Status:
TERMINATED
Validation of CPR for Manipulation for Neck Pain
Lead Sponsor:
University of Nevada, Las Vegas
Conditions:
Cervicalgia
Eligibility:
All Genders
18-70 years
Phase:
NA
Brief Summary
The purpose of this study is to see if a recently developed clinical prediction rule (CPR) will successfully identify which patients with neck pain will respond rapidly and favorably to manipulation o...
Detailed Description
Consenting patients with a primary complaint of neck pain will be screened for contraindications to cervical spine manipulation and if eligible to participate in the study, will undergo a detailed sub...
Eligibility Criteria
Inclusion
- Primary complaint of mechanical neck pain with or without unilateral upper extremity symptoms (mechanical neck pain is defined as neck pain/ symptoms that are altered/ affected by activity, movement and posture)
- NDI score at least 10 points out of 50.
Exclusion
- Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e. tumor, fracture, metabolic diseases, Rheumatoid Arthritis, osteoporosis, prolonged history of steroid use, etc.)
- History of whiplash injury within the past six weeks
- Diagnosis of cervical spinal stenosis or bilateral upper extremity symptoms
- Evidence of central nervous system involvement, to include hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, the presence of pathological reflexes (i.e. positive Hoffman's and/or Babinski reflexes), etc.
- Two or more positive neurologic signs consistent with nerve root compression, including any two of the following: a. Muscle weakness involving a major muscle group of the upper extremity b. Diminished upper extremity muscle stretch reflex (biceps brachii, Brachioradialis, or triceps reflex) c. Diminished or absent sensation to pinprick in any upper extremity dermatome
- Prior surgery to the neck or thoracic spine
- Pending legal action regarding their neck pain
- Insufficient English language skills to complete all questionnaires
- Inability to comply with treatment and follow-up schedule
Key Trial Info
Start Date :
September 1 2015
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
August 26 2017
Estimated Enrollment :
86 Patients enrolled
Trial Details
Trial ID
NCT02287337
Start Date
September 1 2015
End Date
August 26 2017
Last Update
October 22 2019
Active Locations (1)
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1
University of Nevada Las Vegas
Las Vegas, Nevada, United States, 89178