Effectiveness of the Suboccipital Inhibition Technique in Forward Head Posture.

NCT06439472 | Not Yet Recruiting

• 1 other identifier: OST1_016
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

In this randomized controlled experimental trial, it is aimed to verify the effectiveness of applying the suboccipital inhibition technique in altering forward head posture, increasing the craniovertebral angle and decreasing the angle between the chin, the external acoustic meatus and the sternal angle.

Conditions

Individuals With Forward Head Posture

Keywords

Forward head posture; Craniovertebral angle; Suboccipital muscles; Osteopathy.

Outcome Measures

Primary Outcomes (2)

• Craniovertebral angle

  To obtain the craniovertebral angle, the SAPO postural assessment software will be used. This angle will be measured in the sagittal plane, with the participant sitting on a chair with their feet shoulder-width apart, resting on the floor, forearms relaxed over their legs, looking at a fixed point positioned on the wall 1 meter in front of their eyes. The SAPO software will determine the angle measurement. This procedure will be carried out 3 times in order to minimize the reading error.

  Immediately after the intervention.

• Angle between the chin, external acoustic meatus and the sternal angle.

  To obtain this angle, the SAPO postural assessment software will be used. This angle will be measured in the sagittal plane, with the participant sitting on a chair with their feet shoulder-width apart, resting on the floor, forearms relaxed over their legs, looking at a fixed point positioned on the wall 1 meter in front of their eyes. The SAPO software will determine the angle measurement. This procedure will be carried out 3 times in order to minimize the reading error.

  Immediately after the intervention.

Study Arms (2)

Suboccipital Inhibition Technique

EXPERIMENTAL

Experimental: Suboccipital Inhibition Technique

Other: Suboccipital Inhibition Technique

Sham Technique

PLACEBO COMPARATOR

Placebo Comparator: Sham Technique

Other: Sham Technique

Interventions

Suboccipital Inhibition Technique OTHER

The researcher will place their palms under the patient's head and use their fingers to contact the occipital condyles. Next, the researcher will place the 3rd and 4th fingers of each hand in the space between the occiput and the spinous process of C2. The metacarpophalangeal joints are at 90º flexion, with the base of the skull resting on their hands while they apply constant, non-painful pressure in a postero-anterior direction, keeping the 2nd, 3rd and 4th fingers together in extension. Afterwards, the researcher applies a light and gentle traction in a cephalad direction in order to relieve the suboccipital area. Once the suboccipital muscles have relaxed, the researcher gently removes the contact, leaving the participant's head resting on the table. This technique is performed for 4 minutes.

Suboccipital Inhibition Technique

Sham Technique OTHER

The participant is instructed to lie down in the supine position while the mediator assumes a position at the head of the table and places their hands on the participant's shoulders. This technique is performed for 4 minutes.

Sham Technique

Eligibility Criteria

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

You may qualify if:

• male and female;
• be over 18 years old;
• have a craniovertebral angle of less than 49.9º.

You may not qualify if:

• have a craniovertebral angle greater than 49.9º;
• be a 3rd or 4th year osteopathy student;
• be an osteopath.

Sponsors & Collaborators

• Escola Superior de Tecnologia da Saúde do Porto: lead

Study Sites (1)

Escola Superior de Saúde do Porto

Porto, 4200-072, Portugal

Location

Related Publications (5)

• Aggarwal, A., Nair, A., Palekar, TJ e Bhamare, D. (2022). Efeito da técnica de liberação suboccipital na postura anterior da cabeça: um estudo comparativo. Jornal Médico da Universidade Dr. DY Patil , 15 (4), 534-537.

  BACKGROUND

• Contractor, ES, Shah, S. e Dave, P. (2019). Estudar o efeito imediato da técnica de energia muscular suboccipital no ângulo craniovertebral e no ângulo crânio-horizontal em indivíduos com postura de cabeça anteriorizada. Int J Health Sci Res , 9 (3), 83.

  BACKGROUND

• Kim, BB, Lee, JH, Jeong, HJ e Cynn, HS (2016). Efeitos da liberação suboccipital com exercício de flexão craniocervical no alinhamento craniocervical e na atividade muscular cervical extrínseca em indivíduos com postura anterior da cabeça. Jornal de Eletromiografia e Cinesiologia , 30 , 31-37.

  BACKGROUND

• Weber, P., Corrêa, ECR, Milanesi, JM, Soares, JC, & Trevisan, ME (2012). Postura craniocervical: análise cefalométrica e biofotogramétrica. Revista Brasileira de Ciências Orais , 11 (3), 416-421.

  BACKGROUND

• DiGiovanna, E. L., Schiowitz, S., Dowling, D. J. (2005). Uma abordagem osteopática para diagnóstico e tratamento. Lippincott Williams & Wilkins.

  BACKGROUND

Study Officials

• Natália MO Campelo, PhD

  Escola Superior de Saúde do Porto

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Natália MO Campelo, PhD

CONTACT

22 206 1000; nmc@ess.ipp.pt

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Dual (participant, outcome assessor). Participants will be assigned codes, these codes will be randomized via the website https://www.invertexto.com/numeros-aleatorios, and randomly distributed into two groups, a control group and an experimental group, where only the principal investigator and the care provider will have access. The outcome assessors will also have no contact with the researcher and the participant during the intervention.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: May 28, 2024
• First Posted: June 3, 2024
• Study Start: September 1, 2024
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2024
• Last Updated: June 4, 2024

Record last verified: 2024-06

Locations

PT (1)