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Cervicobrachial SyndromeNCT05173636

Effects of Cervical Lateral Glide Along With Thoracic Mobilizations in Patients With Neurogenic Cervicobrachial Pain.

A study testing cervical lateral glide and thoracic mobilization technique in people with Cervicobrachial Syndrome, run by Riphah International University at 1 site in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

In the scientific literature, cervicobrachial pain is the presence of pain in the neck that radiates or refers to the arm. It is considered as common spine disorder with upper quadrant pain due to muscles, joints or intervertebral discs. Read more about this study

Who is it for?
Ages 25 to 45 years
Conditions the study is for
Cervicobrachial Syndrome
What is being tested?
cervical lateral glide and thoracic mobilization technique
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 sitePakistan
Study dates
30 Jun 2021to 20 Jan 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 45 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Pain in upper quadrant associated with cervical spine eliciting unilateral neck pain.
  • Paresthesia and numbness in the neck and arm for at least three continuous months
  • Active movements of cervical spine (extension, lateral flexion to either side or ipsilateral rotations) and arm movements reproducing pain.
  • Symptom reproduction on passive movements in the same pattern as with active movements.
  • Elicitation of adverse response (in terms of range of movement and reproduction of symptoms) to neural tissue provocation testing of median, ulnar and radial nerves and subsequent symptom alteration with neural tissue differentiating maneuvers.
  • Tenderness at transverse processes of cervical spine (nerve roots), nerve trunks of median, ulnar and radial nerves at different anatomical locations in the course of respective neural tissue.
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  • Hyperalgesic related cutaneous tissues on palpation (tender points).
  • Evidence of a related pathology (example: radiological evidence of cervical disc pathology in the vicinity of involved nerve roots or evidence of stenosis at cervical neural foramen as diagnosed by a qualified musculoskeletal Radiologist)
  • provoked or spontaneous paresthesia and pain with radicular distribution
  • Positive results in the following tests: Spurling, Distraction, and Upper Limb tension test.
  • Diagnosis will be based upon subjective presentation of patient's pain pattern which includes somatic referred pain and neurogenic radiating symptoms.

Who cannot join

  • Bilateral symptoms (due to unilateral nature of lateral glide mobilization technique).
  • History of spinal surgery
  • Systemic diseases besides neck pain.
  • Vertebral infections.
  • Presented red flags.
  • Used analgesics within 48 hours before initial assessment.

Trial locations and contacts

1 site in 1 country.

Pakistan1 site
  • Benazir Bhutto Hospital

    Rawalpindi, Punjab Province, 43600

Other trials in Pakistan

About this study

Official title: Effects of Cervical Lateral Glide Mobilizations Along With Thoracic Mobilizations in Patients With Neurogenic Cervicobrachial Pain.

In the scientific literature, cervicobrachial pain is the presence of pain in the neck that radiates or refers to the arm. It is considered as common spine disorder with upper quadrant pain due to muscles, joints or intervertebral discs. This study aims to compare the effects of direct neural tissue technique that is cervical lateral glide mobilization along with indirect neural tissue mobilization technique that is thoracic mobilization on pain, range of motion, endurance of neck flexors and functional ability in patients with cervicobrachial pain.

Read the detailed description

The exact incidence of cervicobrachial pain syndrome is not known due to the paucity of population-based studies, patients suffering the symptoms of this condition frequently attend for physiotherapy.

In the scientific literature, cervicobrachial pain is the presence of pain in the neck that radiates or refers to the arm. It is considered as common spine disorder with upper quadrant pain due to muscles, joints or intervertebral discs. Upper quadrant discomfort involves neck, shoulder, arm, upper back but neural tissue sensitivity to mechanical stimuli portrays to be the essential element of cervicobrachial pain. It generally refers to neck pain that along with paresthesia is radiating to one upper extremity and leading to muscle imbalances. Elvey planned some clinical tests to recognize the problems of neurogenic disorders that are responsive to non-intrusive physical therapy treatment. The acceptability of these tests from effective treatments has not been adequately proven yet.

According to the literature cervical lateral glide is considered as first line treatment in reducing pain and improving upper limb function and is specifically very effective in patients of cervicobrachial pain syndrome. Cervical lateral glide has hypoalgesic effect on neck and arm pain. It is thought that this technique stimulates cervical afferents which can affect pain processes at spinal cord and cortical levels. A study was conducted in which passive techniques for mobilizing neural tissue and cervical spine were given as direct manual therapy treatment. Thoracic mobilization corresponds to indirect neural mobilization that is effective in reducing pain and functional limitations when incorporated with cervical spine mobilization that is referred as direct neural mobilization in patients of cervicobrachial pain. Evidence suggests that improvement in cervical stability and thoracic mobility achieved through manual therapy is significant in reducing neck pain and improving functional motion This study would help to investigate the delineation between specific and non-specific components of manual therapy. This study aims to compare the effects of direct neural tissue technique that is cervical lateral glide mobilization along with indirect neural tissue mobilization technique that is thoracic mobilization on pain, range of motion, endurance of neck flexors and functional ability in patients with cervicobrachial pain.

Being tested
cervical lateral glide, thoracic mobilization technique
Keywords
Pain, Range of motion, Cervicobrachial pain, Cervical lateral glide, Thoracic mobilization
Medical subject headings
Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • cervical lateral glideOther

    A cervical segmental contralateral lateral glide treatment technique is performed at 1 or more motion segments of the cervical spine (C5-T1), including the level(s) of the segmental motion restriction. With the patient in a supine position, the therapist cradled the head and neck above, and including, the level to be treated and performed a lateral translatory movement away from the involved side while minimizing gross cervical side flexion or rotation.

  • thoracic mobilization techniqueOther

    Participants in group B will be given cervical lateral glide along with thoracic mobilization technique in prone position.

Study groups in NCT05173636
Study groupRoleWhat they receive
cervical lateral glideExperimentalA cervical segmental contralateral lateral glide treatment technique is performed at 1 or more motion segments of the cervical spine (C5-T1), including the level(s) of the segmental motion restriction. With the patient in a supine position, the therapist cradled the head and neck above, and including, the level to be treated and performed a lateral translatory movement away from the involved side while minimizing gross cervical side flexion or rotation.
Receives: Other: cervical lateral glide; Other: thoracic mobilization technique
thoracic mobilizationExperimentalA posteroanterior unilateral pressure will be applied over the transverse processes at T2-T5 on the ipsilateral side of pain in prone position.
Receives: Other: cervical lateral glide; Other: thoracic mobilization technique

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Numeric pain rating scale for pain

    Numeric pain rating scale is used to capture the patient's level of pain. Patients will be asked to indicate the intensity of current, best, and worst levels of pain over the past 24 hours using an 11-point scale, ranging from 0 (no pain) to 10 (worst pain imaginable). This scale exhibit fair to moderate test-retest reliability and show adequate responsiveness in patients with neck pain. Assessment to be done at base line

    Measured: at base line

  2. Numeric pain rating scale for pain

    Numeric pain rating scale is used to capture the patient's level of pain. Patients will be asked to indicate the intensity of current, best, and worst levels of pain over the past 24 hours using an 11-point scale, ranging from 0 (no pain) to 10 (worst pain imaginable). This scale exhibit fair to moderate test-retest reliability and show adequate responsiveness in patients with neck pain. Assessment to be done at 2nd week.

    Measured: at 2nd week

  3. Numeric pain rating scale for pain

    Numeric pain rating scale is used to capture the patient's level of pain. Patients will be asked to indicate the intensity of current, best, and worst levels of pain over the past 24 hours using an 11-point scale, ranging from 0 (no pain) to 10 (worst pain imaginable). This scale exhibit fair to moderate test-retest reliability and show adequate responsiveness in patients with neck pain. Assessment to be done at 4th week.

    Measured: at 4th week

  4. Northwick Park neck pain questionnaire (for physical function)

    Function will be measured by the Northwick Park Neck Pain Questionnaire that is divided into nine-five parts sections. The questionnaire is easy for patients to complete, simple to score and provides an objective measure to evaluate outcome in patients with acute or chronic neck pain. This questionnaire has been demonstrated to have short-term repeatability and long-term sensitivity to change. Assessment to be done at baseline.

    Measured: at baseline

  5. Northwick Park neck pain questionnaire (for physical function)

    Function will be measured by the Northwick Park Neck Pain Questionnaire that is divided into nine-five parts sections. The questionnaire is easy for patients to complete, simple to score and provides an objective measure to evaluate outcome in patients with acute or chronic neck pain. This questionnaire has been demonstrated to have short-term repeatability and long-term sensitivity to change. Assessment to be done at 2nd week.

    Measured: at 2nd week

  6. Northwick Park neck pain questionnaire (for physical function)

    Function will be measured by the Northwick Park Neck Pain Questionnaire that is divided into nine-five parts sections. The questionnaire is easy for patients to complete, simple to score and provides an objective measure to evaluate outcome in patients with acute or chronic neck pain. This questionnaire has been demonstrated to have short-term repeatability and long-term sensitivity to change. Assessment to be done at 4th week

    Measured: at 4th week

  7. Cervical range of motion by Goniometer

    cervical range of motion will be measured by using universal goniometer. It is a reliable tool for assessing cervical range of motion in a clinical setting and is cheap. Assessment to be done at baseline.

    Measured: at baseline

  8. Cervical range of motion by Goniometer

    cervical range of motion will be measured by using universal goniometer. It is a reliable tool for assessing cervical range of motion in a clinical setting and is cheap. Assessment to be done at 2nd week.

    Measured: at 2nd week

  9. Cervical range of motion by Goniometer

    cervical range of motion will be measured by using universal goniometer. It is a reliable tool for assessing cervical range of motion in a clinical setting and is cheap. Assessment to be done at 4th week.

    Measured: at 4th week

  10. Deep neck flexor endurance test

    Neck flexor endurance will be measured with deep neck flexor endurance test(Rectus Capitus Anterior, Rectus Capitus Lateralis, Longus Capitus, Longus Colli). It will be performed in a supine lying position by tucking patients chin in and lifting off table 1 inch. The examiner will look for substitution of the platysma or sterno-cleido mastoid muscle. The flexor endurance test showed good intertester and intratester reliability when two values were averaged and, thus, may represent a useful clinical tool for practitioners involved in treating and preventing neck pain. Assessment to be done at baseline.

    Measured: at baseline

  11. Deep neck flexor endurance test

    Neck flexor endurance will be measured with deep neck flexor endurance test(Rectus Capitus Anterior, Rectus Capitus Lateralis, Longus Capitus, Longus Colli). It will be performed in a supine lying position by tucking patients chin in and lifting off table 1 inch. The examiner will look for substitution of the platysma or sterno-cleido mastoid muscle. The flexor endurance test showed good intertester and intratester reliability when two values were averaged and, thus, may represent a useful clinical tool for practitioners involved in treating and preventing neck pain. Assessment to be done at 2nd week.

    Measured: at 2nd week

  12. Deep neck flexor endurance test

    Neck flexor endurance will be measured with deep neck flexor endurance test(Rectus Capitus Anterior, Rectus Capitus Lateralis, Longus Capitus, Longus Colli). It will be performed in a supine lying position by tucking patients chin in and lifting off table 1 inch. The examiner will look for substitution of the platysma or sterno-cleido mastoid muscle. The flexor endurance test showed good intertester and intratester reliability when two values were averaged and, thus, may represent a useful clinical tool for practitioners involved in treating and preventing neck pain. Assessment to be done at 4th week.

    Measured: at 4th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Dec 2021
  2. Study start30 Jun 2021
  3. Primary completion20 Jan 2022
  4. Study completion20 Jan 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05173636
Sponsor's protocol ID
REC-01051 Alisha Khan
Status last verified
Feb 2022
First submitted
13 Dec 2021
Last updated
2 Feb 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing cervical lateral glide and thoracic mobilization technique in people with Cervicobrachial Syndrome, run by Riphah International University at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Feb 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Numeric pain rating scale for pain (time frame: at base line). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Feb 2022.

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