Chiropractic Care for Neck Pain: Comparing Diversified Technique and Drop Table Method
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Drop Table Technique, Cervical Spine Manipulation.
- Who it may be relevant to
- Registry conditions: Spinal Manipulation, Neck Pain, Non Specific Neck Pain, Chiropractic. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Chiropractic Diversified Technique and Drop Table Application in Patients With Neck Pain
Overview
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.
Detailed description
This randomized controlled trial aims to compare the effectiveness of two chiropractic techniques - the Diversified Technique and the Drop Table Technique - in individuals with mechanical neck pain. Mechanical neck pain is a common musculoskeletal condition associated with impaired cervical mobility, pain, and reduced quality of life.
Participants will be randomly assigned to one of three arms: (1) Diversified Technique group, (2) Drop Table Technique group, and (3) control group with no intervention. The interventions will be administered twice per week for four weeks by a chiropractor following standardized protocols. All participants will undergo evaluations at baseline and at the end of the 4-week intervention period.
The primary outcome measure is pain intensity and quality, assessed using the full version of the McGill Pain Questionnaire (MPQ), which evaluates sensory, affective, and evaluative components of pain. Secondary outcomes include cervical range of motion (CROM) and isometric neck muscle strength, measured with a goniometer and handheld dynamometer, respectively.
This study seeks to provide evidence on the comparative clinical effectiveness of two widely used chiropractic techniques for neck pain management. The findings may guide clinicians in selecting appropriate manual therapy approaches for patients with non-specific mechanical neck pain.
Interventions
- Other Drop Table Technique
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, th - Other Cervical Spine Manipulation
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 pas
Primary outcome measures
- McGill Pain Questionnaire (MPQ) [Time frame: Baseline and Week 4]
Secondary outcome measures (2)
- Cervical Range of Motion [Time frame: Baseline and 4th week]
- Isometric Neck Muscle Strength [Time frame: Baseline and 4th week]
Eligibility criteria
Inclusion criteria
- 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.
- Have no history of cervical surgery.
- Report neck pain lasting longer than 7 days.
Exclusion criteria
- 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).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Turkey (Türkiye) · 1 center
- Sinop University — Sinop
Identifiers
NCT: NCT07034144 · CMT0007