Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT04685785 |
| Other study ID # |
Hofman, Mojzisova |
| Secondary ID |
|
| Status |
Completed |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
December 20, 2020 |
| Est. completion date |
April 30, 2021 |
Study information
| Verified date |
December 2020 |
| Source |
Charles University, Czech Republic |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational [Patient Registry]
|
Clinical Trial Summary
The goal of this study is to evaluate a top-rated Prague rehabilitation school´s method. Part
of Prague rehabilitation school is called Mojžíšová Method, which is mainly used for the
treatment of back pain and woman´s non-structural sterility. This method offers an original,
innovative way, how to mobilize 1.- 7. costo-sternal joints. This type of mobilization is
very effective, fast and safe and probably widely used only in the Czech Republic. Mojžíšová
method uses the excentric force of patients pectoral muscle, passive stretch and shoulder
joint internal rotation. According to Mojžíšová, If one of the ribs joints has dysfunction
(limited range of motion), there can be found higher sensitivity of this joint, certain
muscle reflex spasm, hypersensitive zones and joint dysfunction. Probably the last study
evaluating this method was made in the 1990s.
Description:
This research aims to analyze the effect of mobilization of 1.-3-ribs joints in a
relationship in sensitivity and volume of neck and shoulders muscles. The ultrasonic
diagnostic method will be used to evaluate muscle volume before and after mobilization ribs
joints. Visual pain scale will be used to evaluate pain during palpation of certain muscles.
This research will examine 30 subjects, aged 19-26 years old, which will be divided into the
control and the experimental group. Each subject will be in both groups. In the control
group, we are going to analyze, if certain neck muscles keep the same volume for 5 minutes
during sitting position after ribs mobilization. The control group will evaluate if there are
any muscle volume and palpation muscle sensitivity change before and after mobilization of
the ribs joints.
Lack of evidence for a relationship between the ribs joints and reflex spasms was the
motivation to make this study. During the research, I have found no study, which was aiming
to analyze the relationship between the mobilization of ribs joint and reflex muscle spasms.
Subject: Thirty subjects, men and woman, aged from 19 to 26 years old. Each included subject
has to be diagnosed with at least one sensitive 1.-3. costo-sternal connection. The study
examines the control and the experimental group.
Method: During the entrance diagnostics, the examiner will palpate subject´s 1.-3.
costo-sternal connections and certain muscles on the same side of the sensitive connection.
Specifically m.scalenus anterior, medius and posterior, sternocleidomastoideus, levator
scapulae and trapezius. Those muscles are related to dysfunction of those connections
according to Mojžíšová. The subject will rate the sensitivity of those muscles on the visual
pain scale (0-10 scale). During palpation, the examiner will be using his index finger. The
subject will lay down on their back and turn their head 45 degrees away from the examined
side. Then the examiner will use sonograph to evaluate the volume of sternocleidomastoideus,
scalenus anterior and medius muscles, on the side, on the side of the sensitive joint. After
that, the subject will rest in sitting position for 5 minutes, and then the examiner will use
sonograph again to check the volume of those muscles, If there is any volume change without
joint mobilization. The subject will be placed in the same position, just as during the first
sonographic examination. Those data will be used for the control group.
After this process, the examiner will mobilize 1.-3. costo-vertebral joints, using the
Mojžíšová technique. This technique will be done in the sitting position.
