The purpose of this study is to determine the short-term effects of a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury.
Design: Randomized clinical trial. Objectives: to determine the short-term effects of a a manual therapy protocol on pain, disability and cervical range of motion in individuals with acute whiplash injury. Methods and measures: sixty patients will be randomly assigned to 1 of 2 groups: the experimental group received a manual therapy protocol and the placebo group received two manual therapy techniques. Neck pain, disability and cervical range of motion data will be collected at baseline and 24-hr after the last manual therapy application. Mixed-model analyses of variance will be used to examine the effects of the treatment on each outcome variable.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
60
The manual therapy protocol consists in the application of the following techniques: stretching diaphragm, Inhibition for phrenic center, Neuromuscular technique, technique jones and balance technique functional.
The two manual techniques applied to control group are: inhibition for phrenic center and neuromuscular technique.
Adelaida María Castro-Sánchez
Almería, Almeria, Spain
Change on Numerical Pain Rating Scale
The numerical pain rating scale is used to record the patient´s current level of neck pain.
Time frame: At baseline and 2 weeks
Neck disability index
The neck disability index consists of 10 questions addressing functional activities such as personal care, lifting, reading, work, driving, sleeping, recreational, pain intensity, concentration and headache.
Time frame: At baseline and 2 weeks
Cervical Range of Motion
Cervical range of motion is assessed with the patient sitting comfortably on a chair, with both feet flat on the floor, hips and knees at 90º of flexion, and buttocks positioned against the back of the chair.
Time frame: At baseline and 2 weeks
Tampa scale for kinesiophobia
The 17-item Tampa scale for kinesiophobia assesses fear of movement or of injury or reinjury.
Time frame: At baseline and 2 weeks
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