Attentional Focus Influence During Cranio-Cervical Flexion Test

Sponsor
Federal University of Health Science of Porto Alegre (Other)
Overall Status
Completed
CT.gov ID
NCT03567122
Collaborator
(none)
90
1
3
8
11.3

Study Details

Study Description

Brief Summary

The purpose of this study is to termine if a different attentional focus would alter the motor control in cervical muscles during the cranio-cervical test.

Condition or Disease Intervention/Treatment Phase
  • Other: Internal Focus of Attention
  • Other: External Focus of Attention
  • Other: Control
N/A

Detailed Description

Asymptomatic subjects will be recruited to this study. Superficial electromyography of the Sternocleidomastoid, Range of Motion (ROM) and Cranio-Cervical Flexion Test (CCFT) will be measured before, immediately after change in focus of attention, 2 days after training under a particular focus of attention, and 7 days after training the task under the same focus of attention.

Subjects will be randomized into three groups: Internal focus of attention, external focus of attention and control group.

Study Design

Study Type:
Interventional
Actual Enrollment :
90 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Double (Participant, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
Attentional Focus Influence During Cranio-Cervical Flexion Test
Actual Study Start Date :
Aug 1, 2018
Actual Primary Completion Date :
Aug 1, 2018
Actual Study Completion Date :
Apr 1, 2019

Arms and Interventions

Arm Intervention/Treatment
Experimental: Internal Focus of Attention

30 subjects will be randomized to this arm. Only internal focus of attention feedback instructions will be given during the execution and training performing the Cranio-Cervical Flexion Test. The subjects allocated to this arm will not be allowed to use the visual feedback traditionally provided during the Cranio-cervical Flexion Test.

Other: Internal Focus of Attention
Information already included in arm/group descriptions.
Other Names:
  • Internal Focus
  • Experimental: External Focus of Attention

    30 subjects will be randomized to this arm. Only external focus of attention feedback instructions will be given during the execution and training performing the Cranio-Cervical Flexion Test. The subjects allocated to this arm will not be allowed to use the visual feedback traditionally provided during the Cranio-cervical Flexion Test. In addition, they will use just a laser point attached to the head to guide their cranio-cervical flexion.

    Other: External Focus of Attention
    Information already included in arm/group descriptions.
    Other Names:
  • External Focus
  • Active Comparator: Control

    30 subjects will be randomized to this arm. The participants allocated to this arm will be instructed as traditionally during the Cranio-Cervical Flexion Test. They will be given visual feedback while have their attention guided to the inner neck movement.

    Other: Control
    Information already included in arm/group descriptions.

    Outcome Measures

    Primary Outcome Measures

    1. Change from baseline in Electromyographic Activity of Sternocleidomastoid [Baseline, Immediately after baseline, Post-Training (2 days after the baseline), Retention (7 days after finished training)]

      The Electromyography (EMG) signal amplitude will be determined by the root mean square (RMS) value computed over intervals of 1 s during each 10-s contraction. RMS will be expressed as a percentage of the maximum RMS value during the reference voluntary contraction.

    Secondary Outcome Measures

    1. Cranio-cervical Range of Motion [Baseline, Immediately after baseline, Post-Training (2 days after the baseline), Retention (7 days after finished training)]

      A neutral position and full range of active cranio-cervical flexion photograph will be taken using a digital camera. That camera will be positioned on a tripod horizontally parallel to the subject's head/neck region at a distance of 80 cm, anatomical markers positioned on the tragus of the ear, the mental protuberance of the mandible and the lateral aspect of the neck. Photos will be taken when the subject reached each level of the craniocervical flexion test. The Cranio-cervical Range of Motion will be expressed as relative percentage of degrees compared to the full range of motion.

    2. Cranio-Cervical Flexion Test Performance [Baseline, Immediately after baseline, Post-Training (2 days after the baseline), Retention (7 days after finished training)]

      Subjects will instructed to reach each one of the five stages (22-30 mmHg) of the test and hold the pressure as steady as possible for 10s. The stage will be mark as successful if the participant reaches the stage level and hold steady the pressure during the 10-s contrition. However, the individuals that reaches the stage-aimed pressure but are unable to maintain the pressure stable during the 10s contraction or use compensating strategies will be marked as unsuccessful.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 60 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Asymptomatic subjects
    Exclusion Criteria:
    • Cervical pain

    • Historic of trauma/surgery to the cervical or thoracic spine or upper limbs

    • Temporomandibular pain

    • Neurological or systemic disorder

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Universidade Federal de Ciências da Saúde Porto Alegre RS Brazil 90160240

    Sponsors and Collaborators

    • Federal University of Health Science of Porto Alegre

    Investigators

    • Study Director: Marcelo Faria, PhD, PT, Professor, Researcher

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Francisco Xavier de Araujo, Pt, Principal Ivestigator, Federal University of Health Science of Porto Alegre
    ClinicalTrials.gov Identifier:
    NCT03567122
    Other Study ID Numbers:
    • MSS_ME_01
    First Posted:
    Jun 25, 2018
    Last Update Posted:
    Jul 9, 2019
    Last Verified:
    Jul 1, 2019
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Francisco Xavier de Araujo, Pt, Principal Ivestigator, Federal University of Health Science of Porto Alegre
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 9, 2019