None listed
Conditions
Brief summary
The One-to-Zero (OTZ) System is a chiropractic technique which corrects problems with the upper neck joints located at the base of the skull. Originally OTZ was used to improve function and decrease pain in patients with a condition known as a frozen shoulder. As chiropractors trained in the OTZ technique have continued to use the technique, patients have reported improvements in many other areas of health and performance, including chronic pain, headaches, insomnia, balance, agility, hand-eye-coordination, anxiety, etc. The goal of this repeated measures work if to provide objective measures of motor control, proprioception and self-reported health outcome measures to determine effect sizes for future RCTs.
Interventions
OTZ treatment begins with correction of articular dysfunction between the occiput (C0) and the atlas, first cervical (C1) via a high velocity low amplitude manipulation (HVLA) technique. This technique first addresses decreased functional mobility between the C0-C1 joint, via high velocity, low amplitude manipulative thrusts. Other areas of cervicothoracic joint dysfunction are also treated with a specific HVLA protocol, if clinically indicated. These include the upper thoracic and lumbar spine,
OTZ treatment begins with correction of articular dysfunction between the occiput (C0) and the atlas, first cervical (C1) via a high velocity low amplitude manipulation (HVLA) technique. This technique first addresses decreased functional mobility between the C0-C1 joint, via high velocity, low amplitude manipulative thrusts. Other areas of cervicothoracic joint dysfunction are also treated with a specific HVLA protocol, if clinically indicated. These include the upper thoracic and lumbar spine, if these areas showed clinical evidence of joint dysfunction (e.g. restricted segmental range of motion, local tenderness, etc..). A registered chiropractor with expertise and advanced training in the OTZ technique provided the treatment. The OTZ treatment was personalized to each individual in the treatment arm since this cluster may comprise of acute and/or chronic cases, and different areas of associated joint dysfunction. Individuals in the treatment group received chiropractic care with the OTZ treatment for a total of 4 to 6visits (2 to 3 visits a week for an average of 2 to 3 weeks), dependent on the severity and chronicity of eachparticipant’s joint dysfunction(s). The number of required visits for each participant was decided by thechiropractor providing the treatment, who will use their clinical judgement to make this decision. Each treatment session was approximately 15 minutes in duration with the first session being at least 45 minutes, to acquire details about their medical history and perform a physical examination and assessmentof C0 – C1 joint complex and areas of cervicothoracic spinal dysfunction. The OTZ treatment was performed at the chiropractic clinic where the registered chiropractor administering the treatment practices. In order to monitor adherence to the intervention, the chiropractor provided the researchers with a list of participants and number of treatment sessions that were attended over the intervention period.
Sponsors
Bernadette Murphy-Ontario Tech University
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Males and females aged 18 – 65 who experience any of the following symptoms and/or problems: recurrent neck problems; decreased shoulder range of motion; difficulty maintaining good posture, especially while sitting; unexplained whole-body stiffness that doesn’t benefi t from stretching. To be eligible for the study, participants are to have had these issues for at least 3 months and not started anytreatments in the past three weeks. These individuals were screened for the articular dysfunction at the C0-C1 joint complex by the treating chiropractor as this joint dysfunction is the inclusion criterion for theOTZ treatment.
Exclusion criteria
Individuals with contraindications to chiropractic care such as fractures, tumors, infections,or recent head trauma will be excluded.
Outcome results
None listed