Cardiovascular Response to Two Manual Techniques for Neck Pain
关键词
抽象
描述
To be included in the study, these subjects with unilateral non-traumatic, non-chronic neck pain (operationally defined as neck pain with mobility deficits lasting less than 3 months) shall have numeric pain rating scale (NPRS) of between 0 and 5 out of 10 as the most painful neck movement even with passive scapular elevation, neck disability index (NDI) of between 16 and 50 out of 100%, resting systolic and diastolic blood pressure between 90/60 and 138/88, and resting heart rate between 60 and 90. Subjects are excluded if they are current smoker, over 50 years of age, has a history of fainting spells or loss of consciousness, is on blood thinners, is taking medications for or have a history of diabetes mellitus, neurologic or cardiovascular disease, has a history of spinal surgeries, and has neck pain classified or associated with headache, radiating pain, and movement coordination impairments. A convenience sample of subjects will be randomly allocated to 1 of 2 groups. Both Group 1: AP and Group 2: LAT will receive posterior pressures and lateral glides respectively to one hypomobile segment. Baseline NPRS, and NDI will be collected at the initial visit. Systolic blood pressure (SBP) and heart rate (HR) will be measured with a OMRON automatic monitor recording time points: (1) 5 minutes, and (2) 7 minutes after lying supine; (3) during the 1st set, (4) 5th set of one of the glides, (5) 2 minutes after time point #4, and (6) 4 minutes after time point #4. After time point #6, a global rating of change (GROC) will immediately be collected based on the most painful neck movement. A finger pulse oximeter will be placed on the subjects' index finger to constantly monitor their pulse rate for slowing heart rate or asystole. The primary author will perform one of the techniques on all subjects. After one visit, a follow-up NPRS, and NDI will be collected again.
日期
最后验证: | 12/31/2015 |
首次提交: | 07/14/2014 |
提交的预估入学人数: | 07/22/2014 |
首次发布: | 07/23/2014 |
上次提交的更新: | 01/04/2016 |
最近更新发布: | 01/06/2016 |
实际学习开始日期: | 06/30/2014 |
预计主要完成日期: | 06/30/2016 |
预计完成日期: | 06/30/2016 |
状况或疾病
干预/治疗
Procedure: AP
Procedure: Lateral glides
相
手臂组
臂 | 干预/治疗 |
---|---|
Experimental: AP Anterior to posterior pressures 5x10 seconds per set with 10 seconds rest between each set | Procedure: AP Anterior to posterior pressures |
Experimental: Lateral glides Lateral glides 5x10 seconds per set with 10 seconds rest between each set | Procedure: Lateral glides Lateral glide |
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | All |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - Unilateral, non-traumatic, non-chronic mechanical neck pain - Numeric pain rating scale between 0-5/10 as the most painful neck movement (with passive scapular elevation) - Neck Disability Index between 16-50/100 percent - Resting blood pressure between 90/60 and 138/88 mmHg - Resting heart rate between 60 and 90 beats per minute Exclusion Criteria: - Current smoker - Under 18 years and over 50 years of age - History of fainting spells or loss of consciousness - Currently on blood thinners - Taking medications for or have a history of diabetes mellitus, neurologic or cardiovascular disease - History of spinal surgery - Has neck pain classified or associated headache, arm pain, trauma/whiplash |
结果
主要结果指标
1. Change in heart rate [7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4]
次要成果指标
1. Change in blood pressure [7 minutes before, 5 minutes before, During first set, During fifth set, 2 minutes after time point 4, 4 minutes after time point 4]
2. Change in Numeric Pain Rating Scale [Baseline and within 7 days after the intervention]
3. Change in Neck Disability Index [Baseline and 7 days after the intervention]
4. Global rating of change [Immediately after intervention]