Effects of Instrumental, Manipulative and Soft Tissue Approaches for the Suboccipital Region in Subjects with Chronic Mechanical Neck Pain. A Randomized Controlled Trial

Juan José Arjona Retamal, Alejandro Fernández Seijo, José David Torres Cintas, Ana I. de-la-Llave-Rincón and Andrea Caballero Bragado
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Juan José Arjona Retamal: Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain
Alejandro Fernández Seijo: Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain
José David Torres Cintas: Faculty of Physiotherapy, King Juan Carlos University, 28922 Madrid, Spain
Ana I. de-la-Llave-Rincón: Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Madrid, Spain
Andrea Caballero Bragado: Faculty of Psychology, Autonomous University of Madrid, 28049 Madrid, Spain

IJERPH, 2021, vol. 18, issue 16, 1-14

Abstract: The INYBI is an instrument used to release the suboccipital myofascial area. There is scarce evidence of its efficacy. A randomized controlled, double-blinded, longitudinal and prospective trial was performed. Ninety-six subjects (aged 29.47 ± 5.16 years) (70 women) with chronic neck pain were randomly assigned to the manual suboccipital inhibition technique (MSIT), instrumental suboccipital inhibition (INYBI) or the INYBI plus upper cervical manipulation technique (INYBI + UCMT) groups and received two sessions with a week interval between them. The Neck Disability Index was used before the first intervention and two weeks after the second intervention. Pre- and post-measurements were taken on both intervention days for pressure pain threshold of the upper trapezius and suboccipital muscles, self-perceived pain and cervical range of motion. In spite of a significant general improvement in time that was found for the three groups for all of the outcome measurements ( p < 0.05 in all cases), no between-groups differences were found ( p > 0.05 in all cases), with the exception of self-perceived pain for left rotation ( p = 0.024), with the MSIT group showing the lower improvement. However, the higher degree of within-group improvements was found for the INYBI + UCMT group. It was concluded that the myofascial release therapy in the suboccipital area is effective in patients with chronic neck pain, either through a manual application or by means of the INYBI tool. Moreover, the addition of craniocervical manipulation achieved the higher within-group improvements, but with no statistical significance.

Keywords: cervical pain; suboccipital muscles; trigger points; INYBI; cervical manipulation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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