Neck Pain Clinical Trial
Official title:
Is it Possible to Improve the Flexion-rotation Test With an Indirect Approach of C0-1 and C2-3 Segments? A Randomized Controlled Trial.
Restrictions on upper cervical spine are associated with cervical pain. The vast majority of
upper cervical spine rotation occurs at the C1-2 segment. Flexion-rotation test is a valid
measure that predominantly measures rotation in C1-2 segment, however upper cervical spine
rotation also implies C0-1 and C2-3 due to ligament anatomy. Restriction in flexion-rotation
may be due to direct restriction in C1-2, but also to a premature tightening of the alar
ligament as a result of lack of movement in C0-1 or C2-3.
The objective is to compare the effect of a 20-minutes single cervical exercise session with
or without manual therapy of C0-1 and C2-3 segment in flexion-rotation test in patients with
chronic neck pain and positive flexion-rotation test.
To carry out the objective, the following will be designed a randomized controlled
assessor-blind clinical trial with primary healthcare patients.
This population will be patients with chronic neck pain and positive flexion-rotation test.
These patients will be assigned in manual therapy + exercise group or in exercise group.
Exercise will be focused on deep anterior cervical muscles. Manual therapy will combine
techniques in C0-1 and C2-3 with this exercise. Flexion-rotation test, neck pain intensity,
pain intensity during the flexion-rotation test and cervical range of motion will be measured
before and after the intervention.
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