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Effect of Osteopathic Techiniques on Intraocular Pressure

21. november 2021 opdateret af: Rodolfo Amoroso Borges, Federal University of São Paulo

Effect of Osteopathic Techiniques on Intraocular Pressure: a Randomized Double-blind Clinical Trial

The purpose of this study is to assess the effects osteopathic techniques at the upper cervical vertebrae or at the sphenopalatine ganglia on the intraocular pressure.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The 7 volunteers will be randomized into 3 groups and there will be an experimental group 1 that will receive a technique of manipulation of the upper cervical, an experimental group 2 that will receive a technique of manipulation of the sphenopalatine ganglion and a control group that will not receive any intervention. Each volunteer will participate in the 3 groups. There will be 4 assessments, one before the procedure and one just after each procedure, including the control.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

7

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Brasilien
    • São Paulo
      • Jundiaí, São Paulo, Brasilien, 13208-120
        • Escola Superior de Educação Física

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 60 år (Voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Intraocular pressure below 21mmHg

Exclusion Criteria:

  • Positive Klein test
  • Use of medications that affect the circulatory system in up to one month before the procedures;
  • Caffeine use 24 hours before procedures;
  • Presence of ophthalmic diseases;
  • History of hypertension or diabetes;
  • Blindness;
  • Tumor in the head;
  • Skull or cervical fractures that occurred less than 6 months ago.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Upper cervical manipulation group
The patient will be in the supine position. The cephalic hand will make contact with one side of the patient's skull, leaving the sternocleidomastoid muscle between the third and fourth fingers. The caudal hand will make global contact with the patient's skull on the opposite side. The therapist should place his torso on the patient's head, leaving the two forearms aligned with the axis of the patient's spine, as this technique is applied to the axis of the odontoid process of the ax. With neutral flexion-extension the therapist will place the rotation parameter to the opposite side (70-80 degrees) and a small contralateral inclination. Then it will search for the driving barrier with a small axial traction movement. When the driving barrier is found, the thrust should be applied in a helical direction, increasing rotation and traction. It will be applied bilaterally.
Andet: Upper cervical manipulation
The patient will receive an upper cervical manipulation as described in the Experimental Group 1.
Eksperimentel: Sphenopalatine ganglion group
The patient will be supine on the bench and the therapist with gloves will sit next to the patient contralateral to the manipulated sphenopalatine ganglion (SPG). One of the therapist's hands will be placed flat in contact with the apex of the patient's head to stabilize it. The patient will be instructed to open his mouth and deviate the mandible laterally to the same side of the ganglion to be treated. The therapist will then apply pressure to the SPG with the fifth finger of your other hand in the patient's mouth, moving up along the alveolar process of the maxilla teeth to reach the pterygoid process. The therapist will keep the patient's head elevated until the lateral pterygoid muscle relaxes. Then, the pressure will be applied into the pterygopalatine fossa. The therapist will then apply gentle pressure on the SPG with the pulp of the fifth finger until tissue relaxation. He will then release the contralateral SPG in the same way.
Andet: Sphenopalatine ganglion manipulation
The patient will receive a sphenopalatine ganglion as described in the Experimental Group 2.
Ingen indgriben: Control Group
The patient will lie down on the bench for 10 minutes.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change of the intraocular pressure after upper cervical manipulation
Tidsramme: Immediately after the intervention and 30 minutes after the intervention
After this manipulation, it is expected that there will be a sympathetic response increasing the intraocular pressure.
Immediately after the intervention and 30 minutes after the intervention
Change of the intraocular pressure after sphenopalatine ganglion manipulation
Tidsramme: Immediately after the intervention and 30 minutes after the intervention
After this manipulation, it is expected that there will be a parasympathetic response decreasing the intraocular pressure.
Immediately after the intervention and 30 minutes after the intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Federal University of São Paulo

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

28. september 2021

Primær færdiggørelse (Faktiske)

9. november 2021

Studieafslutning (Faktiske)

19. november 2021

Datoer for studieregistrering

Først indsendt

20. april 2021

Først indsendt, der opfyldte QC-kriterier

27. april 2021

Først opslået (Faktiske)

28. april 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. december 2021

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

21. november 2021

Sidst verificeret

1. november 2021

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • RBorges

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Kliniske forsøg med Intraokulært tryk

Kliniske forsøg med Upper cervical manipulation

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Sponsorer og samarbejdspartnere

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Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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