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Chiropractic Care for Neck Pain: Comparing Diversified Technique and Drop Table Method

ConditionsSpinal ManipulationNeck PainNon Specific Neck PainChiropractic
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorSEFA HAKTAN HATIK

About this trial

This study aims to compare the effects of two different chiropractic techniques, Diversified and Drop Table, on pain levels, cervical joint range of motion, and neck muscle strength in individuals with non-specific neck pain.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Sign a voluntary informed consent form.

Be between 18 and 65 years of age.

Have previously consulted an orthopedist or physical therapist for neck pain.

Have no contraindications to chiropractic interventions.

Disqualifiers

Are under 18 or over 65 years of age.

Have experienced cervical trauma within the last month.

Have any systemic illness.

Have any contraindication for chiropractic intervention (e.g., brain tumor, cervical fracture).

Trial design

Design model

Parallel

Treatments tested in this trial

  • Drop Table Technique

    Other intervention

    The Drop Table Technique is a chiropractic intervention that utilizes a segmented treatment table with adjustable sections that can be elevated slightly and then dropped. During the procedure, a high-velocity, low-amplitude (HVLA) thrust is applied while the specific segment of the table drops slightly in coordination with the thrust. This technique aims to reduce the resistance experienced during the adjustment and to enhance the mechanical effect on targeted spinal joints. In this study, the Drop Table Technique will be specifically applied to the cervical spine to address mechanical neck pain. All applications will be performed by a licensed chiropractor using standardized positioning and adjustment protocols to ensure consistency across sessions.

  • Cervical Spine Manipulation

    Other intervention

    Cervical spinal manipulation (SM) will be applied with the participant supine to restrictions found on motion palpation, following the technique described by Bergmann and Peterson. The participant's head and neck will be simultaneously rotated and laterally flexed over the contact point-specifically, the posterior supramastoid groove or zygomatic arch (C0-C1), the posterior aspect of the transverse process (C1-C2), or the posterior articular pillar of superior vertebrae (C2-C7)-to the end of passive range of motion (ROM). Subsequently, a high-velocity, low-amplitude thrust will be delivered in the direction of restricted movement. Participants with greater ROM restriction in the lateral plane will receive more laterally-to-medially directed thrusts. Participants with more restriction in rotation will be given thrusts in the direction of restricted axial rotation, and those with more restriction in extension will receive more anteriorly directed thrusts.

Treatment groups

45 Participants
are divided into 3 treatment groups
Group A: Diversified GroupExperimental treatment 1 intervention
Group B: Drop Table GroupExperimental treatment 1 intervention
Group C: Control GroupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

McGill Pain Questionnaire (MPQ)

Pain will be assessed using the full version of the McGill Pain Questionnaire (MPQ), which evaluates both the sensory, affective, evaluative, and miscellaneous components of pain. The MPQ includes: A list of 78 pain descriptors grouped into 20 categories, The Pain Rating Index (PRI), derived from the sum of rank values for selected descriptors, A Present Pain Intensity (PPI) score, rated on a scale of 0 (no pain) to 5 (excruciating), A Visual Analog Scale (VAS) for overall pain intensity. The primary outcome will be the change in total PRI and PPI scores from baseline to the end of the 4-week intervention. Measure Type: Ordinal and Continuous (PRI: rank-based score; PPI: 0-5 scale) Unit of Measure: Score (no unit)

Time frame
Baseline and Week 4

Secondary outcomes

1

Cervical Range of Motion

Measured in degrees using a goniometer in all planes of cervical motion.

Time frame
Baseline and 4th week
2

Isometric Neck Muscle Strength

Isometric neck muscle strength in flexion, extension, and right and left lateral flexion will be manually assessed using a microFET2 handheld dynamometer (Hoggan Health Industries).

Time frame
Baseline and 4th week

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

SEFA HAKTAN HATIK

Lead sponsor

Sinop University

Sponsor institution

Source ClinicalTrials.gov

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