Effects of Cervical Spine Manipulation

Effects of Cervical Spine Manipulation on Upper Trapezius Active Versus Conventional Techniques.

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point. it was a randomized control trial including 66 patients at physiotherapy OPD of railway rehabilitation center from August 2019 to December 2019, Railway General Hospital Pakistan and Max Rehab and decompression center Max health Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method.

Study Overview

• Status: Completed
• Conditions: Cervical Pain
• Intervention / Treatment: Other: Cervical spine manipulation; Other: traction

Detailed Description

To determine the immediate effects of cervical spine manipulation on pressure pain sensitivity on upper trapezius trigger point and neck ranges of motion. A randomized control trial of 66 patients was conducted from August 2019 to December 2019 at physiotherapy OPD of railway rehabilitation center, Railway General Hospital Pakistan and Max Rehab and decompression center Maxhealth Hospital G8 Islamabad. The subjects were randomly divided into two groups (group control and experimental) by free envelope method. Control was treated with Manual Pressure release followed by stretching while in experimental received cervical spine manipulation (chin hold) kaltenborn followed by stretching. Structural questionnaire was used for pre and post assessment. Outcomes were measured by algometry and inclinometer before and after the application of respective techniques. The data was analyzed at baseline and immediately after the intervention on IBM SPSS-21.

• Study Type: Interventional
• Enrollment (Actual): 66
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Islamabad, Pakistan, 00430
    • Dr. Abdul Gaffoor

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 45 years (ADULT)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• 1.presence MTrps in upper trapezius
• limited side bending and rotation
• both gender
• age between 25 to 45

Exclusion Criteria:

• Malignancy, infection, trauma, bone deformities.
• Acute Disc Protrusion
• Positive VBI
• Positive Sharp purser test
• History of whiplash injury

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: CROSSOVER
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Cervical spine manipulation; In spinal manipulation, the velocity, magnitude and direction of the impulse are controlled to encourage relaxation and comfort of muscle and connective tissue.	Other: Cervical spine manipulation; hot pack for 10 minutes will be applied followed by cervical manipulation (chin hold kaltenborn) once and then stretching; Other: traction; Hot pack will be applied followed by sustained pressure or MPR for 90 sec and then stretching.
EXPERIMENTAL: traction; aimed to relieve pressure on the spine	Other: Cervical spine manipulation; hot pack for 10 minutes will be applied followed by cervical manipulation (chin hold kaltenborn) once and then stretching; Other: traction; Hot pack will be applied followed by sustained pressure or MPR for 90 sec and then stretching.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
changes from the baseline in Algometer values	It is a device used to identify the pressure and force eliciting a pressure pain threshold. The hand held algometer 1 cm round rubber surface which applies force and display for readings in newtons or kilograms.Sustained force is usually applied at the right angle to the soft tissue. Estimated pressure application rates have ranged from 0.05 to 20N/s. it has a high validity and reliability for measuring pain pressure threshold in patients of myofascial trigger points.	Baseline and 3 weeks
changes from the baseline in Inclinometer values	It is a device used to measure neck ranges of motion.	Baseline and 3 weeks

Collaborators and Investigators

• Sponsor: University of Lahore
• Collaborators: Riphah International University
• Investigators: Principal Investigator: Abdul Ghafoor Sajjad, PHD*, ghafoor.sajjad@riphah.edu.pk

Study record dates

Study Major Dates

• Study Start (ACTUAL): August 1, 2019
• Primary Completion (ACTUAL): December 30, 2019
• Study Completion (ACTUAL): January 28, 2020

Study Registration Dates

• First Submitted: October 3, 2022
• First Submitted That Met QC Criteria: October 12, 2022
• First Posted (ACTUAL): October 17, 2022

Study Record Updates

• Last Update Posted (ACTUAL): October 17, 2022
• Last Update Submitted That Met QC Criteria: October 12, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: REC:00570

Drug and device information, study documents

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