This study is designed to compare the short-term effects of two different thoracic spine thrust manipulation techniques on neck range-of-motion, pain, and self-reported disability in people with neck pain. The null hypothesis is that there will be no differences between the two manipulation techniques for short-term effects on neck range-of-motion, pain, and self-reported disability in people with neck pain.
Patients will be involved in the study over a 4 week period. Each participant will be asked to attend 4 sessions, with one week in between each session as follows: Week 0 = baseline assessment and treatment 1; Week 1= treatment 2; Week 2 = treatment 3; and week 4 = follow-up assessment. Patients who meet the inclusion/exclusion criteria will be randomized to either a supine or prone thoracic spine thrust manipulation intervention.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
21
Position patient so that small amplitude quick stretch can be applied to the least mobile area of the thoracic spine that is identified during the spinal segmental mobility testing. The thoracic spine thrust manipulation will be applied at an appropriate range of motion as identified by the clinician.
Position patient so that small amplitude quick stretch can be applied to the least mobile area of the thoracic spine that is identified during the spinal segmental mobility testing. The thoracic spine thrust manipulation will be applied at an appropriate range of motion as identified by the clinician.
A.T. Still University
Mesa, Arizona, United States
Numeric Pain Rating Scale (NPRS)
Patient-rated assessment of pain on scale of 0-10
Time frame: Baseline (Week 0)
NPRS
Patient-rating of pain on a scale of 0-10
Time frame: Change from Week 0 to Week 1
NPRS
Patient-rating of pain on a scale of 0-10
Time frame: Change from Baseline (Week 0) and Follow-up (Week 3) and From Week 1 and Week 3
Neck Disability Index (NDI)
10 Question patient-rated outcome measures specific to neck disability
Time frame: Baseline (Week 0)
NDI
10 Question patient-rated outcome measures specific to neck disability
Time frame: Change from Baseline (Week 0) to Week 1
NDI
10 Question patient-rated outcome measures specific to neck disability
Time frame: Change from Baseline (Week 0) to Follow-up (Week 3) and from Week 1 to Week 3
Shortened Version of Disabilities of the Arm, Shoulder, and Hand Questionnaire (QuickDASH)
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
Time frame: Baseline (Week 0)
QuickDASH
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
Time frame: Change from Week 0 to Week 1
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QuickDASH
11 item patient-rated outcome measure related to disability in the upper extremity with optional work and sport modules.
Time frame: Change from Baseline (Week 0) to Follow-up (Week 3) and from Week 1 to Week 3
Neck Range of Motion (ROM)
Cervical rotation and lateral flexion measured with goniometer.
Time frame: Baseline (Week 0)
Neck ROM
Cervical rotation and lateral flexion measured with goniometer.
Time frame: Change from Baseline (Week 0) to Week 1
Neck ROM
Cervical rotation and lateral flexion measured with goniometer.
Time frame: Change from Baseline (Week 0) to Follow-up (Week 3) and between Week 1 and Week 3