Responses of People With Neck Pain Being Treated With Varying Doses of Manual Therapy: A Pilot Study

Summary

The purpose of this pilot project is to determine the feasibility of a study design to investigate how many sessions of manual therapy and exercise produce the best results for people with whiplash injuries. Also, this study will help us determine the best way to measure the effect of treatment. Finally, the investigators will study how closely the physiotherapists follow the treatment instruction provided in the study protocol and training. In order to achieve these objectives, 12 people will receive manual therapy and exercise at one of twelve different doses. the investigators will have each of these people fill out questionnaires, measure sensation changes, and measure changes in the way people move their necks while walking. This study will help us determine if the study protocol can be carried out as planned. This includes: the training of all people involved in carrying out the assessments and treatments, the willingness and ability of participants to take part in all of the treatment and measures involved. This will provide us with important information to help us plan a larger study with 226 people with whiplash injuries.

Conditions

• Whiplash Injuries

Interventions

BEHAVIORAL

Exercise and education once/week for 6 weeks

Exercises will include specific range of motion, strengthening, and motor control exercises for the neck and shoulder girdle. Education will include prognosis information, advice to stay active, and use of a book

BEHAVIORAL

Exercise and education twice/week for 6 weeks

Exercises will include specific range of motion, strengthening, and motor control exercises for the neck and shoulder girdle. Education will include prognosis information, advice to stay active, and use of a book about whiplash.

BEHAVIORAL

Exercise and education 3 times/week for 6 weeks

Exercises will include specific range of motion, strengthening, and motor control exercises for the neck and shoulder girdle. Education will include prognosis information, advice to stay active, and use of a book about whiplash.

OTHER

Manual therapy once/week for 3 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

OTHER

Manual therapy twice/week for 3 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

OTHER

Manual therapy 3 times/week for 3 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

OTHER

Manual therapy once/week for 6 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

OTHER

Manual therapy twice/week for 6 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

OTHER

Manual therapy 3 times/week for 6 weeks

Manual therapy will consist of low velocity mobilizations of the cervical and upper thoracic spine based on the findings of the treating physiotherapist.

Sponsors & Collaborators

• Physiotherapy Foundation of Canada

  collaborator UNKNOWN

• Jordan Miller, Graduate Student

  lead OTHER

Principal Investigators

• Jordan D Miller, MSc · McMaster University

• Joy C MacDermid, PhD · McMaster University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Model

FACTORIAL

Eligibility

Min Age

21 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2013-10-31

Primary Completion

2015-08-31

Completion

2016-09-30

Countries

• Canada

Study Locations