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Cervical Spine Focused Treatment for Patients With Persistent Concussion Symptoms and Neck Pain
Sponsor: University of Pittsburgh
Summary
Assess the feasibility of recruiting, enrolling and randomizing patients with concussion symptoms and neck pain to receive manual therapy and cervical rehabilitative exercises in addition to standard concussion treatment. In the usual care workflow provided at the participating concussion clinic, cervical spine rehab is not typically introduced until after week 4. The rationale is that neck pain is often a self-limiting condition that may resolve spontaneously, without the need for specific cervical spine rehab. This study is chiefly focused on feasibility aims that revolve around developing changes to barriers in workflow issues at the participating concussion clinic, that would allow for earlier introduction of cervical spine rehab.
Official title: Cervical Spine Focused Treatment for Patients With Persistent Concussion Symptoms and Neck Pain: Pilot Study
Key Details
Gender
All
Age Range
12 Years - 50 Years
Study Type
INTERVENTIONAL
Enrollment
40
Start Date
2025-08-28
Completion Date
2026-07-15
Last Updated
2026-03-04
Healthy Volunteers
No
Conditions
Interventions
Cervical rehabilitation
* Manual joint mobilization (Grades I-V) of painful and restricted cervical spine segments. * Supine manual cervical traction to stretch and mobilize the cervical spinal tissues. * Manual soft tissue mobilization of the cervical, upper thoracic and/or shoulder muscles. * Passive stretching of hypertonic muscles and active strengthening of hypotonic muscles. * Motor-control and isometric exercises to activate the deep neck flexors.
Standard Concussion Care
Standard Concussion Care interventions are individualized to each patient and their adjudicated profile(s)/moderating factor(s) and may include any/all of the following: * Behavioral regulation * Vestibular rehabilitation * Oculomotor rehabilitation * Exertion rehabilitation * Pharmacological management * Behavioral sleep intervention * \*Cervical spine rehabilitation (the variable of interest in this study) * Psychotherapy
Locations (4)
UPMC sports medicine
Pittsburgh, Pennsylvania, United States
Greenfield Clinic-Children's Wisconsin
Milwaukee, Wisconsin, United States
UPMC Sports Surgery Clinic
Dublin, Ireland
Sports Medicine Northern Ireland
Belfast, United Kingdom