Clinical Effects in Cervical Spinal Mobilization and Oscillation Mobilization in Neck Pain

Clinical Effects in Cervical Spinal Mobilization Versus Resonant Oscillation Mobilization (POLD) in Neck Pain. A Randomized Clinical Trial.

The aim of this study is to compare the clinical effects of spinal mobilization versus vertebral resonant oscillation (POLD) in patients with bilateral mechanical neck pain on pain sensitivity and neck pain intensity.

Study Overview

• Status: Completed
• Conditions: Neck Pain; Manual Therapy
• Intervention / Treatment: Other: Spine Mobilizations; Other: Vertebral Resonant Oscillation

Detailed Description

The clinical practice guidelines for manual therapy management the neck pain including the spine mobilization.

The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to "neutral zone" to described by Panjabi 1992.

The spinal mobilizations has a posterior-anterior vertebral movement for spinous process, described by Maitland 2000.

• Study Type: Interventional
• Enrollment (Actual): 50
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Madrid, Spain, 282922
    • Universidad Rey Juan Carlos

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 56 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• neck pain symptoms of mechanical nature
• age from 18 to 60 years
• bilateral symptoms
• symptoms for at least 3 month of duration

Exclusion Criteria:

• whiplash injury
• previous spine surgery
• diagnosis of cervical radiculopathy or myelopathy
• having undergone any physical therapy intervention in the previous 6 month
• pregnancy

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Spine Mobilizations; Patients receive spinal mobilizations in grades II to III of central posterior-anterior from cervical and thoracic spine as described Maitland in 2000.	Other: Spine Mobilizations; Patients receive spinal mobilizations in grades II to III of central posterior-anterior from cervical and thoracic spine as described Maitland in 2000
Experimental: Vertebral Resonant Oscillation (POLD method); The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to "neutral zone" to described by Panjabi 1992.	Other: Vertebral Resonant Oscillation; The vertebral resonant oscillation using the POLD method is similar to spine mobilizations, but there are some differens ; the oscillatory movement has a sinusoidal waveform, the frequency used between 1.2 and 2 Hz and the amplitude is similar to "neutral zone" to described by Panjabi 1992.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in pain intensity before and after the intervention	A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of neck pain	Baseline, one week after the last session, 1 months and 3 months after the last session.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Changes in disability before and after the intervention	Neck Pain Disability Index (NDI)	Baseline, one week after the last session, 1 months and 3 months after the last session.

Collaborators and Investigators

• Sponsor: Universidad Rey Juan Carlos

Study record dates

Study Major Dates

• Study Start (Actual): May 10, 2017
• Primary Completion (Actual): February 1, 2018
• Study Completion (Actual): October 25, 2018

Study Registration Dates

• First Submitted: May 9, 2017
• First Submitted That Met QC Criteria: May 9, 2017
• First Posted (Actual): May 11, 2017

Study Record Updates

• Last Update Posted (Actual): October 31, 2018
• Last Update Submitted That Met QC Criteria: October 28, 2018
• Last Verified: October 1, 2018

More Information

Terms related to this study

• Keywords: mobilization; resonant oscillation
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: URJC201701

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No