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The aim of the study is to compare the effectiveness between the suboccipital inhibition technique, the suboccipital inhibition carried out with the INYBI instrument and the suboccipital inhibition with the INYBI plus the upper cervical manipulation, all in patients with chronic mechanic cervicalgia, and to determine which of these techniques is the most effective in the variables studied. In order to do so, 96 subjects participated in the study, being assigned to the 3 intervention groups. We expected the combined treatment (INYBI instrument + upper cervical manipulation) to be the one to produce the best results.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| suboccipital inhibition technique group | Active Comparator |
| |
| INYBI group | Experimental | Participants in this group will be treated with the INYBI, an instrument designed for treating the suboccipital area, in a more precise way than the manual technique. |
|
| combined treatment group | Experimental | Participants in this group will be first treated with the INYBI and then receive an upper cervical manipulation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| suboccipital inhibition | Other | The therapist will seat at the patient's head height and place his second, third, fourth and fifth fingertips'over the patient's suboccipital area during a 10-minute period. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in patients' cervical functionality between baseline and follow-up period. | cervical functionality is measured with the Neck Disability Index | Baseline and two weeks after the second intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in patients' cervical mobility between baseline and follow-up periods. | The movements that will be measured with the CROM® are: flexion, extension, right and left rotation, right and left side-bending. | Baseline, 10 minutes after the first intervention, 1 week after the first intervention and 10 minutes after the second intervention. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ofistema | Madrid | 28022 | Spain |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
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| INYBI | Other | The therapist will place the INYBI at the suboccipital area, specifically placing the fingers of the instrument at the lower border of the occipital. If needed, a rolled towel will be placed behind the INYBI, in order to maintain the physiological lordosis, checking out that the patient doesn't make a cervical extension. Then the therapist will press the vibration button and turn it off after 10 minutes. All patients will receive the treatment with the INYBI's hardest head with a 50 HZ frequency. |
|
| INYBI + upper cervical manipulation | Other | The participant will also be treated with the INYBI during a 10-minute period. After that, the therapist will carry out the upper cervical manipulation technique. Keeping the patient's head on an upper cervical flexion position, the therapist will turn his/her head to the maximum possible rotation, always maintaining its longitudinal axis. Once this is done, a high velocity and short articular amplitude manipulation in rotation will be carried out |
|
| Changes in patients' pressure pain threshold between baseline and follow-up periods. | The pressure pain threshold will be measured with an algometer (Mechanical Algometer Pain Test® de Wagner Instrument, USA) in the suboccipital and trapezius muscles (both left and right). | Baseline, 10 minutes after the first intervention, 1 week after the first intervention and 10 minutes after the second intervention. |
| Changes in patients' pain due to movement between baseline and follow-up periods. | The movements that will be measured with the visual analogue scale (VAS) are: flexion, extension, right and left rotation, right and left side-bending. | Baseline, 10 minutes after the first intervention, 1 week after the first intervention and 10 minutes after the second intervention. |
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