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This study is designed to compare the short term effects of two different thoracic spine thrust manipulation techniques on neck range of motion, pain, and self-reported disability in a sample of dental students experiencing neck pain.
The hypothesis of the study is that there will be a difference between the two thoracic spine thrust manipulation techniques for short term effects on neck range of motion, pain, and self-reported disability in a sample of dental students experiencing neck pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Thoracic Spine Thrust in Seated Position | Experimental | Thoracic spine thrust manipulation will be applied two times at each of two treatment sessions while the participant is in a seated position. |
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| Thoracic Spine Thrust in Supine Position | Experimental | Thoracic spine thrust manipulation will be applied two times at each of two treatment sessions while the participant is in the supine position. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thoracic Spine Thrust in Seated Position | Other | The thoracic spine manipulation used here is a manipulation technique that involves positioning the patient so that a small amplitude quick stretch can be applied to the least mobile area of the thoracic spine as identified by the licensed physical therapist during spinal segmental mobility testing. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Neck Pain Intensity | Each participant's neck pain intensity will be assessed by use of the Numeric Pain Rating Scale (NPRS of 0-10) | Collected at baseline assessment during initial visit before 1st treatment, one week later before 2nd treatment, and one week later at follow-up appointment - total of 2- 3 weeks anticipated |
| Change in Neck Range of Motion (ROM) | Neck range of motion will be measured by a licensed Physical Therapist | Collected at baseline assessment during initial visit before 1st treatment, one week later before 2nd treatment, and one week later at follow-up appointment - total of 2- 3 weeks anticipated |
| Change in Neck Disability Index (NDI) | The Neck Disability Index (NDI) is a self-reported measure of disability consisting of a 0-50 point scale where higher scores indicate higher levels of disability | Collected at baseline assessment during initial visit before 1st treatment, one week later before 2nd treatment, and one week later at follow-up appointment - total of 2- 3 weeks anticipated |
| Change in Shortened version of the Disabilities of the Arm, Shoulder, and Hand (QuickDASH) questionnaire (QuickDASH) | The shortened version of the Disabilities of the Arm, Shoulder, and Hand (Quick DASH) questionnaire is a self-report measure of function that can assess how neck pain may be impacting daily activities that require use of the upper limb | Collected at baseline assessment during initial visit before 1st treatment, one week later before 2nd treatment, and one week later at follow-up appointment - total of 2- 3 weeks anticipated |
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Inclusion Criteria:
Exclusion Criteria:
Neck pain related to a motor vehicle accident or other trauma within the previous 6 weeks
Neck pain that spreads down into both arms
Low back pain or thoracic origin of pain
Nerve root involvement; defined as the presence of two or more neurological findings (e.g. decreased strength, diminished deep tendon reflex, or decreased sensation) at the same nerve root level
Diagnosis of cervical spine stenosis (narrowing of the central canal that contains the spinal cord)
History of spinal tumors, spinal infection, cervical spine fracture, or previous neck surgery
Pending legal action related to current episode of neck pain
Contraindications to thoracic spine thrust manipulation
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| Name | Affiliation | Role |
|---|---|---|
| John Heick, PT, DPT | A.T. Still University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A. T. Still University | Mesa | Arizona | 85206 | United States |
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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 |
|---|---|
| D000077708 | Sitting Position |
| D016683 | Supine Position |
| ID | Term |
|---|---|
| D011187 | Posture |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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| Thoracic Spine Thrust in Supine Position | Other | The thoracic spine manipulation used here is a manipulation technique that involves positioning the patient so that a small amplitude quick stretch can be applied to the least mobile area of the thoracic spine as identified by the licensed physical therapist during spinal segmental mobility testing. |
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