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Trial registered on ANZCTR
Registration number
ACTRN12606000417583
Ethics application status
Approved
Date submitted
21/09/2006
Date registered
26/09/2006
Date last updated
26/09/2006
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of manipulation for recent onset neck pain. A randomised controlled trial
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Scientific title
A randomised controlled trial to evaluate the efficacy of manipulation in hastening recovery of symptoms and disability in neck pain of recent onset.
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Universal Trial Number (UTN)
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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:
Acute and subacute neck pain
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Condition category
Condition code
Musculoskeletal
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental group: 4 sessions of neck manipulation of up to 30 minute duration provided by an experienced manipulative physiotherapist or chiropractor over 2 weeks
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Intervention code [1]
1369
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Treatment: Other
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Comparator / control treatment
Control group: 4 sessions of neck mobilisation of up to 30 minute duration provided by an experienced manipulative physiotherapist or chiropractor over 2 weeks
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Control group
Active
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Outcomes
Primary outcome [1]
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The number of days to recovery of neck pain. Recovery is defined as a pain score of 0 on a 10 point pain scale for 7 consecutive days
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Assessment method [1]
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Timepoint [1]
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The participants will keep a daily record of pain scores for 3 months.
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Secondary outcome [1]
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Time to recovery of disability
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Assessment method [1]
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Timepoint [1]
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Measured at 12 weeks.
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Secondary outcome [2]
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Neck Disability Index
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Assessment method [2]
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Timepoint [2]
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Measured at 12 weeks.
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Secondary outcome [3]
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Patient Specific Functional Scale
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Assessment method [3]
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Timepoint [3]
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Measured at 12 weeks.
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Secondary outcome [4]
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SF-12
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Assessment method [4]
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Timepoint [4]
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Measured at 12 weeks.
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Secondary outcome [5]
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Global perceived effect.
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Assessment method [5]
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Timepoint [5]
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Measured at 12 weeks.
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Eligibility
Key inclusion criteria
1) primary complaint of neck pain of <3 months duration preceded by >1month without neck pain, 2) English speaking, 3) neck manipulation is considered a suitable treatment by the treating practitioner.
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Minimum age
18
Days
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Maximum age
70
Years
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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
1) neck pain related to whiplash associated disorder or other trauma 2) serious spinal pathology (metastatic, inflammatory or infective diseases of the spine, or fracture) 3) nerve root compromise 4) spinal cord compromise 5) neck surgery in the past 12 months.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sequentially numbered sealed envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A computer generated random allocation sequence will be prepared by a statistician who is not involved in subject recruitment or data collection.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Assessor blinded
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
25/09/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
182
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health and Medical Research Council project grant
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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
The University of Sydney
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Address
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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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nil
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Address [1]
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Country [1]
1419
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
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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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Ethics approval number [1]
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02-2006/3/8758
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Summary
Brief summary
Manipulation is a common treatment for non-specific neck pain. Neck manipulation, unlike gentler forms of manual therapy such as mobilisation, is associated with a small risk of serious neurovascular injury and can result in stroke or death. There is long standing and vigorous debate both within and between the professions that practice neck manipulation and the wider scientific community as to whether neck manipulation potentially does more harm than good. Both manipulation and mobilisation, when used in combination with exercise are more effective than placebo or other treatments for subacute and chronic neck pain. It is not known however, if manipulation leads to more rapid or more complete recovery than safer manual therapy techniques for neck pain of recent onset. This randomised controlled trial will compare the effectiveness of manipulation and mobilisation for an episode of recent onset neck pain.
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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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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Mr Andrew Leaver
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Address
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School of Physiotherapy
Faculty of Health Sciences
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 9351 9682
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Fax
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+61 2 9351 9681
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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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Prof Kathryn Refshauge
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Address
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School of Physiotherapy
Faculty of Health Sciences
PO Box 170
Lidcombe NSW 1825
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Country
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Australia
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Phone
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+61 2 93519262
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Fax
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+61 2 9351 9681
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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
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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