Cardiovascular Response to Two Manual Techniques for Neck Pain

January 5, 2016 updated by: Azusa Pacific University

Randomized Trial of Cardiovascular Response to Two Manual Techniques Non-thrust Joint Manipulation of the Cervical Spine in Patients With Non-traumatic Mechanical Neck Pain.

The aim of the investigators study is to investigate whether posteriorly directed (AP) pressures and laterally directed (LAT) glides, cause blood pressure and heart rate elevation or lowering in patients with neck pain. The answer will advance the investigators understanding of why manual therapy works.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

Detailed Description

To be included in the study, these subjects with unilateral non-traumatic, non-chronic neck pain (operationally defined as neck pain with mobility deficits lasting less than 3 months) shall have numeric pain rating scale (NPRS) of between 0 and 5 out of 10 as the most painful neck movement even with passive scapular elevation, neck disability index (NDI) of between 16 and 50 out of 100%, resting systolic and diastolic blood pressure between 90/60 and 138/88, and resting heart rate between 60 and 90. Subjects are excluded if they are current smoker, over 50 years of age, has a history of fainting spells or loss of consciousness, is on blood thinners, is taking medications for or have a history of diabetes mellitus, neurologic or cardiovascular disease, has a history of spinal surgeries, and has neck pain classified or associated with headache, radiating pain, and movement coordination impairments. A convenience sample of subjects will be randomly allocated to 1 of 2 groups. Both Group 1: AP and Group 2: LAT will receive posterior pressures and lateral glides respectively to one hypomobile segment. Baseline NPRS, and NDI will be collected at the initial visit. Systolic blood pressure (SBP) and heart rate (HR) will be measured with a OMRON automatic monitor recording time points: (1) 5 minutes, and (2) 7 minutes after lying supine; (3) during the 1st set, (4) 5th set of one of the glides, (5) 2 minutes after time point #4, and (6) 4 minutes after time point #4. After time point #6, a global rating of change (GROC) will immediately be collected based on the most painful neck movement. A finger pulse oximeter will be placed on the subjects' index finger to constantly monitor their pulse rate for slowing heart rate or asystole. The primary author will perform one of the techniques on all subjects. After one visit, a follow-up NPRS, and NDI will be collected again.

Study Type

Interventional

Enrollment (Anticipated)

34

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

  • Name: Michael Wong, DPT
  • Phone Number: 909 379 5433
  • Email: mswong@apu.edu

Study Locations

  • United States
    • California
      • Azusa, California, United States, 91784
        • Recruiting
        • Physical Therapy Department
        • Contact:
          • Michael Wong, DPT
        • Principal Investigator:
          • Michael Wong, DPT

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Unilateral, non-traumatic, non-chronic mechanical neck pain
  • Numeric pain rating scale between 0-5/10 as the most painful neck movement (with passive scapular elevation)
  • Neck Disability Index between 16-50/100 percent
  • Resting blood pressure between 90/60 and 138/88 mmHg
  • Resting heart rate between 60 and 90 beats per minute

Exclusion Criteria:

  • Current smoker
  • Under 18 years and over 50 years of age
  • History of fainting spells or loss of consciousness
  • Currently on blood thinners
  • Taking medications for or have a history of diabetes mellitus, neurologic or cardiovascular disease
  • History of spinal surgery
  • Has neck pain classified or associated headache, arm pain, trauma/whiplash

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: AP
Anterior to posterior pressures 5x10 seconds per set with 10 seconds rest between each set
Procedure: Anterior to posterior pressures
Anterior to posterior pressures
Experimental: Lateral glides
Lateral glides 5x10 seconds per set with 10 seconds rest between each set
Procedure: Lateral glide
Lateral glide

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Change in heart rate
Time Frame: 7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4
7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4

Secondary Outcome Measures

Outcome Measure
Time Frame
Change in blood pressure
Time Frame: 7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4
7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4
Change in Numeric Pain Rating Scale
Time Frame: Baseline and within 7 days after the intervention
Baseline and within 7 days after the intervention
Change in Neck Disability Index
Time Frame: Baseline and 7 days after the intervention
Baseline and 7 days after the intervention
Global rating of change
Time Frame: Immediately after intervention
Immediately after intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Azusa Pacific University

Investigators

  • Principal Investigator: Michael Wong, DPT, Azusa Pacific University
  • Principal Investigator: Emmanuel Yung, DPT, Sacred Heart University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2014

Primary Completion (Anticipated)

July 1, 2016

Study Completion (Anticipated)

July 1, 2016

Study Registration Dates

First Submitted

July 15, 2014

First Submitted That Met QC Criteria

July 23, 2014

First Posted (Estimate)

July 24, 2014

Study Record Updates

Last Update Posted (Estimate)

January 7, 2016

Last Update Submitted That Met QC Criteria

January 5, 2016

Last Verified

January 1, 2016

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • AP vs LAT

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.

Clinical Trials on Neck Pain

Clinical Trials on Anterior to posterior pressures

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Bahamas

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

3
Subscribe