None listed
Conditions
Brief summary
Primary purpose: To assess the effect of rotation manipulation of atlas on standing stability by a stabilometric study in patients with chronic mechanical neck pain and limited cervical rotation range of motion. Hypothesis: The rotation manipulation of atlas improves the standing stability and the rotation range of motion in cervical spine in patients with chronic mechanical neck pain and limited cervical rotation range of motion.
Interventions
There are two groups, experimental and control group. Patients will receive a single intervention and different in each group. The duration of te intervention in the two groups is one minute, and the patient will remain during that minute supine until to sound an alarm.
(experimental group):
The intervention will be apply by a physiotherapist and osteopath with enough experience. The rotation manipulation of atlas is applied for restricted cervical rotation, evaluated by the cervical flexion-rot
There are two groups, experimental and control group. Patients will receive a single intervention and different in each group. The duration of te intervention in the two groups is one minute, and the patient will remain during that minute supine until to sound an alarm. (experimental group): The intervention will be apply by a physiotherapist and osteopath with enough experience. The rotation manipulation of atlas is applied for restricted cervical rotation, evaluated by the cervical flexion-rotation test. The procedure for restricted left cervical rotation is a left rotation manipulation of atlas: The patient is lying supine. The therapist is located at the patient's head looking at the patient's feet. The left hand holds the patient's head with a contact on the temporal bone, and the right hand makes contact with the third phalanx of the index behind the right transverse process of the atlas. The head is gently flexed laterally to the right and rotated to the left, until slight tension is perceived in the tissues of the right contact. A high-velocity low-amplitude thrust is applied forward in the right transverse process of the atlas for a left rotation atlas.
Sponsors
School of Osteopathy of Madrid
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
Patients with non-traumatic cervical chronic pain over 12 weeks or more. Positive cervical flexion-rotation test. (below 33 degrees) Age between 18 and 60 years. Voluntary acceptance.
Exclusion criteria
Having vertebrobasilar insufficiency, vascular pathology, traumatological, neurological and congenital malformations. Dizziness, fractures, sprains, whiplash, rheumatoid arthritis, Reiter's syndrome, psoriasis. Klein test positive. Suffering from numbness or irradiation in the upper limbs. Having a myelinic disease. Having a malformation of the skull base and cervical spine. Having an illness at the central level that may affect the balance. Patients who have suffered a big traumatism (car accident, sharp drops ...) Having at the time of measured some form of joint or muscle pain in other region different of the neck or head. (The rest of the spine, pelvis, legs or feet). Having aftermath of a stroke. Drug treatment: muscle relaxants (diazepam, benzodiazepines) or stimulant ( inosine monophosphate, nicotine).
Outcome results
None listed