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Trial registered on ANZCTR

Registration number

ACTRN12616001127493

Ethics application status

Approved

Date submitted

6/07/2016

Date registered

18/08/2016

Date last updated

13/09/2018

Type of registration

Prospectively registered

Titles & IDs

Public title

Posture and forward head position (FHP) changes after suboccipital inhibition technique application in water polo players.

Scientific title

Posture and forward head position changes after suboccipital inhibition osteopathic technique application (modified by Upledger) in healthy water polo players measured with photogrammetry

Secondary ID [1]

nil known

Universal Trial Number (UTN)

U1111-1174-6354

Trial acronym

Linked study record

Health condition

Health condition(s) or problem(s) studied:

Forward Head Posture

Kyphosis

Condition category

Condition code

Physical Medicine / Rehabilitation

Physiotherapy

Physical Medicine / Rehabilitation

Other physical medicine / rehabilitation

Intervention/exposure

Study type

Interventional

Description of intervention(s) / exposure

The suboccipital inhibition technique* will be administered once to each participant
The approximate duration of this technique is 12 minutes. This durantion will be monitored.
The treatment will be administered by a physiotherapist and osteopath (same person) with 6 years experience.
If any subject isn't able to finish the whole protocol, he or she will be excluded.
*Suboccipital inhibition technique (modified by Upledger).
The patient lies on his/her back and the therapist sits behind his/her head.
1. Holding the patient head with both hands and touching the suboccipital tissues with fingertips 2 to 5. Gently, apply intentional force towards atlas posterior arc. Wait while the fingers get deep into the tissues and find the hard bone restriction of atlas.
2. Holding the same finger contacts, flex metacarpo-phalangical joints and straighten interphalangical joints to sustain the head that holds on the fingertips. Apply an intentional force towards glabela to ensure the work is on occipital-atlas space. Wait until head slides and settles on therapist hands.
3. Relax finger contacts and move second fingers to atlas transverse processes projection. Apply a very gentle mechanical distraction between occipital bone and atlas. Wait until tissue is relaxed.
4. Move second finger to join the others. Apply a very gentle transverse mechanical distraction until tissue is relaxed.
5. Apply an intentional cranial traction until viscolasticity is felt.

Intervention code [1]

Treatment: Other

Intervention code [2]

Prevention

Comparator / control treatment

Patient's head rests on therapist hands for 2 minutes.. No technique will be done.

Control group

Placebo

Outcomes

Primary outcome [1]

Forward Head Position (cranio cervical angle) assessed using photogrammetry.
1 centimeter white spheres will be stuck on subject skin to mark anatomical reference points to be used with the Postural Assessment Software (PAS- SAPO).

Timepoint [1]

Within 15 minutes after intervention

Secondary outcome [1]

Ischiosural flexibility assessed using the Sit and reach test.
The sit and reach box will be used. The centimetric sacale is adjusted to 23 cm at feet position.

Timepoint [1]

Within 15 minutes after intervention

Secondary outcome [2]

Cervical Mobility assessed using a gravity goniometer: The subject will be sat down.
-Flexion,
-Extension,
-Side bendings
-Rotations, The neck will be flexed to assess the rotation mobility,

Timepoint [2]

Within 15 minutes after intervention

Secondary outcome [3]

Other postural changes in sagital plane.
Distances between gravity line traced by tragus to acromion assessed using photogrammetry
1 centimeter white spheres will be stuck on subject skin to mark anatomical reference points to be used with the Postural Assessment Software (PAS).

Timepoint [3]