- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00269360
Manipulation, Exercise, and Self-Care for Neck Pain
Study Overview
Status
Conditions
Detailed Description
Neck pain is very common, afflicting 10% of the population at any given time. Despite its significant socioeconomic impact, neck pain has been poorly investigated. The broad, long term objective of this interdisciplinary research is to identify effective therapies for neck pain and to increase our knowledge of this problematic condition. This multidisciplinary, randomized clinical trial is based on the investigators' previous neck pain research and will assess three treatment approaches for chronic neck pain:
- rehabilitative exercise
- chiropractic spinal manipulation combined with rehabilitative exercise
- self-care education (a minimal intervention control)
The primary aim of this study is to examine the relative efficacy of the three interventions in terms of patient-rated outcomes in the short term (after 12 weeks) and long term (after 52 weeks) for chronic neck pain. Secondary aims are to assess the relative cost-effectiveness and cost utility of the three treatments, evaluate changes in objective cervical spine function, assess if cervical function is associated with changes in patient-rated outcomes, identify predictors of outcome and finally, to describe patients' interpretations of outcome measures used in clinical trials.
Using previously demonstrated recruitment methods, 270 participants with chronic neck pain will be recruited. Self-reported outcome measures will be collected at baseline and 4, 12, 26 and 52 weeks; objective outcome measures will be assessed by blinded examiners at baseline and 12 weeks.
Chiropractic investigators from Northwestern Health Sciences University are collaborating with medical clinicians from the University of Minnesota, the Minneapolis Medical Research Foundation, and the Pain Assessment and Rehabilitation Center. This established team of investigators will work together in all phases of this innovative study, leading to dissemination and publication of study results and hypothesis generation for future research. This trial will yield important information allowing health care practitioners, policy makers and patients to make better-informed decisions regarding treatment choices for chronic neck pain. Importantly, it will serve to increase the extremely limited research that currently exists for this significant health-care condition.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Minnesota
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Bloomington, Minnesota, United States, 55431
- Wolfe-Harris Center for Clinical Studies
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Chronic mechanical neck pain (defined as current episode > 12 weeks' duration).
- Quebec Task Force classifications 1, 2, 3 and 4. This includes patients with neck pain, stiffness or tenderness, with or without musculoskeletal and neurological signs.
Exclusion Criteria:
- Previous cervical spine surgery
- Neck pain referred from local joint lesions of the lower extremities or from visceral diseases
- Progressive neurological deficits due to nerve root or spinal cord compression
- Existing cardiac disease requiring medical treatment
- Blood clotting disorders
- Diffuse idiopathic hyperostosis
- Infectious and non-infectious inflammatory or destructive tissue changes of the cervical spine
- Presence of significant infectious disease, or other severe disabling health problems
- Substance abuse
- Ongoing treatment for neck pain by other health care providers
- Pregnant or nursing women
- Average neck pain score of less than 30 percentage points
- Pending or current litigation
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 1
|
Chiropractic care will include manual spinal manipulation, with light soft tissue massage as indicated to facilitate the spinal manipulative therapy. The spinal levels treated will be determined by the individual chiropractors by static and/or motion palpation. Patients will attend 20, 1 hour sessions of rehabilitative exercises for the neck and upper body. Each session will begin with a 10-minute aerobic warm-up of the upper body and five minutes of light stretching to prepare for the strengthening exercises. |
Experimental: 2
|
Patients will attend 20, 1 hour sessions of rehabilitative exercises for the neck and upper body.
Each session will begin with a 10-minute aerobic warm-up of the upper body and five minutes of light stretching to prepare for the strengthening exercises.
|
Active Comparator: 3
|
Self-care education will be provided by the therapist trained in the study protocol.
Two, one-hour sessions will be given regarding self-care measures and ergonomics relative to work and activities of daily living.
These will include postural instructions and practical demonstrations of proper body mechanics performed with patient participation.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Patient rated pain(0-10 scale,11 box)
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Neck Disability Index (NDI)at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
General health status at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Improvement (Global Change)at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Disability Days at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Bothersomeness of Symptoms at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Frequency of Symptoms at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Patient Satisfaction at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Depression at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Medication use at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
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Fear-Avoidance Beliefs at baseline, weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
|
short term = 12 weeks; long term = 52 weeks
|
Cervical range of motion at baseline, weeks 4,12
Time Frame: short term = 12 weeks
|
short term = 12 weeks
|
Cervical Strength and Endurance at baseline, weeks 4,12
Time Frame: short term = 12 weeks
|
short term = 12 weeks
|
Health Care Costs and Utilization at weeks 4,12,26,52
Time Frame: short term = 12 weeks; long term = 52 weeks
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short term = 12 weeks; long term = 52 weeks
|
In-depth Interview at week 12
Time Frame: 12 weeks
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12 weeks
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Collaborators and Investigators
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- R18HP10013
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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