Recruiting

Thoracic Spine Manipulation

Sponsor:

Keystone Rehabilitation Systems

Code:

NCT01760590

Conditions

Neck Pain

Cervical Pain

Eligibility Criteria

Sex: All

Age: 18 - 60

Healthy Volunteers: Not accepted

Interventions

Manual Manipulation

Mobilization

Study Details

Brief summary:

The purpose of this research is to compare the effects of two commonly used, safe, thoracic spine grade 1-4 and grade 5 mobilization to the thoracic spine on cervical spine pain in individuals with nontraumatic cervical pain. The immediate effects of thoracic spine mobilization have been shown to facilitate greater range of motion increases in the cervical spine and greater pain decreases within a treatment session and on follow-up visits. There is no research utilizing pain threshold perception as an objective outcome of these treatments. Only one study compared the two treatment techniques and concluded that future research should be completed which includes manual therapy for the thoracic spine. (Cleland 2007)

Conditions

Neck Pain

Cervical Pain

Study ID

NCT01760590

Start date

Dec, 2012

Status verified date

Jan, 2013

Completion date

Dec, 2013

Anticipated

Primary completion date

Dec, 2013

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 60

Healthy Volunteers: Not accepted

INCLUSION CRITERIA:

  • Patients with non-traumatic Neck Pain
  • Between ages 18 - 60

EXCLUSION CRITERIA:

Red flags such as:

  • leg weakness
  • night pain
  • history of cancer
  • upper motor neuron signs
  • infection
  • tumors
  • osteoporosis
  • fracture
  • history of whiplash within 6 weeks
  • cervical stenosis
  • CNS involvement
  • signs consistent with nerve root compression
  • previous surgery
  • pending legal action

Study Design

Enrollment

100 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Manual Manipulation

Patients will be randomized to receive a thrust manipulation

experimental: Manual Mobilization

Patients will be randomized to receive mobilization

Interventions

Manual Manipulation

A grade 5 thrust to the thoracic spine

Mobilization

A grade 1-4 mobilization directed at thoracic spine

Primary outcome measure

  • Pain [ Time Frame: Baseline, change from baseline to week 1 and change from baseline to week 4 (discharge as per PTs discretion but typically 4 weeks) ]
  • Neck Disability [ Time Frame: Baseline, change from baseline to week 1 and change from baseline to week 4 (discharge as per PTs discretion but typically 4 weeks) ]
  • Pain Pressure Thresholds [ Time Frame: Baseline, change from baseline to week 1 and change from baseline to week 4 (discharge as per PTs discretion but typically 4 weeks) ]

Central Contacts and Locations

Central contacts

Steve Karas, DSc

412-365-2798skaras@chatham.edu

Joseph Brence, DPT

412-257-9660joseph.brence@physiocorp.com

Locations

Keystone Rehabilitation Systems

Recruiting

Bridgeville, Pennsylvania, United States, 15017

Contacts

Joseph Brence, DPT

412-257-9660

Principal Investigator:

Joseph B Brence, DPT

Allegheny Chesapeake Physical Therapy

Recruiting

Pittsburgh, Pennsylvania, United States, 15218

Contacts

Dave Thompson, DPT

412-244-7750

Principal Investigator:

Dave Thompson, DPT

More Information

Sponsor

Keystone Rehabilitation Systems

Last update posted

Jan 4, 2013

Last verified

Jan, 2013

Keywords

  • neck pain
  • cervical pain
  • pain pressure thresholds
  • pain catastrophizing

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Keystone Rehabilitation Systems on 2013-01-04.