.



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Inclusion criteria required patients to be between 18-60 years old with a primary complaint of neck pain

Exclusion Criteria:

  • identification of red flags suggestive of nonmusculoskeletal etiology, history of whiplash injury within six weeks of the initial visit, diagnosis of cervical spine stenosis, central nervous system involvement, or signs of nerve root compression (two of the following limited at the same level: strength, sensation, reflexes).

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Responsible Party: Steve Karas, Assistant Professor, Chatham University
ClinicalTrials.gov Identifier: NCT01938209     History of Changes
Other Study ID Numbers: karas 003
karas thoracic spine
First Posted: September 10, 2013    Key Record Dates
Last Update Posted: September 10, 2013
Last Verified: September 2013

Additional relevant MeSH terms:
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Neck Pain
Pain
Neurologic Manifestations
Signs and Symptoms