Cervical Range of Motion and Stretching

June 19, 2019 updated by: University of Central Florida

Immediate Changes in Cervical Range of Motion and Myofascial Sensitivity After Standardized Manual Stretches: a Randomized Controlled Trial

Cervical range of motion (ROM) is necessary to perform normal activities of daily living and deficits are associate with various pathologies. Currently, its unclear if specific myofascial stretches will improve cervical range of motion and decrease myofascial sensitivity. After a single session of the manual stretching procedure, participants immediately demonstrated increased cervical ROM and pressure pain thresholds.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Methods: Sixty participants with no history of neck pain or trauma were randomized into one of two groups: stretching group (n = 30), or control group (n = 30). The stretching group received a standardized manual stretching protocol. The control group did not received intervention. Pre and Post-test measurements were recorded for both groups. Within group differences and group by time interactions were evaluated for Cervical range of motion ROM and myofascial sensitivity. The immediate improvement in active ROM of the cervical spine may prompt clinicians to consider the sequencing of treatment. Stretching prior to active exercises may allow for active exercise through a larger ROM. Future research is needed to evaluate the immediate effects of stretching in the symptomatic population.

Study Type

Interventional

Enrollment (Actual)

60

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 Locations

  • United States
    • Florida
      • Orlando, Florida, United States, 32816
        • University of Central Florida

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 60 years (ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • ages of 18-60
  • active cervical flexion, right lateral flexion OR left cervical lateral flexion <45˚

Exclusion Criteria:

  • minors
  • prisoners
  • individuals with cognitive impairments
  • recent neck surgeries
  • pre-existing neck injuries

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
  • Masking: SINGLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
NO_INTERVENTION: Control group
The control group did not received intervention and sat on a table for approximately 5 minutes
EXPERIMENTAL: Stretching group
The stretching group received a standardized manual stretching protocol
Procedure: Manual stretching
Manual stretching for the upper trapezius and levator scapulae muscle

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Range of Motion
Time Frame: 1 minute post-intervention
CROM including flexion, extension, side bending left, side bending right, rotation left, and rotation right
1 minute post-intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pressure pain thresholds
Time Frame: 1 minute post-intervention
The PPT was recorded using a Wagner FDX-25 hand-held digital pressure algometer (Wagner Instruments, Greenwich, CT). The investigator performed each assessment uniformly by applying force at the same rate of 5 Pa/second.
1 minute post-intervention

Collaborators and Investigators

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

Sponsor

University of Central Florida

Collaborators

Nova Southeastern University
University of Indianapolis
Long Island University

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 (ACTUAL)

January 26, 2018

Primary Completion (ACTUAL)

September 18, 2018

Study Completion (ACTUAL)

January 25, 2019

Study Registration Dates

First Submitted

June 14, 2019

First Submitted That Met QC Criteria

June 17, 2019

First Posted (ACTUAL)

June 18, 2019

Study Record Updates

Last Update Posted (ACTUAL)

June 21, 2019

Last Update Submitted That Met QC Criteria

June 19, 2019

Last Verified

June 1, 2019

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • BIO-17-13405

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

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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