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

Comparative Study of the Effects of Two Sub-occipital Techniques on Healthy Subjects With Limited Mobility According to the Flexion-rotation Test

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.

Study Overview

• Status: Completed
• Conditions: Upper Cervical Spine Rotational Hypomobility
• Intervention / Treatment: Other: Manual technique of sub-occipital inhibition; Other: Self-treatment by way of Occipivot®

• Study Type: Interventional
• Enrollment (Actual): 32
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Zaragoza, Spain, 50009
    • Unidad de Investgación en Fisioterapia. Universidad de Zaragoza

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 16 years to 60 years (Child, Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

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 Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 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	Other: Manual technique of sub-occipital inhibition
Experimental: 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.	Other: Self-treatment by way of Occipivot®

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in baseline in Range of movement in Upper Cervical Spine	Flexion-rotation test measured by CROM device	15 minutes after intervention

Secondary Outcome Measures

Outcome Measure	Time Frame
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

Collaborators and Investigators

• Sponsor: Universidad de Zaragoza

Study record dates

Study Major Dates

• Study Start: August 1, 2016
• Primary Completion (Actual): September 1, 2016
• Study Completion (Actual): October 1, 2017

Study Registration Dates

• First Submitted: August 1, 2016
• First Submitted That Met QC Criteria: August 1, 2016
• First Posted (Estimate): August 4, 2016

Study Record Updates

• Last Update Posted (Actual): May 7, 2018
• Last Update Submitted That Met QC Criteria: May 1, 2018
• Last Verified: May 1, 2018

More Information

Terms related to this study

• Keywords: Physiotherapy; Range of motion; Inhibition sub-occipital techniques
• Other Study ID Numbers: PI16/0147

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO