Status:

COMPLETED

Association Between Conditioned Pain Modulation and the 4-week Response to Spinal Mobilization in Adults With Chronic Neck Pain

Lead Sponsor:

Azusa Pacific University

Collaborating Sponsors:

Sacred Heart University

Conditions:

Neck Pain Musculoskeletal

Chronic

Eligibility:

All Genders

18-55 years

Phase:

NA

Brief Summary

The goal of this observational study is to learn if there is a relationship between conditioned pain modulation or CPM (a test of your brain's ability to inhibit pain) and longitudinal clinical outcom...

Detailed Description

It has been proposed that neck joint mobilization (JM) \[also known as spinal mobilization (SM) of the neck\] reduces pain by targeting conditioned pain modulation (CPM) Two studies support the theory...

Eligibility Criteria

Inclusion

  • neck pain classified as Neck Pain and Associated Disorder I (NAD) I with a duration of 3-60 months
  • a 3 or higher pain scale rating out of 10 on the Numeric Pain Rating Scale
  • modified STarTBack tool (modified for neck pain) classified as low risk (\< 3 out of 9)
  • a Neck Disability Index scored at 10% or higher

Exclusion

  • prior spinal surgery, those with serious underlying pathology including neurologic, cardiovascular, hypertension, diabetes mellitus, inflammatory arthritis, osteoporosis, hemophilia, cancer, contra-indications to cervical spine joint mobilization (or spinal mobilization of the neck) \[e.g., a history of fainting spells or loss of consciousness, presently on blood thinners\]
  • those who received spinal mobilization of the neck (or cervical spine joint mobilization) or physical therapy prescribed exercise in the past 3 months, current smokers, those with chronic widespread pain, those actively pursuing compensation, unable to work or with litigation pending or unable to communicate in English, persons who cannot tolerate 2 minutes of the cold pressor test (12 degrees Centigrade).

Key Trial Info

Start Date :

June 21 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 11 2022

Estimated Enrollment :

31 Patients enrolled

Trial Details

Trial ID

NCT07194603

Start Date

June 21 2021

End Date

August 11 2022

Last Update

September 26 2025

Active Locations (1)

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Azusa Pacific University

Azusa, California, United States, 91702