Determine the Effect of the Fourth Ventricle Compression Technique on Physiological Variables

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-09-30

Study Completion Date

2024-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

This study aims to analyze the influence of the fourth ventricle compression technique in heart rate, respiratory rate, blood pressure, conductivity and thermal variability of the skin in healthy young adults.

Related Clinical Trials

Explore similar clinical trials based on study characteristics and research focus.

How to Learn Cardiopulmonary Resuscitation

NCT04039997

Resuscitation Chest Compression Quality

COMPLETED NA

The Impact of Aortic Valve Compression During Cardio-pulmonary Resuscitation on Patients With Out-of-hospital Cardiac Arrest

NCT05932784

Out-Of-Hospital Cardiac Arrest

COMPLETED

Carotid Ultrasound Under Pulsed-wave Doppler Mode to Check the Pulse in Cardiopulmonary Arrest Patients.

NCT04790396

Cardiac Arrest

ACTIVE_NOT_RECRUITING

Influence of Posture and Positioning in Rescuer's Fatigue and Quality of Chest Compressions

NCT05405569

Cardiopulmonary Resuscitation

UNKNOWN

Assessment of CPR Skills Acquisition and Retention: Impact of Technology and Self-training

NCT05493189

Cardiopulmonary Resuscitation

UNKNOWN NA

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

The fourth ventricle compression technique (CV-4) is one of the most important techniques in the treatment of cranial osteopathy.

During the present study, the effects of CV-4 technique will be analyzed in the following variables: heart rate, respiratory rate, blood pressure, conductivity and thermal variation of the skin.

According to the literature, CV-4 technique will cause changes in all of the studied variables, except the respiratory rate, through the activation of the brain stem, namely the parasympathetic nerve centers.

Regarding the respiratory rate, it is justified by the fourth ventricle and the respiratory centers proximity.

Concerning heart rate and respiratory rate, during the CV-4 technique the literature describes a decrease in the values of this variables. However, other studies refer that the technique does not produce relevant effects in the heart and respiratory rates variation, probably because there was no stipulated time to finish the technique, ending subjectively compared to previous ones.

When it comes to blood pressure, a decrease in systolic blood pressure values is noticed by some authors.

In which concerns the variation in body temperature, according to the literature, there were no significant results obtained when performing CV-4.

During the performed literature analysis,there were not found any studies concerning the influences of the CV-4 technique in the thermal conductivity variable.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Healthy Young Adults

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

CV-4 group

The initial selection will be made through a questionnaire, in order to fulfill the exclusion and inclusion criteria. On the data collection day a more detailed survey is performed and informed consent is signed.

The patient waits for 5 minutes in the supine position, after which the baseline evaluation is performed.

The CV-4 technique is performed following immediate evaluation. 15 minutes after the technique, a new evaluation of the variables is accomplished.

Group Type EXPERIMENTAL

Fourth ventricle compression technique (CV-4)

Intervention Type OTHER

The participant is in the supine position and the principal investigator is seated at the patient's head, with elbows resting on the table. The main investigator overlaps his hands with the thenar eminences, contacting the occipital bone squamous part, between the external occipital protuberance and the participant's occipito-mastoid suture. The technique begins with a maintained compression on the occipital squamous part during a deep thorax exhalation. Throughout the compression of the occipital bone and the participant's voluntary inspirations, the principal investigator feels a gradual pressure increase at the thenar eminences. The technique will be performed until reaching the still point, in which the mobility of the occipital bone, respiratory rate and muscle tone decrease, or until 5 minutes elapsed.

Control group

The initial selection will be made through a questionnaire, in order to fulfill the exclusion and inclusion criteria. On the data collection day a more detailed survey is performed and informed consent is signed.

The patient waits for 5 minutes in the supine position, after which the baseline evaluation is performed.

The sham technique is performed following immediate evaluation. 15 minutes after the technique, a new evaluation of the variables is accomplished.

Group Type SHAM_COMPARATOR

Sham

Intervention Type OTHER

The main investigator uses the technique contact but does not perform any type of tissue traction or compression, maintaining this contact for 5 minutes. At the end of the stipulated time, the contact is removed in a subtle way.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Fourth ventricle compression technique (CV-4)

The participant is in the supine position and the principal investigator is seated at the patient's head, with elbows resting on the table. The main investigator overlaps his hands with the thenar eminences, contacting the occipital bone squamous part, between the external occipital protuberance and the participant's occipito-mastoid suture. The technique begins with a maintained compression on the occipital squamous part during a deep thorax exhalation. Throughout the compression of the occipital bone and the participant's voluntary inspirations, the principal investigator feels a gradual pressure increase at the thenar eminences. The technique will be performed until reaching the still point, in which the mobility of the occipital bone, respiratory rate and muscle tone decrease, or until 5 minutes elapsed.

Intervention Type OTHER

Sham

The main investigator uses the technique contact but does not perform any type of tissue traction or compression, maintaining this contact for 5 minutes. At the end of the stipulated time, the contact is removed in a subtle way.

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Healthy participants aged between 18 and 33 years.

Exclusion Criteria

* Cognitive deficits that can possibly compromise the understanding of the study instructions;
* Any type of medication taken that may have influences at the variables under study in the previous 7 days;
* Cranio-cervical injuries, surgery to the skull and /or spine in the last 12 months;
* Chronic cardiorespiratory, renal, systemic, neurological, musculoskeletal, oncological and psychiatric pathologies;
* Headaches, migraines, dizziness and / or nausea while performing the techniques;
* Caffeine and / or alcohol intake in the 6 hours prior to the data collection;
* Tobacco consumption in the 30 minutes prior to the data collection;
* Practice of intense physical exercise in the 90 minutes prior to the data collection;
* Pregnant women or menstruating;
* Participants who were submitted to manual therapy treatments during the past month;
* Osteopathy students of 3rd year or higher degree, in order to prevent the participant from recognizing which group they belong to.

Minimum Eligible Age

18 Years

Maximum Eligible Age

33 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes