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There is enough evidence to suggest that the spinal manipulation of the upper cervical spine and cervicothoracic spine are effective in decreasing neck pain. Therefore, the purpose of this randomized controlled trial is to compare the effects of an isolated application of upper cervical spine thrust joint manipulation with the application of a full combination of cervical, cervico-thoracic and thoracic spine thrust joint manipulation on neck pain, disability and cervical range of motion in individuals with chronic mechanical neck pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Upper cervical spine manipulation group | Experimental | Spinal thrust joint manipulation on the atlantoaxial joint |
|
| Cervicothoracic spine manipulations group | Active Comparator | Different spinal thrust joint manipulations on the thoracic spine (T6), mid-cervical spine (C3-C4) and cervicothoracic junction (C7-T1). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Spinal manipulation | Other | Application of upper cervical spine thrust joint manipulation or application of a full combination of cervical, cervico-thoracic and thoracic spine thrust joint manipulation. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in neck pain at rest: Numeric Pain Rating Scale (0-10) | Neck pain at rest. Measured with the Numeric Pain Rating Scale (0 = ''no pain'' and 10 = ''worst imaginable pain). | Baseline and 7 days post-treatment |
| Change in neck disability: Neck Disability Index (0-50) | Neck disability is measured with Neck Disability Index (10 items). A higher score indicates greater disability. | Baseline and 7 days post-treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Change in flexion movement: Cervical Range of Motion device | Range of cervical motion in flexion. Measured with a Cervical Range of Motion (CROM) device | Baseline and 7 days post-treatment |
| Change in extension movement: Cervical Range of Motion device |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raúl Romero del Rey, Mr | Clinica Ciudad de AlmerÃa | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| ClÃnica Ciudad de AlmerÃa | AlmerÃa | 04008 | Spain |
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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 |
|---|---|
| D020393 | Manipulation, Spinal |
| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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Range of cervical motion in extension. Measured with a Cervical Range of Motion (CROM) device |
| Baseline and 7 days post-treatment |
| Change in rigth lateral flexion movement: Cervical Range of Motion device | Range of cervical motion in right lateral flexion. Measured with a Cervical Range of Motion (CROM) device | Baseline and 7 days post-treatment |
| Change in left lateral flexion movement: Cervical Range of Motion device | Range of cervical motion in left lateral flexion. Measured with a Cervical Range of Motion (CROM) device | Baseline and 7 days post-treatment |
| Change in right rotation movement: Cervical Range of Motion device | Range of cervical motion in right rotation. Measured with a Cervical Range of Motion (CROM) device | Baseline and 7 days post-treatment |
| Change in left rotation movement: Cervical Range of Motion device | Range of cervical motion in left rotation. Measured with a Cervical Range of Motion (CROM) device | Baseline and 7 days post-treatment |