Immediate Effects of the C0-C1 Mobilization Technique in Patients With Chronic Neck Pain

NCT04351971 | Unknown

• 1 other identifier: 1909-91
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Skeletal muscle-type pain is one of the main reasons for consultations in health centers. In Chile, it is estimated that the prevalence reaches 33% in men and 50% in women, increasing considerably with age, with cervical pain being one of the main conditions, estimating that 80% of the population has experienced cervicalgia at some time. lifetime. The main symptom is neck pain and restriction of movement, mainly affecting the mobility of the upper cervical region. Although there are studies evaluating the effectiveness of manual techniques, there are currently no studies evaluating the effects on cervical muscle activity and pressure threshold. Therefore, the objective of the present investigation is to evaluate the immediate effects of a manual therapy technique on the threshold pressure of muscular trigger points and on the muscular activity of the upper cervical region in patients with chronic pain and restriction of cervical mobility. higher. Methods: Clinical trial, randomized, prospective, double-blind study (patient and evaluator). The participants (21 subjects) were divided into 2 groups. The control group will receive a C0-C0 placebo mobilization technique and the experimental group will receive the C0-C1 mobilization technique. In both groups the technique will be carried out by mobilization cycles of 15 seconds and 3 seconds of rest for a total period of 5 min. Pressure threshold, activation of the superficial deep musculature and articular range of the upper cervical region will be measured.

Conditions

Musculoskeletal Manipulations; Cervical Pain

Keywords

manual therapies; Chronic Pain; Range of Motion

Outcome Measures

Primary Outcomes (1)

• Changes in grade of range of motion of the cervical spine in patients with chronic neck pain

  The procedure consists of evaluating the cervical flexion, extension, inclination and rotation ranges. The final record will correspond to the average of two measurements on one side and on the contralateral side. The range of motion will be measured with a goniometer

  pre-intervention/immediately after the intervention

Secondary Outcomes (1)

• Changes in muscle pressure threshold, measured in kilograms, in patients with chronic neck pain

  pre-intervention/immediately after the intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

The dorsal sliding technique C0-C1 will be applied to this group.

Other: Intervention Group

Placebo group

SHAM COMPARATOR

A placebo dorsal mobilization technique will be applied

Other: Placebo group

Interventions

Intervention Group OTHER

The patient's position is in the supine position. The therapist identifies the arches of the atlas and positions one hand at this level with the fingers extended. The other hand is located in the occipital region. Subsequently, the therapist makes a pressure with his shoulder assessing the movement and applies a pressure to the back. This technique is performed by mobilization cycles of 15 seconds and 3 seconds of rest for a total period of 5 minutes.The patient's position is in the supine position. The therapist identifies the arches of the atlas and positions one hand at this level with the fingers extended. The other hand is located in the occipital region. Subsequently, the therapist makes a pressure with his shoulder assessing the movement and applies a pressure to the back. This technique is performed by mobilization cycles of 15 seconds and 3 seconds of rest for a total period of 5 minutes.

Intervention Group

Placebo group OTHER

The technique consists of placing the patient in the supine position, one hand is located in the arches of the atlas, the other hand is located in the occipital. The therapist's shoulder is located in the anterior region. This position is maintained for 5 minutes without exerting pressure.

Placebo group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years old and over
• Chronic cervical pain
• Sign the informed consent form

You may not qualify if:

• History of cervical trauma (Sprains, fracture and / or dislocation of cervical joints)
• Subjects with administration of pain relievers, opiates or muscle relaxants
• Inability to tolerate the supine position
• Subjects with vertiginous syndrome
• Subjects with cognitive impairment

Sponsors & Collaborators

• Universidad San Sebastián: lead

Study Sites (1)

Universidad San Sebastián

Concepción, 4081322, Chile

RECRUITING

MeSH Terms

Conditions

Neck Pain; Chronic Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

GONZALO ARIAS, M.ed.

CONTACT

56977623954; gonzalo.arias@uss.cl

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: Study participants will be assigned a random number and will be divided into two research groups (control group and intervention group). In this sense, both the patient and the therapist in charge of carrying out the evaluation will not know which group each subject belongs to.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 10, 2020
• First Posted: April 17, 2020
• Study Start: April 10, 2020
• Primary Completion: May 20, 2020
• Study Completion: June 1, 2020
• Last Updated: April 17, 2020

Record last verified: 2020-04

Locations

CL (1)