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Trial registered on ANZCTR
Registration number
ACTRN12611001033932
Ethics application status
Approved
Date submitted
27/09/2011
Date registered
29/09/2011
Date last updated
6/07/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Effects after the application of the first rib thrust technique in patients with whiplash syndrome.
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Scientific title
The first rib thrust technique applied to patients suffering from whiplash disorder causing changes in muscle hardness and pressure pain theresholds.
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Secondary ID [1]
273119
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"Nil known"
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Universal Trial Number (UTN)
U1111-1124-7118
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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:
Whiplash disorder
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Muscle hardness
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Pressure pain thresholds
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Condition category
Condition code
Physical Medicine / Rehabilitation
279044
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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
Before the intervention, the practitioner will take preintervention measurement of the hardness of some muscles with a Myotonometer and the pressure pain thresholds with an algometer.
After the measurements,(40 minutes) the practitioner will apply a thrust technique to the first rib with the patient in seated position and the practitioner behind him. The technique has a duration of 90 seconds.The measurements will be taken again after the thrust technique, so the thrust technique will be applied only once to the patient.
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Intervention code [1]
269456
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Treatment: Other
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Intervention code [2]
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Rehabilitation
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Comparator / control treatment
The same intervention will be made to the control group, but they will receive a sham- manual technique: the therapist will simule the manipulative procedure but without taking up the tissue tension or performing any thrust action. This position will be mantained for 15 seconds.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Changes in the hardness of the following muscles: masseter, stercleidomastoideus, scalenus, trapezius, biceps and triceps in relaxed and contracted position.
To perform these steps it will be used a Myotonometer (R). These will be the preintervention measurements. After the intervention the measurements will be repeated (postintervention measurements).
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Assessment method [1]
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Timepoint [1]
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Preintervention measurements will be taken immediately prior to the intervention. Post intervention measurements will be taken immmediately post the intervention.
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Secondary outcome [1]
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Changes in pressure pain theresholds on the following points: a point through the path of the trigeminus nerve, a point through the path of the median nerve, a point through the path of the cubital nerve, a point at the trapezius muscle, at the biceps muscle and at the triceps muscle. These will be preintervention measurements
These measurements will be taken with a surface algometer. After the intervention the measurements will be repeated (postintervention measurements).
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Assessment method [1]
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Timepoint [1]
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Preintervention measurements will be taken immediately prior to the intervention. Post intervention measurements will be taken immmediately post the intervention.
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Eligibility
Key inclusion criteria
1. Patients who are diagnosed of Whiplash grade I or II according to the Quebec Task Force.
2. .Patients who show a positive response to the cervical rotation lateral flexion test.
3. Patients who give written informed consent.
4. Man or woman over 18 and under 65 years old.
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Minimum age
18
Years
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Maximum age
65
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
`-Patients suffering from cervicalgia, if this one is not related to the whiplash syndrome.
-Patients who pretend to have suffered a whiplash.
-Patients who are not diagnosed as have had suffered a whiplash.
- Level III or more by the Quebec Task Force classification.
-Malformations or previous injuries.
-Contraindication to the first rib manipulation technique, such as fracture at any level of the cervical spine.
-Tumor, osteitis, risk of cerebral hemorrhage.
-Any kind of rheumatism.
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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)
Every subject will choose a red ball or a green ball. If he chooses he green one , he will be recruited to the control group. The subject who chooses the red ball will be recruited to the tratment group.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
randomization.com website
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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
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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
Completed
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Date of first participant enrolment
Anticipated
12/09/2011
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Actual
12/09/2011
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Date of last participant enrolment
Anticipated
18/01/2012
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Actual
18/01/2012
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Date of last data collection
Anticipated
26/01/2012
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Actual
26/01/2012
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment outside Australia
Country [1]
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Spain
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State/province [1]
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Seville
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Seville
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Address [1]
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Physiotherapy, Nursing and Podology Center. Avicena St.
41009 Seville (Spain)
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Country [1]
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Spain
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Primary sponsor type
University
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Name
Marta Pena Salinas
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Address
Physiotherapy Department. University of Seville. Avicena St., 41009
Seville (Spain)
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Country
Spain
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Secondary sponsor category [1]
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University
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Name [1]
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University of Seville
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Address [1]
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Avicena St. 41009- Seville (Spain)
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Country [1]
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Spain
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics Committee, University of Seville.
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Ethics committee address [1]
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Ethics committee country [1]
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Spain
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Date submitted for ethics approval [1]
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07/07/2011
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Approval date [1]
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16/07/2011
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Ethics approval number [1]
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Summary
Brief summary
Muscles show several changes after a traumatic event, such a whiplash. We will focus our study into changes in the hardness of a number of muscles in patients suffering from a whiplash. We will use a device called Myotonometer for this purpose. We will also measure changes in pressure pain threshold in these patients with an algometer. The measures will be taken before and after the intervention. The intervention will consist of a first rib manipulation technique.
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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 Marta Pena Salinas
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Address
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Physiotherapy Department.
Avicena St, , 41009, Seville (Spain)
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Country
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Spain
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Phone
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+0034636287228
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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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Marta Pena Salinas
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Address
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Physiotherapy Department. University of Seville, Avicena St, Seville-41009 (Spain)
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Country
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Spain
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Phone
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+0034 636 287228
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Fax
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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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Marta Pena Salinas
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Address
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Berlin St 20, Seville, 41012-Spain
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Country
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Spain
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Phone
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+0034 636 287228
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Fax
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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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