Sub Occipital Inhibition Technique on Postural Balance

NCT04001868 | Completed

• 1 other identifier: CEU UCH 212
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

In the present study the investigators want to verify if the inhibition of the suboccipital muscles improves the postural balance in subjects with cervical pain objectified by stabilometry.

Conditions

Movement Disorders

Outcome Measures

Primary Outcomes (2)

• Surface of the ellipse open eyes

  Determines the surface of the ellipse formed from the oscillations in the X and Y coordinates with open eyes. The measurement is made using a stabilometric platform with 4 pressure sensors per square centimeter. The software of the stabilometric platform collects 40 measurements per second through its pressure sensors, calculating the position of the projection of the center of gravity on the ground 40 times every second. The described variable evaluates the surface of the ellipse that contains the successive points of the displacement of the projection of the center of gravity in the ground during the standarized time for the stabilometric recording (51.2 seconds). It is a unique value, measured in a single moment. If the ellipse formed is larger, it implies a greater amplitude of the displacement of the center of gravity, and therefore a lower equilibrium capacity. Interval: 0-1000 (mm2).

  Postintervention immediate

• Surface of the ellipse closed eyes

  Determines the surface of the ellipse formed from the oscillations in the X and Y coordinates with closed eyes. The measurement is made using a stabilometric platform with 4 pressure sensors per square centimeter. The software of the stabilometric platform collects 40 measurements per second through its pressure sensors, calculating the position of the projection of the center of gravity on the ground 40 times every second. The described variable evaluates the surface of the ellipse that contains the successive points of the displacement of the projection of the center of gravity in the ground during the standarized time for the stabilometric recording (51.2 seconds). It is a unique value, measured in a single moment. If the ellipse formed is larger, it implies a greater amplitude of the displacement of the center of gravity, and therefore a lower equilibrium capacity. Interval: 0-1000 (mm2).

  Postintervention immediate

Secondary Outcomes (4)

• Mean of the oscillation on the X axis and on the Y axis.

  Preintervention and Postintervention immediate.

• Speed of the oscillation on the X axis and on the Y axis

  Preintervention and Postintervention immediate.

• Average speed of the oscillation

  Preintervention and Postintervention immediate.

• Length of oscillation

  Preintervention and Postintervention immediate.

Study Arms (2)

Experimental Group

EXPERIMENTAL

Application of the sub occipital inhibition technique.

Procedure: Suboccipital inhibition

Placebo Group

PLACEBO COMPARATOR

Hand contact in the sub occipital region without executing any technique.

Procedure: Placebo technique

Interventions

Suboccipital inhibition PROCEDURE

With the patient in the supine position and the therapist sitting at the head of the bed with the elbows resting on its surface. The therapist palpates the cervical spinous processes and slides the fingers upwards until contacting the posterior projection of the posterior arch of the atlas. Then, flexing the metacarpophalangeal at 90 degrees slowly raises the skull. The therapist's hands should remain together and the base of the skull should rest on his palms pressing with the index, middle and ring fingers of each hand in a sustained manner, but without causing pain. This pressure must be maintained during 4 minutes.

Experimental Group

Placebo technique PROCEDURE

A superficial contact in the same area as the intervention, to rule out the exteroceptive effect associated with the therapist's contact.

Placebo Group

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals who suffer neck pain for at least 3 months
• Come to receive physiotherapy treatment at Clinica Osteomed (NRS: 8415-CV), Elche, Alicante, Spain.
• Age between 18 and 65 years old.
• Sign the informed consent.

You may not qualify if:

• Suffering or having suffered pathologies of the postural control system (postural sensors, central nervous system or locomotor system)
• Presenting deformities or orthopedic injuries in the lower limbs or rachis
• Presenting pain at the moment of study
• Present contraindications to the intervention under study
• Have received physiotherapy treatment in the last six months
• Have undergone surgical treatment of any kind.

Sponsors & Collaborators

• Cardenal Herrera University: lead

Study Sites (1)

Ceu Cardenal Herrera University

Moncada, Valencia, 46113, Spain

Location

Related Links

• The University CEU Cardenal Herrera is the first private university in the Valencia Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain

MeSH Terms

Conditions

Movement Disorders

Condition Hierarchy (Ancestors)

Central Nervous System Diseases; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Simple blind with evaluator blinded strategy.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 19, 2019
• First Posted: June 28, 2019
• Study Start: July 3, 2019
• Primary Completion: July 3, 2019
• Study Completion: December 18, 2019
• Last Updated: December 19, 2019

Record last verified: 2019-12

Locations

ES (1)