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Completed

NCT Number: NCT04545645

The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain

The main objective of this research is to evaluate the influence of different distraction stimuli on neural mechano-sensitivity tests.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CSEU La Salle

Madrid, 28023, Spain

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Men and women aged between 18 and 65 years
  • Medical diagnosis of non specific chronic neck pain with more than 6 months of evolution of neck pain

Exclusion criteria

  • Patients with rheumatic diseases, cervical hernia, cervical whiplash syndrome, neck surgeries o a history of arthrodesis
  • Systemic diseases
  • Vision, hearing or vestibular problems
  • Severe trauma or a traffic accident that had an impact on the cervical area.

Treatment and study plan

median nerve mobilization

Behavioral

The patient is placed in a supine position and his cervical spine with 25º of lateral flexion on the opposite side of the member in which we perform the test. First a passive scapular depression is performed, 90º of shoulder abduction combining external shoulder rotation. Next, a supination of the forearm is performed with wrist extension and finger extension. Finally, the elbow is extended to the limit of resistance or when the investigator observes the elevation of the shoulder girdle.

Neural stress provocation with cognitive auditory distraction

Behavioral

Neural provocation of the median nerve is performed but an auditory distraction is added with a metronome with a constant time of 50 beats per minute.

Providing neural stress with a motor distraction

Behavioral

The neural provocation of the median nerve is performed and we add a motor distraction that consists of the patient intermittently squeezing a ball with the opposite hand.

Neural stress provocation with auditory and motor cognitive distraction.

Behavioral

The neural provocation of the median nerve is performed, we add auditory distraction with the metronome with a constant time of 50 BPM and a motor distraction consisting of squeezing a ball to the rhythm that sounds the metronome.

Primary outcomes

  1. Mechanosensitivity based on range of motion

    Time frame: Change in pressure pain threshold immediately at the end of the intervention

    The inclinometer, an instrument characterized by the constant use of gravity as a reference point to evaluate mobility, is used to evaluate the range of nerve movement.

  2. Pain intensity

    Time frame: Change in pain intensity immediately at the end of the intervention

    It is the subjective feeling of self-reported pain ranging from 0-100 points.

Sponsors and collaborators

Lead sponsor

Universidad Autonoma de Madrid

Other

Collaborators

  • Centro Universitario La Salle

Registry information

Official study title

The Effect of Auditory and Motor Cognitive Distractions on the Neural Provocation Test in Subjects With Neck Pain: A Randomized Controlled Trial

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Sep 11, 2020
Registry last updated
Sep 11, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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