Specific Manual Approach to the Suboccipital Area on Patients With Chronic Mechanical Neck Pain

Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

Status and phase: Unknown; Phase 2

Conditions: Neck Pain

Treatments: Other: translational dorsal glide mobilization technique grade III; Other: Control Group; Other: pressure maintained suboccipital Inhibition technique

Study type: Interventional

Funder types: Other

Identifiers

NCT02832232

P16/068

Details and patient eligibility

About

There are different inhibition suboccipital techniques, usually adjuvant of physiotherapy, for treatment of patients with chronic neck pain. In our clinical practice, a favorable effect is observed on patients with chronic neck pain, but there are no published studies evaluating the results of this techniques on pain, mobility and disability.

The objective of this trial is to evaluate if the suboccipital manual techniques, provides further improvement in pain intensity, neck disability, range of motion, on patients with chronic mechanical neck pain and rotation deficit of the upper cervical spine, being treated with physiotherapy. For this purpose, investigators conduct a double-blind (patient and evaluator) randomized controlled trial, in a Public Primary Care Center.

Seventy four subjects will be randomized (computer application) into three groups: Mobilization Group, Maintained pressure Group and Control Group. All the three groups receive the same protocolized physiotherapeutic treatment during three weeks and, additionally, the Mobilization Group receives six sessions (two sessions in a week during three weeks) of translational dorsal glide mobilization technique grade III of the atlanto-occipital joint and the Maintained pressure Group receives six sessions (two sessions in a week during three weeks) of pressure maintained suboccipital Inhibition technique. The Control Group receives the protocolized physiotherapeutic treatment only.

Pain intensity (VAS), Neck Disability Index (NDI), Range of motion (CROM), will be measured at baseline, after treatment period, and three months after discharge from treatment. After discharge for treatment the patient subjective opinion about their evolution will be collected through a Global Rating of Change (GROC) scale, and evaluation of headache disability (HIT-6).

Enrollment: 78 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of chronic mechanical neck pain.
• Flexion-rotation test positive (less of 32 degrees or 10 degrees difference between the two sides)
• Sign the informed consent form.

Exclusion criteria

• Presenting one or more positive safety cervical test .
• Carriers of pacemaker or defibrillators.
• Previous history of severe trauma to the cervical region of the spine.
• Inflammatory arthritis.
• Inability to maintain supine position.
• Inability to tolerate flexion-rotation test
• Poor Language and communication skills making difficult to understand the informed consent.
• Pending litigation or legal claim.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

78 participants in 3 patient groups

Mobilization Group

Experimental group

Description:

translational dorsal glide mobilization technique grade III and Protocolized Physiotherapy

Treatment:

Other: Control Group

Other: translational dorsal glide mobilization technique grade III

Maintained pressure Group

Experimental group

Description:

pressure maintained suboccipital inhibition technique and Protocolized Physiotherapy

Treatment:

Other: Control Group

Other: pressure maintained suboccipital Inhibition technique

Control Group

Other group

Description:

Protocolized Physiotherapy

Treatment:

Other: Control Group