4th Ventricular Compression Technique on Anxiety

The Efficacy of the 4th Ventricular Compression Technique on Anxiety in Students: RCT

Status

Not yet recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT06389461

Enrollment

Registered

2024-04-29

Start date

2024-09-16

Completion date

2024-12-31

Last updated

2024-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Healthy

Keywords

Anxiety, College Students, CV4, Osteopathic treatment

Brief summary

Determinate the effects of the technique of 4th ventricle in college students with anxiety, applying the technique one time per week during three weeks.

Detailed description

The anxiety is a warning sign that makes it possible for the individual to defend themselves and protect themselves from threats. This is considered a natural and necessary reaction for self-preservation. However, when it appears persistently, exaggeratedly or disproportionately in relation to a stimulus, the following are considered: pathological anxiety. The compression of the fourth ventricle (CV4) is one of the most well-known procedures in the practice of cranial manipulation. It is also one of the most clinically tested techniques and has been postulated to be associated with decreased sympathetic tone. Therefore, this was the chosen technique, as it significantly affects the relaxation of the SNS tonus and, thereafter, anxiety.

Interventions

OTHER4th Ventricular Compression Technique

The investigator who applied the technique stood on top of the headboard of the table, with feet flat on the floor, at an appropriate level in relation to the volunteer's headboard. The investigator joins hands in a cupping position, with the pads of the 1st fingers forming a triangle. The pads of the 1st fingers make contact with the spinous processes of the 2nd and 3rd cervical vertebrae. The thenar eminences make contact with the occipital squama, avoiding contact with the occipito-mastoid sutures during 5 minutes. A second Investigator was sitting on a chair, placed on the opposite side of the head of the table with a stopwatch in his dominant hand, in order to time the application time of each technique.

OTHERSham Therapy

The investigator who applied the technique stood on top of the headboard of the table, with feet flat on the floor, at an appropriate level in relation to the volunteer's headboard. The investigator places hands on the patient's shoulders during 5 minutes. A second Investigator was sitting on a chair, placed on the opposite side of the head of the table with a stopwatch in his dominant hand, in order to time the application time of each technique.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Age

18 Years to 25 Years

Healthy volunteers

Yes

Inclusion criteria

* Ages between 18 and 25 years old; * Be a college/university student; * Not have knowledge of the technique used; * Achieve a 20 plus score on the State-Trait Anxiety Inventory questionnaire.

Exclusion criteria

* Use of pharmacological therapy for psychological disorders; * Presence of conditions that prevent or contraindicate the technique, including tumors, fractures, dislocations, vertebrobasilar insufficiency, bone diseases, neurological diseases, fever, skin diseases, cardiovascular diseases, psychiatric diseases, increased intracranial pressure. * Surgeries or traumas in the specific areas of the technique; * Pregnancy; * Osteopathic treatments or other manual therapies aimed at reducing anxiety; * Evident postural alteration or deformity of the thoracic cage.

Design outcomes

Primary

Measure	Time frame	Description
Change from baseline in anxiety levels through the STAI (The State-Trait Anxiety Inventory) questionnaire score on the 1st and last intervention.	One week after the last intervention	The participants were submitted to a evaluation 1 week prior the 1st and 1 week after the last intervention. The corresponding questionnaires were sent to the researchers so that they could record the information. Quoted with a min. of 20 points and a max. of 80 - higher the score worst level of anxiety.

Secondary

Measure	Time frame	Description
Change from baseline in thoraco-abdominal perimetry on the 1st and last intervention	Immediately after last intervention	The participants were submitted to a evaluation/ measurement in the 1st and last intervention. The corresponding results were registered by the researchers so that they could record the information.

Countries

Portugal

Contacts

Primary ContactNatália MO Campelo, PhD

nmc@ess.ipp.pt22 206 1000

Backup ContactNatália MO Campelo