000062068 001__ 62068 000062068 005__ 20190709135438.0 000062068 0247_ $$2doi$$a10.1186/s12891-017-1744-5 000062068 0248_ $$2sideral$$a101213 000062068 037__ $$aART-2017-101213 000062068 041__ $$aeng 000062068 100__ $$aGonzález Rueda, Vanessa 000062068 245__ $$aEffectiveness of a specific manual approach to the suboccipital region in patients with chronic mechanical neck pain and rotation deficit in the upper cervical spine: study protocol for a randomized controlled trial 000062068 260__ $$c2017 000062068 5060_ $$aAccess copy available to the general public$$fUnrestricted 000062068 5203_ $$aBackground Mechanical neck pain is a highly prevalent problem in primary healthcare settings. Many of these patients have restricted mobility of the cervical spine. Several manual techniques have been recommended for restoring cervical mobility, but their effectiveness in these patients is unknown. The aim of the present study is to compare the effectiveness of two types of specific techniques of the upper neck region: the pressure maintained suboccipital inhibition technique (PMSIT) and the translatory dorsal glide mobilization (TDGM) C0-C1 technique, as adjuncts to a protocolized physiotherapy treatment of the neck region in subjects with chronic mechanical neck pain and rotation deficit in the upper cervical spine. Methods A randomized, prospective, double-blind (patient and evaluator) clinical trial. The participants (n = 78) will be randomly distributed into three groups. The Control Group will receive a protocolized treatment for 3 weeks, the Mobilization Group will receive the same protocolized treatment and 6 sessions (2 per week) of the TDGM C0-C1 technique, and the Pressure Group will receive the same protocolized treatment and 6 sessions (2 per week) of the PMSIT technique. The intensity of pain (VAS), neck disability (NDI), the cervical range of motion (CROM), headache intensity (HIT-6) and the rating of clinical change (GROC scale) will be measured. The measurements will be performed at baseline, post-treatment and 3 months after the end of treatment, by the same physiotherapist blinded to the group assigned to the subject. Discussion We believe that an approach including manual treatment to upper cervical dysfunction will be more effective in these patients. Furthermore, the PMSIT technique acts mostly on the musculature, while the TDGM technique acts on the joint. We expect to clarify which component is more effective in improving the upper cervical mobility. 000062068 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000062068 590__ $$a1.998$$b2017 000062068 591__ $$aORTHOPEDICS$$b34 / 77 = 0.442$$c2017$$dQ2$$eT2 000062068 591__ $$aRHEUMATOLOGY$$b22 / 31 = 0.71$$c2017$$dQ3$$eT3 000062068 592__ $$a0.951$$b2017 000062068 593__ $$aOrthopedics and Sports Medicine$$c2017$$dQ1 000062068 593__ $$aRheumatology$$c2017$$dQ2 000062068 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000062068 700__ $$aLópez de Celis, Carlos 000062068 700__ $$aBarra López, Martín Eusebio 000062068 700__ $$0(orcid)0000-0002-0906-9114$$aCarrasco Uribarren, Andoni 000062068 700__ $$aCastillo Tomás, Sara 000062068 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo García, César$$uUniversidad de Zaragoza 000062068 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000062068 773__ $$g18 (2017), [8 pp.]$$pBMC Musculoskelet. Disord.$$tBMC MUSCULOSKELETAL DISORDERS$$x1471-2474 000062068 8564_ $$s623547$$uhttps://zaguan.unizar.es/record/62068/files/texto_completo.pdf$$yVersión publicada 000062068 8564_ $$s88415$$uhttps://zaguan.unizar.es/record/62068/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000062068 909CO $$ooai:zaguan.unizar.es:62068$$particulos$$pdriver 000062068 951__ $$a2019-07-09-11:34:55 000062068 980__ $$aARTICLE