X-ray Evaluation of the Effectiveness of the Atlas Correction in Patients With Chronic Subluxation of the Atlas
- Conditions
- Subluxation and Dislocation of C0/C1 Cervical Vertebrae
- Interventions
- Procedure: Atlas-Standard method
- Registration Number
- NCT05986656
- Lead Sponsor
- Clinic of Phlebology and Laser Surgery, Chelyabinsk, Russia
- Brief Summary
The aim of the study is to evaluate the effect of the procedure of medical acupressure of the suboccipital muscles according to the Atlas-Standard method on the normalization of the position of the first cervical vertebra and the angles of the spinal column in patients with diagnosed chronic subluxation with objectification of the results by radiography and inclinometry.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 46
- Patients with chronic subluxation of the first cervical vertebra with complaints of pain in the occiput/cervical/thoracic/lumbar spine/limitation of head rotation in one or both directions.
- Scoliotic deformity of the spine 1-2 degrees.
- Pregnancy
- Fractures of the first / second cervical vertebra in history
- Fractures of the spine in any of the departments in the anmenesis
- Assimilation of the atlas with the occipital bone or the second cervical vertebra
- Operations on the spine using metal structures
- Scoliosis 3-4 degree
- Botulinum toxin injections in the suboccipital region within the last year
- Taking muscle relaxants
- Corrective surgery on muscles and bones
- Braces
- Active period of dental implants installation
- Postoperative period (any operation, including on the eyes) less than 6 months
- Acute infectious diseases - less than 2 weeks from the start of recovery
- Skin diseases with inflammatory manifestations in the neck
- Oncological diseases
- Recovery period after injury (cervical and brain injury) or stroke less than a year
- Established mental illness
- Extreme malnutrition (cachexia)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Atlas correction Atlas-Standard method Basic group.
- Primary Outcome Measures
Name Time Method Distance between righr and left inner surface of the lateral mass of the atlas and the outer surface of the odontoid process of the axis on x-ray 1 month. Elimination of asymmetry between the right and left atlantodental intervals
- Secondary Outcome Measures
Name Time Method Pain level 6 month Change in the pain level in the spine according to VAS (Visual Analog Scale from 0 to 10 where 0 is "no pain", 10 is "worst pain imaginable")
Changes in the angles of deviation of the spinous processes 6 month Measurement of the angles of deviation of the spinous processes in degrees of the frontal and sagittal cavities from C7 to S3 in the position of full flexion, extension of the spine and in the vertical position measured by Spinal Mouse device
The functional disability 6 month Evaluated with the Oswestry Disability Index (ODI: 0 = minimal \[better outcome\] to 100% = maximal disability \[worse outcome\])
Painkillers 6 month Number of participants who use painkillers before and after procedure
Changes in the range of motion of the spine 6 month Changes in the range of motion of the spine in degrees in the frontal and sagittal planes in the range from C7 to S3 in the position of full flexion and extension of the spine measured by Spinal Mouse device
Trial Locations
- Locations (1)
Astrakhan Regional Clinical Hospital
🇷🇺Astrakhan, Russian Federation