Effects of Two Sub-occipital Techniques on Limited Mobility According to the Flexion-rotation Test

NCT ID: NCT02855216

Last Updated: 2018-05-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-08-31
• Study Completion Date: 2017-10-31

Brief Summary

The cervical spine should work as a functional unit. If hypomobility should exist in any of the segments it would limit the mobility of the spine as a whole. Although it is frequent that certain cervical segments present hypomobility, they are not always related to symptomatology. The effects of inhibition sub-occipital techniques on cervical mobility have not been evaluated.

The objetive of this trials is to assess and compare the effects on cervical mobility, of the manual technique of sub-occipital inhibition by applying pressure and self-treatment by way of Occipivot® cushion, in subjects with no cervical symptomatology but with limited mobility assessed by the flexion-rotation test.

Conditions

Upper Cervical Spine Rotational Hypomobility

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Manual technique of sub-occipital inhibition

The technique applied to Manual Group was performed with the patient supine position. Physiotherapist in a sitting position at the head of the subject with forearms resting on the table . Suboccipital region was located , and flexing the metacarpophalangeal joints 90º a pressure was made ventrally , relaxing the rest of the head in the heel of the hand.

The technique was performed for 5 minutes

Group Type: EXPERIMENTAL

Manual technique of sub-occipital inhibition

Intervention Type: OTHER

Self-treatment by way of Occipivot®

The technique applied to the Instrumental Group was performed with the patient supine in the same position as the Manual Group . It was previously instructed the subject how to proceed with the cushion Occipivot® , indicating the installation location and method of affixing , correcting him if the application was inadequate. The subject placed the cushion Occipivot® under the suboccipital region and told him he had to stay in that position for 5 minutes. A physiotherapist warned the patient at the end of the application time so that the subject had to be aware not to control it.

Group Type: EXPERIMENTAL

Self-treatment by way of Occipivot®

Intervention Type: OTHER

Interventions

Manual technique of sub-occipital inhibition

Intervention Type: OTHER

Self-treatment by way of Occipivot®

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Flexion rotation test with less than 32º or asymmetry of 10º between right and left, whenever one of the sides does not exceed physiological C1-C2 ROM (45º)
• Sing the informed consent form.

Exclusion Criteria

• Inability to tolerate FRT
• Contraindication to manual therapy.
• Cervical treatment during the study.
• Poor language and communication skills making difficult to undertand the informed consent.

• Minimum Eligible Age: 16 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Universidad de Zaragoza

OTHER

Sponsor Role: lead

Responsible Party

Andoni Carrasco

PT

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Unidad de Investgación en Fisioterapia. Universidad de Zaragoza

Zaragoza, , Spain

Countries

Spain

Other Identifiers

PI16/0147

Identifier Type: -

Identifier Source: org_study_id