Immediate Effects Cervicothoracic Manipulation Versus Passive Upper Trapezius Stretch
Immediate Effects Cervicothoracic Manipulation Versus Passive Upper Trapezius Stretch
The proposed project seeks to evaluate the influence of cervicothoracic (CT) manipulation and
 passive stretching to the upper trapezius on pressure pain thresholds and range of motion
 (ROM) in individuals without recent complain of neck pain.
Not needed
Inclusion Criteria:

 1. No current history or past history of neck pain; able to lie on back or stomach without
 difficulty

 Exclusion Criteria:

 1. 'Red flag' items indicated in your Neck Medical Screening Questionnaire such as
 history of a tumor, bone fracture, metabolic diseases, Rheumatoid Arthritis,
 osteoporosis, severe atherosclerosis, prolonged history of steroid use, etc.

 2. History of neck whiplash injury

 3. Diagnosis from your physician of cervical spinal stenosis (narrowing of spinal canal)
 or presence of symptoms (pain, pins and needles, numbness) down both arms

 4. Presence of central nervous system involvement such as exaggerated reflexes, changes
 in sensation in the hands, muscle wasting in the hands, impaired sensation of the
 face, altered taste, and presence of abnormal reflexes

 5. Evidence of neurological signs consistent with nerve root entrapment (pinched nerve in
 the neck)

 6. Prior surgery to your neck or upper back

 7. A medical condition which may influence assessment of pain or pressure pain thresholds
 (i.e. taking analgesics, sedatives, history of substance abuse, or cognitive
 deficiency)

 8. Diagnosis from your physician of fibromyalgia syndrome

 9. Currently pregnant, or could be pregnant