- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03902119
INYBI Tool in Chronic Neck Pain
Effectiveness of a New Tool (INYBI) in Individuals With Chronic Non-specific Neck Pain.
Objectives: To evaluate the clinical efficacy of using a manual inhibition technique for the suboccipital muscles compared with the use of the so-called INYBI tool in individuals with chronic non-specific neck pain, and the compare the results of using both approaches on pain relief, cervical range of motion neck and vertical maximum mouth opening.
Design: Quantitative, experimental, longitudinal, prospective, and double blinded study.
Subjects: Patients between 18 and 40 years, with chronic non-specific neck pain of at least 3 months of evolution.
Methods: The experimental group will undergo a 5 minutes intervention for the suboccipital muscles using the INYBI tool. The control group will receive a 5 minutes of treatment involving the suboccipital muscles manual inhibition technique.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Sevilla, Spain, 41009
- University of Sevilla
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Clinical diagnosis of non-specific mechanical neck pain.
- Pain of more than 3 months of duration.
- Pain between the occiput and the third dorsal vertebra.
- Willingness to participate in the treatment and in the follow-up measurements
- Neck pain reproduced by neck movements or palpation
Exclusion Criteria:
- Cognitive impairment or inability to communicate.
- Having received manual therapy in the last two months before recruitment.
- Having received anti-inflammatory treatment, antidepressants or muscle relaxants in the last 72 hours.
- Any contraindication to treatment or evaluation procedures.
- Diagnosis of systemic diseases
- Diagnosis of fibromyalgia
- Pregnancy
- Signs of spinal nerve root compression
- Previous whiplash
- Any diagnosed possible cause for their neck pain (infection, cancer, spinal stenosis)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: INIBY tool
Patients will undergo a single treatment session consisting of applying a suboccipital muscle inhibition technique using the so-called INYBI tool.
The treatment session will last approximately 5 minutes
|
Patients will lie down in supine position so that the INYBI tool will contact the suboccipital muscles at the posterior arch of the atlas.
The therapist will adapt the height of the tool for each individual.
All patients will use the softest head of the device.
A 50Hz vibration speed will be set sup during 5 minutes.
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Active Comparator: Manual suboccipital inhibition
Patients will receive a single treatment session consisting of the use of the manual suboccipital muscles inhibition technique.The treatment session will last approximately 5 minutes
|
Patients will lie down in supine position.The therapist will be seated at the head of the treatment table.
The therapist will keep the metacarpophalangeal joints in a flexed position, while therapists fingertips of both hands will contact with the suboccipital muscles at the posterior arch of the atlas.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pressure pain threshold (PPT) in the evaluated muscles. The PPT levels will be evaluated in Kilograms / cm2
Time Frame: From baseline to immediately after treatment.
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PPT levels, defined as the minimum necessary pressure to evoke pain will be evaluated using a handheld electronic pressure algometer.
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From baseline to immediately after treatment.
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Active cervical range of movement (ROM). The range of movement will be assessed in degrees
Time Frame: From baseline to immediately after treatment.
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Flexion, extension, left and right side flexion, and left and right rotation will be assessed using a digital inclinometer.
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From baseline to immediately after treatment.
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Pain free vertical mouth opening. This outcome will be evaluated in centimeters.
Time Frame: From baseline to immediately after treatment.
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Maximum pain free vertical mouth opening will be assessed using a digital caliper that will place between the incisors 11, 21, 31 y 41.
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From baseline to immediately after treatment.
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Atlas rotation ROM, assessed in degrees
Time Frame: From baseline to immediately after treatment.
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The atlas bone left and right rotation ROM will be assessed using the flexion-rotation test.
For this test, with the participant in supine position, the maximum mobility in head rotation while keeping maximum passive neck flexion will be assessed
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From baseline to immediately after treatment.
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Self-reported pain intensity
Time Frame: From baseline to immediately after treatment.
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Self-perceived pain intensity will be evaluated during all active cervical movements by a 0 to 10 Visual Analogue Scale (VAS), where 0 denotes no pain at all, and 10 denotes the maximum possible pain
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From baseline to immediately after treatment.
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Collaborators and Investigators
Sponsor
Investigators
- Study Director: Alberto Heredia-Rizo, PhD, Physiotherapy Department, University of Sevilla, Spain
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- INYBI tool
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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