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

Not Applicable

Completed

• Conditions: Upper Cervical Spine Rotational Hypomobility
• Interventions: Other: Manual technique of sub-occipital inhibition; Other: Self-treatment by way of Occipivot®

• Registration Number: NCT02855216
• Lead Sponsor: Universidad de Zaragoza

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-08
• Study First Submitted: 2016-08-01
• Study First Submitted QC: 2016-08-01
• Study First Posted: 2016-08-04
• Primary Completion: 2016-09
• Study Completion: 2017-10
• Status Verified: 2018-05
• Last Update Submitted: 2018-05-01
• Last Update Posted: 2018-05-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Manual technique of sub-occipital inhibition	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
Self-treatment by way of Occipivot®	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.

Primary Outcome Measures

Name	Time	Method
Change in baseline in Range of movement in Upper Cervical Spine	15 minutes after intervention	Flexion-rotation test measured by CROM device

Secondary Outcome Measures

Name	Time	Method
Change in baseline in Range of motion of cervical spine	15 minutes after intervention
Change in baseline in Upper cervical spine range of motion	15 minutes after intervention

Trial Locations

Locations (1)

Unidad de Investgación en Fisioterapia. Universidad de Zaragoza; 🇪🇸 Zaragoza, Spain