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Trial registered on ANZCTR
Registration number
ACTRN12612000262808
Ethics application status
Approved
Date submitted
29/02/2012
Date registered
5/03/2012
Date last updated
27/06/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
The relationship between movement of individual vertebrae and symptoms in patients with neck pain
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Scientific title
For people with neck pain receiving manual therapy treatment, how does their segmental mobility alter in relation to improvements in active range of movement?
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Secondary ID [1]
280059
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nil
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Universal Trial Number (UTN)
U1111-1128-7265
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
neck pain
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Condition category
Condition code
Musculoskeletal
286154
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
286164
286164
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive manual therapy treatment for up to eight minutes on one occasion. The treatment will be localised mobilisation to one intervertebral location involving oscillatory movements and will not include high velocity thrusts. Treatment will be performed by a titled musculoskeletal physiotherapist who is registered to practice in Australia.
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Intervention code [1]
284382
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Treatment: Other
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Comparator / control treatment
Repeated measures before and after treatment.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Measurement of segmental cervical mobility of the cervical spine by comparing segmental posiitons in MRIs taken in neutral before and at their limit of rotation before manual therapy treatment.with MRIs taken at after the participant's range of active movement has improved following in their pre-treatment limit of rotation and their new limit of movement.
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Assessment method [1]
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Timepoint [1]
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One treatment session immediately before and after manual therapy intervention.
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Secondary outcome [1]
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changes in stiffness to an externally applied indentor to individual levels of the cervical spine.
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Assessment method [1]
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Timepoint [1]
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One treatment session immediately before and after manual therapy intervention.
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Eligibility
Key inclusion criteria
Inclusion criteria will be similar to our previous studies for
the symptomatic groups i.e. local neck pain for more than two weeks duration. Active neck rotation will be limited by more than 15 degrees to one side producing less than 4/10 pain at the limit of movement and findings on motion palpation of increased stiffness at a location corresponding to their symptoms.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
For all
groups, exclusion criteria will be a current third party claim, a history of
trauma within the previous six months, any contraindications to treatment by
manual therapy, or any contraindications to having a CT scan such as
pregnancy, previous exposure to ionising radiation etc.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
All subjects recieve the same intervention.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
Repeated measures
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
28/06/2018
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Actual
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Date of last participant enrolment
Anticipated
31/10/2018
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Actual
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Date of last data collection
Anticipated
24/12/2018
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Actual
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Sample size
Target
18
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment postcode(s) [1]
5035
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4222
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Recruitment postcode(s) [2]
5036
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4215
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Griffith University School of Physiotherapy and Exercise Science
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Address
Gold Coast Campus, Queensland 4222
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Griffith University Human Research Ethics Committee
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Ethics committee address [1]
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Dr Gary Allen Manager, Research Ethics Office for Research G39 room 3.55 Gold Coast Campus Griffith University, 4222 Queensland
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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28/02/2012
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Ethics approval number [1]
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PES/03/12/HREC
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Summary
Brief summary
Aims: Determine how, in people with neck pain, segmental spinal mobility changes following manual therapy. Background: Little is known about the specific mechanisms underlying neck pain, the subsequent limitation of movement, or the mechanisms of manual therapy interventions. There has been an international focus on improving the understanding of the underlying pathophysiology of spinal pain and on the pathophysiological effects of treatment to improve patient outcomes and reduce the cost and disability associated with spinal pain. One way of accessing this problem is to investigate what aspects of the person's condition changes when they improve following an intervention. Recently, methods involving MRI have become available that will allow such investigations to occur. Experimental procedure: Participants will be required to: (i) Undergo a standard physiotherapy assessment which includes taking a patient history and conducting a physical examination to ensure the patient is suitable for manual therapy treatment and that they have a limitation of rotation of at least 10 degrees. (ii) Attend Allamanda Private Hospital or a local radiology facility for assessment and treatment. Here one MRI of the cervical spine examination will be performed. (iii) Following the MRI, pain and range of rotation will be measured. One therapist will perform a palpation assessment. One segment considered to be contributing to the patient’s symptoms will be marked by taping a 0.8mm diameter sphere that will be visible on the fluoroscopic images. A second therapist will apply a manual therapy treatment for up to 4 mins to the segment selected. The treatment will be repeated until there is an increase of greater than 10 degrees in rotation or up to a maximum of 8 mins, whichever comes first. A second fluoroscopic examination will then be conducted.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Neil Tuttle
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Address
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School of Allied Health Sciences, Griffith University Gold Coast Campus. Parklands Dr, Southport QLD 4215, Queensland.
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Country
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Australia
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Phone
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+61` 7 55528930
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Neil Tuttle
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Address
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School of Allied Health Sciences, Griffith University Gold Coast Campus. Parklands Dr, Southport QLD 4215, Queensland.
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Country
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Australia
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Phone
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+61,7,55528930
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Fax
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+61,7,55528674
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Email
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[email protected]
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Contact person for scientific queries
Name
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Neil Tuttle
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Address
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School of Allied Health Sciences, Griffith University Gold Coast Campus. Parklands Dr, Southport QLD 4215, Queensland.
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Country
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Australia
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Phone
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+61,7,55528930
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Fax
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+61,7,55528674
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
Current Study Results
No documents have been uploaded by study researchers.
Update to Study Results
Doc. No.
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
New Record*
Study results article
Yes
https://doi.org/10.1016/j.msksp.2021.102457
Tuttle, N., Evans, K., & dos Santos Rocha, C. S. (...
[
More Details
]
Abstract.docx
Documents added automatically
No additional documents have been identified.
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