The Effects of Vertebral Manipulation and Pain Education in Chronic Neck Pain

Santa Catarina Federal University90 enrolled

Overview

This study aims to investigate the effects of vertebral manipulation and pain education on subjects with neck pain. For this purpose, 90 subjects who present chronic neck pain will be selected and allocated randomly into 2 groups: vertebral manipulation group and pain education group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Neck Pain

Interventions

Spinal ManipulationOTHER

High-velocity and low-amplitude (HVLA) manipulation techniques to the cervical and thoracic region

Pain EducationOTHER

Subjects will receive pain education based in biopsychosocial approach

ShamOTHER

A simulation of spinal manipulation (sham), involving manual contact over the cervical and thoracic region totaling 10 minutes.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Main complaint of Neck Pain for at least six (6) months; * Score of at least 10 points in NDI (Neck Disability Index); * Pain and / or restriction of cervical movements; * Pain reported at least 3 points on the NPRS (Numeric Pain Rating Scale); * The definition of the term Neck Pain follows the classification of TFNP. Exclusion Criteria: * Previous history of rheumatic disease, cervical myelopathy, tumors, vertebrobasilar insufficiency, central or peripheral neurological disorders; * History of major trauma, fracture or surgery in the neck, shoulder and/or upper limb; * Signs of nerve root compression as important muscle weakness affecting the upper limbs, reduction, loss or increase of biceps and triceps reflexes, decreased sensation in the dermatomes of the upper limb; * Red flags contraindicating spinal manipulation.

Locations (1)

Santa Catarina Federal University

Florianópolis, Santa Catarina, Brazil

Outcomes

Primary Outcomes

Pain Intensity

Intensity of pain will be measured by the numeric pain rating scale (NPRS)

Time frame: 4 weeks after randomization

Secondary Outcomes

Cytokines

Level of concentration of pro and anti-inflammatory cytokines

Time frame: 4 weeks after randomization

Pressure Pain Threshold

Pressure pain Threshold will be measured with a digital algometer