Cervical Manipulation (OAA Technique) in Exophories

NCT ID: NCT04901533

Last Updated: 2022-11-10

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

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2021-09-01

Brief Summary

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Objetive: to assess the efficacy of the occipito-atlas-axis cervical manipulation technique to correct ocular divergence in subjects with exophoria.

Design: quantitative, experimental, longitudinal and prospective study.

Subjects: subjects over 18 years of age, with exophorias, without heterotropies and who do not present a contraindication to cervical manipulation.

Methods:Subjects with this ocular mobility dysfunction are going to be evaluated objectively with the Alternate Cover Test. The ocular deviation will be measured at 40 cm and at 4 meters. The individuals who were part of the experimental group underwent the OAA manipulation technique, and to those who were part of the control group a placebo maneuver. Two measurements were taken from this moment, one immediately after the execution of the technique and another one week later.

Detailed Description

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Conditions

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Exophoria

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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cervical manipulation

The objective of this technique is to restore joint mobility between the joints of the occipital, first (atlas) and second cervical vertebra (axis). It is a technique performed in rotation on a vertical axis that passes through the odontoid process of the axis, without placing flexion or extension, and with very slight sidebending; it is done bilaterally.

Group Type EXPERIMENTAL

O-A-A

Intervention Type PROCEDURE

patient is supine, and the therapist stands on the side to be manipulated. The cranial hand of the therapist globally grasps the patient's skull and turns the patient's neck on that same side. The caudal hand is placed on the patient's face. The technique is performed by an impulse in pure rotation on the side that the cervical region is rotated, with a helical movement.

Cranial Listening

Cranial palpation maneuver

Group Type ACTIVE_COMPARATOR

cranial listening

Intervention Type PROCEDURE

The patient is in the supine position, and the therapist sitting at the head of the patient. The therapist places his hands on the head of the patient, the thumbs touch each other, without touching the vault cranial. A perception of the cranial rhythm is carried out passively.

Interventions

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O-A-A

patient is supine, and the therapist stands on the side to be manipulated. The cranial hand of the therapist globally grasps the patient's skull and turns the patient's neck on that same side. The caudal hand is placed on the patient's face. The technique is performed by an impulse in pure rotation on the side that the cervical region is rotated, with a helical movement.

Intervention Type PROCEDURE

cranial listening

The patient is in the supine position, and the therapist sitting at the head of the patient. The therapist places his hands on the head of the patient, the thumbs touch each other, without touching the vault cranial. A perception of the cranial rhythm is carried out passively.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of exophoria
* Being 18 years old.

Exclusion Criteria

* Having heterotropia or have been treated for it.
* Present contraindication to manipulation (recent fractures, sprains, or dislocations, local tumor, rheumatic polyarthritis, Down syndrome, vertebrobasilar insufficiency, basilar impression, refusal to be manipulated).
* Having cervical manipulation before two weeks.
Minimum Eligible Age

18 Years

Maximum Eligible Age

57 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Seville

OTHER

Sponsor Role lead

Responsible Party

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Lourdes Mª Fernández Seguín

Assistant Professor. Physiotherapy Department

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lourdes M Fernández-Seguín, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Seville

Locations

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Lourdes M Fernández-Seguín

Seville, , Spain

Site Status

Countries

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Spain

References

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Fernandez-Seguin LM, Peinado-Asensio M, Diaz-Mancha JA, Cortes-Vega MD, Heredia-Rizo AM. Short-Term Effect of Spinal Manipulation on the Magnitude of Exophoria in Adults Who Are Asymptomatic: A Randomized Controlled Trial. Phys Ther. 2023 Aug 1;103(8):pzad069. doi: 10.1093/ptj/pzad069.

Reference Type DERIVED
PMID: 37347984 (View on PubMed)

Other Identifiers

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EXOFORIAS

Identifier Type: -

Identifier Source: org_study_id

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