NCT05859815

The Role of Mechanical Diagnosis and Therapy in the Management of Concussion

The Role of Mechanical Diagnosis and Therapy in the Classification and Management of Concussion

• Status: Terminated
• Phase: —
• Study type: Observational
• Enrollment: 13 (actual)
• Sponsor: State University of New York at Buffalo · Academic / Other
• Sex: All
• Age: 13 Years – 65 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to examine the role of a Mechanical Diagnosis and Therapy (MDT) examination in identifying participants diagnosed with concussion who display a directional preference compared to who don't display a directional preference.

Detailed description

Directional preference describes the clinical phenomenon where a specific direction of repeated movement and / or sustained position results in a clinically relevant improvement in symptoms. This improvement is usually accompanied by an improvement in function or mechanics or both. Its presence and relevance is determined over 2-3 visits. This study aims to identify the proportion of participants with concussion who present with a directional preference during the course of physical therapy. A secondary aim of this study is to investigate whether directional preference is associated with the eventual patient related outcomes following care.

Conditions

• Brain Concussion
• Mild Traumatic Brain Injury

Interventions

Type	Name	Description
BEHAVIORAL	Physical Therapy	As part of their normal care, participants will receive any combination of the following interventions to address their specific needs identified during the initial evaluation: cervical spine repeated movements (active range of motion), cervical spine stabilization exercise, aerobic exercise, motor control training, oculomotor/vestibular rehabilitation, stretching, soft-tissue mobilization, joint mobilization, and postural re-education activities.

Timeline

• Start date: 2023-07-20
• Primary completion: 2026-02-10
• Completion: 2026-02-10
• First posted: 2023-05-16
• Last updated: 2026-02-13

Locations

2 sites across 1 country: United States