Brain's pain switch may predict neck pain relief
NCT ID NCT07194603
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 31 adults with chronic mild neck pain to see if a test called conditioned pain modulation (CPM) — which measures the brain's ability to turn down pain — could predict how well they respond to a common hands-on treatment called spinal mobilization. Participants received one session of neck mobilization and were followed for 4 weeks. The goal was to understand if baseline CPM or changes in CPM after treatment are linked to improvements in pain, disability, and perceived recovery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could help identify which patients with chronic neck pain are most likely to benefit from spinal mobilization, leading to more personalized treatment.
- What could go wrong
- This is a small, completed observational study (31 participants) with no control group. Results may not apply to everyone with neck pain, and the link between pain modulation and outcomes may be weak or absent.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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31 people
The number who actually took part.
- Started
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Jun 2021
- Finished
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Aug 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 55 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * neck pain classified as Neck Pain and Associated Disorder I (NAD) I with a duration of 3-60 months * a 3 or higher pain scale rating out of 10 on the Numeric Pain Rating Scale * modified STarTBack tool (modified for neck pain) classified as low risk (\< 3 out of 9) * a Neck Disability Index scored at 10% or higher Exclusion Criteria: * prior spinal surgery, those with serious underlying pathology including neurologic, cardiovascular, hypertension, diabetes mellitus, inflammatory arthritis, osteoporosis, hemophilia, cancer, contra-indications to cervical spine joint mobilization (or spinal mobilization of the neck) \[e.g., a history of fainting spells or loss of consciousness, presently on blood thinners\] * those who received spinal mobilization of the neck (or cervical spine joint mobilization) or physical therapy prescribed exercise in the past 3 months, current smokers, those with chronic widespread pain, those actively pursuing compensation, unable to work or with litigation pending or unable to communicate in English, persons who cannot tolerate 2 minutes of the cold pressor test (12 degrees Centigrade).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Azusa Pacific University
Azusa, California, 91702, United States
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