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Passive accessory cervical mobilization is widely used as a clinical approach to the management of musculoskeletal pain of spinal origin. The purpose of the study is to determine if passive cervical mobilization can improve motor function in situations where motor performance is not impaired by the presence of pain.
Cervical mobilization has been shown to elicit effects on pain perception, autonomic function and motor function in subjects who experience musculoskeletal pain. The improvement in motor function may be a direct effect of the treatment or secondary to a hypoalgesic effect. This study aims to demonstrate whether it is possible to alter motor function following joint mobilization, in situations where motor performance is not impaired by pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Passive cervical mobilisation | Active Comparator | Grade III cervical mobilization technique as described by Maitland. Applied to left C5/6 Segment. |
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| Manual contact | Placebo Comparator | Manual contact control, which involved light manual contact on the left C5/C6 segment as if to perform the treatment technique. |
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| Non-contact control | No Intervention | Non-contact control, which involved the subject resting in the treatment position without any physical contact between the researcher and the subject. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Passive cervical mobilisation | Other | Passive cervical mobilization which involved an oscillatory grade III unilateral postero-anterior mobilization applied to the left C5/C6 segment. The mobilization consisted of 3 periods of 1 minute applications with a resting period of 1 minute in between. |
| Measure | Description | Time Frame |
|---|---|---|
| Electromyography of sternocleidomastoid muscle. | Measurement of sternocleidomastoid muscle activation during deep neck flexion. The degree of neck flexion is determined by a pressure biofeedback unit place underneath the neck. EMG of the left and right sternocleidomastoids are recorded for 5seconds at each level of neck flexion | Pre intervention (baseline) and 1 minute post intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure pain threshold | The algometer to measure pressure pain threshold was applied at a constant rate of 40 kPa/sec on the posterior aspect of the left and right articular pillar of C5/C6. | Pre intervention (baseline) and 1 minute post intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Benjamin Soon Tze Chin, MManipTher | The University of Queensland | Principal Investigator |
| Annina Schmid, MManipTher | The University of Queensland | Principal Investigator |
| Elias Fridriksson, MManipTher | Curtin University | Principal Investigator |
| Philip Cheong, MManipTher | Curtin University | Principal Investigator |
| Elisabeth Gresslos, MManipTher | Curitn University of Technology | Principal Investigator |
| Anthony Wright, PhD | Curtin University | Study Chair |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Manual contact | Other | Manual contact control, which involved light manual contact on the left C5/C6 segment as if to perform the treatment technique. The light manual contact consisted of 3 periods of 1 minute applications with a resting period of 1 minute in between. |
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