Neck Pain
Conditions
Keywords
neck pain, randomized control trial, manual therapy, physical therapy, suboccipital inhibition
Brief summary
Objectives: To evaluate the clinical efficacy of using a manual inhibition technique for the suboccipital muscles compared with the use of the so-called INYBI tool in individuals with chronic non-specific neck pain, and the compare the results of using both approaches on pain relief, cervical range of motion neck and vertical maximum mouth opening. Design: Quantitative, experimental, longitudinal, prospective, and double blinded study. Subjects: Patients between 18 and 40 years, with chronic non-specific neck pain of at least 3 months of evolution. Methods: The experimental group will undergo a 5 minutes intervention for the suboccipital muscles using the INYBI tool. The control group will receive a 5 minutes of treatment involving the suboccipital muscles manual inhibition technique.
Interventions
DEVICEINYBI tool
Patients will lie down in supine position so that the INYBI tool will contact the suboccipital muscles at the posterior arch of the atlas. The therapist will adapt the height of the tool for each individual. All patients will use the softest head of the device. A 50Hz vibration speed will be set sup during 5 minutes.
OTHERManual suboccipital inhibition
Patients will lie down in supine position.The therapist will be seated at the head of the treatment table. The therapist will keep the metacarpophalangeal joints in a flexed position, while therapists fingertips of both hands will contact with the suboccipital muscles at the posterior arch of the atlas.
Sponsors
University of Seville
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of non-specific mechanical neck pain. * Pain of more than 3 months of duration. * Pain between the occiput and the third dorsal vertebra. * Willingness to participate in the treatment and in the follow-up measurements * Neck pain reproduced by neck movements or palpation
Exclusion criteria
* Cognitive impairment or inability to communicate. * Having received manual therapy in the last two months before recruitment. * Having received anti-inflammatory treatment, antidepressants or muscle relaxants in the last 72 hours. * Any contraindication to treatment or evaluation procedures. * Diagnosis of systemic diseases * Diagnosis of fibromyalgia * Pregnancy * Signs of spinal nerve root compression * Previous whiplash * Any diagnosed possible cause for their neck pain (infection, cancer, spinal stenosis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pressure pain threshold (PPT) in the evaluated muscles. The PPT levels will be evaluated in Kilograms / cm2 | From baseline to immediately after treatment. | PPT levels, defined as the minimum necessary pressure to evoke pain will be evaluated using a handheld electronic pressure algometer. |
| Active cervical range of movement (ROM). The range of movement will be assessed in degrees | From baseline to immediately after treatment. | Flexion, extension, left and right side flexion, and left and right rotation will be assessed using a digital inclinometer. |
| Pain free vertical mouth opening. This outcome will be evaluated in centimeters. | From baseline to immediately after treatment. | Maximum pain free vertical mouth opening will be assessed using a digital caliper that will place between the incisors 11, 21, 31 y 41. |
| Atlas rotation ROM, assessed in degrees | From baseline to immediately after treatment. | The atlas bone left and right rotation ROM will be assessed using the flexion-rotation test. For this test, with the participant in supine position, the maximum mobility in head rotation while keeping maximum passive neck flexion will be assessed |
| Self-reported pain intensity | From baseline to immediately after treatment. | Self-perceived pain intensity will be evaluated during all active cervical movements by a 0 to 10 Visual Analogue Scale (VAS), where 0 denotes no pain at all, and 10 denotes the maximum possible pain |
Countries
Spain
Outcome results
None listed