Sub Occipital Inhibition Technique on Postural Balance

Movement Disorders Clinical Trial

Official title:

Immediate Effect of Sub Occipital Inhibition Technique on Postural Balance: Stabilometric Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04001868
• Other study ID #: CEU UCH 212
• Status: Completed
• Phase: N/A
• Start date: July 3, 2019
• Est. completion date: December 18, 2019

Study information

• Verified date: December 2019
• Source: Cardenal Herrera University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In the present study the investigators want to verify if the inhibition of the suboccipital muscles improves the postural balance in subjects with cervical pain objectified by stabilometry.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 46
• Est. completion date: December 18, 2019
• Est. primary completion date: July 3, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Individuals who suffer neck pain for at least 3 months

• Come to receive physiotherapy treatment at Clinica Osteomed (NRS: 8415-CV), Elche, Alicante, Spain.

• Age between 18 and 65 years old.

• Sign the informed consent.

Exclusion Criteria:

• Suffering or having suffered pathologies of the postural control system (postural sensors, central nervous system or locomotor system)

• Presenting deformities or orthopedic injuries in the lower limbs or rachis

• Presenting pain at the moment of study

• Present contraindications to the intervention under study

• Have received physiotherapy treatment in the last six months

• Have undergone surgical treatment of any kind.

Related Conditions & MeSH terms

• Movement Disorders

Intervention

Procedure:
• Suboccipital inhibition
With the patient in the supine position and the therapist sitting at the head of the bed with the elbows resting on its surface. The therapist palpates the cervical spinous processes and slides the fingers upwards until contacting the posterior projection of the posterior arch of the atlas. Then, flexing the metacarpophalangeal at 90 degrees slowly raises the skull. The therapist's hands should remain together and the base of the skull should rest on his palms pressing with the index, middle and ring fingers of each hand in a sustained manner, but without causing pain. This pressure must be maintained during 4 minutes.
• Placebo technique
A superficial contact in the same area as the intervention, to rule out the exteroceptive effect associated with the therapist's contact.

Locations

Country	Name	City	State
Spain	Ceu Cardenal Herrera University	Moncada	Valencia

Sponsors (1)

Lead Sponsor	Collaborator
Cardenal Herrera University

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Surface of the ellipse open eyes	Determines the surface of the ellipse formed from the oscillations in the X and Y coordinates with open eyes. The measurement is made using a stabilometric platform with 4 pressure sensors per square centimeter. The software of the stabilometric platform collects 40 measurements per second through its pressure sensors, calculating the position of the projection of the center of gravity on the ground 40 times every second. The described variable evaluates the surface of the ellipse that contains the successive points of the displacement of the projection of the center of gravity in the ground during the standarized time for the stabilometric recording (51.2 seconds). It is a unique value, measured in a single moment. If the ellipse formed is larger, it implies a greater amplitude of the displacement of the center of gravity, and therefore a lower equilibrium capacity. Interval: 0-1000 (mm2).	Postintervention immediate
Primary	Surface of the ellipse closed eyes	Determines the surface of the ellipse formed from the oscillations in the X and Y coordinates with closed eyes. The measurement is made using a stabilometric platform with 4 pressure sensors per square centimeter. The software of the stabilometric platform collects 40 measurements per second through its pressure sensors, calculating the position of the projection of the center of gravity on the ground 40 times every second. The described variable evaluates the surface of the ellipse that contains the successive points of the displacement of the projection of the center of gravity in the ground during the standarized time for the stabilometric recording (51.2 seconds). It is a unique value, measured in a single moment. If the ellipse formed is larger, it implies a greater amplitude of the displacement of the center of gravity, and therefore a lower equilibrium capacity. Interval: 0-1000 (mm2).	Postintervention immediate
Secondary	Mean of the oscillation on the X axis and on the Y axis.	It assesses the lateral and anteroposterior oscillation of the projection on the floor of the center of gravity during the 51 seconds of the stabilometric record. Interval: 0-50 (mm). Greater oscillation implies less postural balance.	Preintervention and Postintervention immediate.
Secondary	Speed of the oscillation on the X axis and on the Y axis	Determines the speed with which the projection of the center of gravity moves in lateral and anteroposterior direction during the 51 seconds of the stabilometric record. Interval: 0-10 (mm/s). Greater speed implies less postural balance.	Preintervention and Postintervention immediate.
Secondary	Average speed of the oscillation	Determines the average speed with which the projection of the center of gravity moves in lateral and anteroposterior direction during the 51 seconds of the stabilometric record. Interval: 0-10 (mm/s). Greater speed implies less postural balance.	Preintervention and Postintervention immediate.
Secondary	Length of oscillation	Determine the length of movement described by the projection on the ground of the center of gravity during the stabilometric measurement. Interval: 0-1000 (mm). Greater length implies less postural balance.	Preintervention and Postintervention immediate.

External Links

•   The University CEU Cardenal Herrera is the first private university in the Valencia Community. It belongs to the Foundation San Pablo - CEU and is the leading educational organization in Spain with three Universities all over Spain