Effectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine: study protocol for a randomized controlled trial
| Autor: | César Hidalgo García, Sara Castillo Tomás, Carlos López de Celis, Martín Eusebio Barra López, Andoni Carrasco Uribarren, Vanessa González Rueda |
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| Přispěvatelé: | [González-Rueda V] Rehabilitation Service Baix Llobregat Centre, DAP Costa de Ponent, Catalan Institute of Health, Barcelona, Spain. Jordi Gol Institute of Research on Primary Health Care, Barcelona, Spain. [López-de-Celis C] Rehabilitation Service Baix Llobregat Centre, DAP Costa de Ponent, Catalan Institute of Health, Barcelona, Spain. Jordi Gol Institute of Research on Primary Health Care, Barcelona, Spain. Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain. [Barra-López ME] Jordi Gol Institute of Research on Primary Health Care, Barcelona, Spain. Faculty of Medicine and Health Sciences, International University of Catalonia, Barcelona, Spain. [Carrasco-Uribarren A, Hidalgo-García C] Faculty of Health Sciences, University of Zaragoza, Zaragoza, Spain. [Castillo-Tomás S] FREMAP, Mutual Society for Work-related Injuries and Occupational Diseases, Arnedo, Spain, IDIAP Jordi Gol |
| Rok vydání: | 2017 |
| Předmět: |
Male
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| Zdroj: | Scientia Recercat. Dipósit de la Recerca de Catalunya instname Zaguán. Repositorio Digital de la Universidad de Zaragoza BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 18, Iss 1, Pp 1-8 (2017) Recercat: Dipósit de la Recerca de Catalunya Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya) |
| ISSN: | 1471-2474 0283-2232 |
| DOI: | 10.1186/s12891-017-1744-5 |
| Popis: | Atlantoaxial joint; Cervical vertebrae; Range of motion; Suboccipital muscle inhibition Articulación atlantoaxial; Vértebras cervicales; Rango de movimiento; Inhibición del músculo suboccipital Articulació Atlantoaxial; Vèrtebres cervicals; Rang de moviment; Inhibició muscular suboccipital BACKGROUND: Mechanical neck pain is a highly prevalent problem in primary healthcare settings. Many of these patients have restricted mobility of the cervical spine. Several manual techniques have been recommended for restoring cervical mobility, but their effectiveness in these patients is unknown. The aim of the present study is to compare the effectiveness of two types of specific techniques of the upper neck region: the pressure maintained suboccipital inhibition technique (PMSIT) and the translatory dorsal glide mobilization (TDGM) C0-C1 technique, as adjuncts to a protocolized physiotherapy treatment of the neck region in subjects with chronic mechanical neck pain and rotation deficit in the upper cervical spine. METHODS: A randomized, prospective, double-blind (patient and evaluator) clinical trial. The participants (n = 78) will be randomly distributed into three groups. The Control Group will receive a protocolized treatment for 3 weeks, the Mobilization Group will receive the same protocolized treatment and 6 sessions (2 per week) of the TDGM C0-C1 technique, and the Pressure Group will receive the same protocolized treatment and 6 sessions (2 per week) of the PMSIT technique. The intensity of pain (VAS), neck disability (NDI), the cervical range of motion (CROM), headache intensity (HIT-6) and the rating of clinical change (GROC scale) will be measured. The measurements will be performed at baseline, post-treatment and 3 months after the end of treatment, by the same physiotherapist blinded to the group assigned to the subject. DISCUSSION: We believe that an approach including manual treatment to upper cervical dysfunction will be more effective in these patients. Furthermore, the PMSIT technique acts mostly on the musculature, while the TDGM technique acts on the joint. We expect to clarify which component is more effective in improving the upper cervical mobility. TRIAL REGISTRATION: ClinicalTrials.gov NCT02832232. Registered on July 13th, 2016. |
| Databáze: | OpenAIRE |
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