Efficacy of Cranial Manual Therapy in the Treatment of Chronic Insomnia Disorder
Sleep Initiation and Maintenance Disorders
About this trial
This is an interventional treatment trial for Sleep Initiation and Maintenance Disorders focused on measuring Sleep Iniciation and Maintenane Disorders, Autonomic Nervous System, Osteopathic Medicine, Muskuloeskeletal Manipulation, Dysominias
Eligibility Criteria
Inclusion Criteria:
Diagnosed with chronic insomnia disorder according to the criteria defined by the ICSD-III (International Classification of Sleep Disorders-3rd edition):
- Problems initiating or maintaining sleep, associated with daytime consequences; and not attributable to environmental circumstances.
- Insomnia lasting more than 3 months, with episodes of at least 3 times a week.
Regarding the pharmacology or medication indicated for sleep:
- They do not want to take the medication recommended by the doctor who is treating them.
- Do not change their usual drug regimen, if they were already taking medication to sleep.
- They are not taxed to take medication.
Having ruled out other pathologies related to sleep through:
- Respiratory polygraphy to rule out sleep-related respiratory pathologies (SAHS).
- screening to rule out motor sleep disorders.
- screening to rule out circadian sleep disorders.
- screening to rule out serious psychiatric disorders (depression, anxiety, general psychopathology): BDI-II (Beck Depression Inventory), BAI (Beck Anxiety Inventory), SCL-90.
- Obtain a score greater than 7 points (clinical-subclinical insomnia).
Exclusion Criteria:
- Obtain a score of less than 7 (clinically insignificant insomnia) in the ISI test (Insomnia Severity Index).
- The result of the respiratory polygraphy is positive, confirming a sleep-disordered breathing.
- The screening tests for the detection of motor sleep disorders, respiratory sleep disorders or circadian disorders are positive.
- The Screening detects serious psychiatric illnesses such as major depressive disorder or bipolar disorders is positive.
- Suffering or having suffered from any central neurological pathology, stroke, aneurysm...
- Having suffered skull fractures.
- Having undergone surgery in the last 6 months and that insomnia has started as a result of it.
Sites / Locations
- Escoles Universitaries GimbernatRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Intervention
Placebo
It will consist of osteopathic manual therapy techniques applied to the occipital and temporal bones.
It consists of a light contact applied to the cranial vault (frontal and parietal bones) where circular movements will be induced.