The Effects of Vertebral Manipulation and Pain Education in Chronic Neck Pain

The Effects of Vertebral Manipulation and Pain Education in Chronic Neck Pain

This study aims to investigate the effects of vertebral manipulation and pain education on subjects with neck pain. For this purpose, 90 subjects who present chronic neck pain will be selected and allocated randomly into 2 groups: vertebral manipulation group and pain education group.

Inclusion Criteria:

• Main complaint of Neck Pain for at least six (6) months;
• Score of at least 10 points in NDI (Neck Disability Index);
• Pain and / or restriction of cervical movements;
• Pain reported at least 3 points on the NPRS (Numeric Pain Rating Scale);
• The definition of the term Neck Pain follows the classification of TFNP.

Exclusion Criteria:

• Previous history of rheumatic disease, cervical myelopathy, tumors, vertebrobasilar insufficiency, central or peripheral neurological disorders;
• History of major trauma, fracture or surgery in the neck, shoulder and/or upper limb;
• Signs of nerve root compression as important muscle weakness affecting the upper limbs, reduction, loss or increase of biceps and triceps reflexes, decreased sensation in the dermatomes of the upper limb;
• Red flags contraindicating spinal manipulation.