Indirect Approach of C0-1 and C2-3 Segments in Flexion-rotation Test
Neck Pain, Cervical Spine Disease, Rotation
About this trial
This is an interventional treatment trial for Neck Pain focused on measuring manual therapy, neck pain, exercise, restriction
Eligibility Criteria
Inclusion Criteria:
- A medical diagnosis of chronic neck pain with more than 3 months of evolution.
- A positive result in the flexion-rotation test (less than 33º or a difference of 10º or more between the two rotations).
- Being over 18 years old.
- Having signed the informed consent.
Exclusion Criteria:
- Contraindications for manual therapy or exercise.
- Having participated in exercise or manual therapy programs in the last three months.
- Presenting warning signs or having suffered a relevant neck trauma.
- An inability to maintain supine position.
- The use of pacemakers (the magnets in the CROM device could alter their signal)
- An inability to perform flexion-rotation test
- Language difficulties.
- Pending litigation or lawsuits.
Sites / Locations
- Universidad de ZaragozaRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Manual Therapy + Exercise Group
Exercise Group
Manual Therapy + Exercise group will carry out 20-minute session of treatment. The techniques will be applied depending on the clinical findings in each patient and the objective will be to restore the function of C0-1 and C2-3 segments before applying cervical exercises. We will use manipulation (high velocity low amplitude) and/or mobilization (low velocity high amplitude) techniques of C0-1 and C2-3 segments with cervical exercise. Manipulations will be in the direction of traction, with the head in a neutral position. A maximum of two trials at each level on each side will perform (2-6 thrusts). Mobilization will be performed for 5 minutes using repeating cycles of 45 seconds of mobilization and 15 seconds of rest. The cervical exercise will perform by this group will follow the same methodology as the Exercise group.
This group will perform the cervical stabilization exercise. They will be teach to perform the contraction of deep neck flexor muscle activity with the help of the Stabilizer Pressure Biofeedback Unit (Chattanooga, USA) in supine. Exercise will be always carry out without pain, because pain can be an inhibitor of muscle contraction. The Exercise group will carry out one 20-minute session, composed of 2 sets of 10 repetitions, holding each repetition for 10 seconds, a 40-second rest between each repetition and 2 minutes between sets.