Neurophysiologic Effects of Cervical Spinal Manipulation in Asymptomatic Individuals
12. marts 2018 opdateret af: Nuno Filipe Pinho Nogueira, Escola Superior de Tecnologia da Saúde do Porto
This study had the goal of analyse the neurophysiologic effects of both mechanical and manual cervical manipulation, in asymptomatic individuals.
Studieoversigt
Status
Afsluttet
Betingelser
Detaljeret beskrivelse
In this study, the investigators compared the effects of manual manipulation and instrument assisted manipulation of C3/C4 on muscle tone, elasticity and stiffness and on pressure pain threshold , and pressure pain perception.
The muscles evaluated were upper trapezius and biceps brachialis, bilaterally.
The study also had a placebo and a control group.
All individuals were asymptomatic.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
59
Fase
- Ikke anvendelig
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
18 år og ældre (Voksen, Ældre voksen)
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Healthy subjects.
- Minimum of 18 years old.
Exclusion Criteria:
- Pain in cervical region, shoulders or arms.
- History of trauma or disease in the cervical region or upper limb.
- Use of medication that could affect the outcomes (painkillers, NSAID, or anti depressives) during the last week.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Manual manipulation
In the Manual manipulation group, the thrust was applied in the right side of C3/C4 with neutral flexion/extension, ipsilateral side bending and contralateral rotation.
Then, a low amplitude, high velocity thrust in rotation was delivered.
|
In the Manual manipulation group, the thrust was applied in the right side of C3/C4 with neutral flexion/extension, ipsilateral side bending and contralateral rotation.
Then, a low amplitude, high velocity thrust in rotation was delivered.
|
|
Aktiv komparator: Mechanical manipulation
In the Mechanical manipulation group, the Activator instrument was applied on the right transverse apophyses of C3.
|
In the Mechanical manipulation group, the Activator instrument was applied on the right transverse apophyses of C3.
|
|
Placebo komparator: Placebo
The subjects were positioned in the same pre-manipulative position as the manual manipulation group, but the thrust didn't occur.
Instead, the position was hold for 3 seconds and then the subject's head returned passively to neutral position.
|
The subjects were positioned in the same pre-manipulative position as the manual manipulation group, but the thrust didn't occur.
Instead, the position was hold for 3 seconds and then the subject's head returned passively to neutral position.
|
|
Ingen indgriben: Control
The subjects stayed in supine position and no intervention occurred.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Pressure pain thresholds
Tidsramme: Immediately after the intervention
|
To measure the pressure pain threshold, it was used an electronic pressure dynamometer FORCE ONE™ FDIX (Wagner Instruments - Greenwich, USA), with 1cm2 of surface.
The values were expressed in Kg/cm2.
The pressure was increased at a rate of 1 kg/cm2/s until the subject inform that the sense of pressure has become a sense of pain.
|
Immediately after the intervention
|
|
Pressure pain perception
Tidsramme: Immediately after the intervention
|
To evaluate the pressure pain perception, it was used a Visual Analogue Scale (VAS).
The pressure increased until 2,5 kg/cm2 and was hold for 5 seconds, and the subject used the VAS scale to record the pressure pain perception he felt.
|
Immediately after the intervention
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Muscle tone
Tidsramme: Immediately after the intervention
|
To measure muscle tone it was used the MyotonPro device.
It was used to evaluate those parameters both on the biceps and on the upper trapezius, bilaterally.
The device was located perpendicular to the middle point of each muscle and it were recorded 6 impulses in each one of them.
The non-neural tone was recorded as frequency.
|
Immediately after the intervention
|
|
Muscle stiffness
Tidsramme: Immediately after the intervention
|
To measure muscle stiffness it was used the MyotonPro device.
It was used to evaluate this parameter both on the biceps and on the upper trapezius, bilaterally.
The device was located perpendicular to the middle point of each muscle and it were recorded 6 impulses in each one of them.
The muscle stiffness was recorded as N/m.
|
Immediately after the intervention
|
|
Muscle elasticity
Tidsramme: Immediately after the intervention
|
To measure muscle elasticity it was used the MyotonPro device.
It was used to evaluate those parameters both on the biceps and on the upper trapezius, bilaterally.
The device was located perpendicular to the middle point of each muscle and it were recorded 6 impulses in each one of them.
The elasticity was indicated by logarithmic decrement.
|
Immediately after the intervention
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Nuno Nogueira, MSc, Instituto Politécnico da Saúde do Norte
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
1. maj 2013
Primær færdiggørelse (Faktiske)
1. juli 2014
Studieafslutning (Faktiske)
1. oktober 2016
Datoer for studieregistrering
Først indsendt
8. september 2017
Først indsendt, der opfyldte QC-kriterier
10. marts 2018
Først opslået (Faktiske)
13. marts 2018
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
14. marts 2018
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
12. marts 2018
Sidst verificeret
1. marts 2018
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 20122017
Plan for individuelle deltagerdata (IPD)
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