X-ray Evaluation of the Effectiveness of the Atlas Correction in Patients With Chronic Subluxation of the Atlas

Study Overview
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Brief Summary
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The aim of the study is to evaluate the effect of the procedure of medical acupressure of the suboccipital muscles according to the Atlas-Standard method on the normalization of the position of the first cervical vertebra and the angles of the spinal column in patients with diagnosed chronic subluxation with objectification of the results by radiography and inclinometry.

Official Title
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X-ray Assessment of the Effectiveness of Hardware Medical Acupressure of the Suboccipital Muscles According to the Atlas-Standard Method in Patients With Chronic Subluxation of the First Cervical Vertebra

Conditions
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Subluxation and Dislocation of C0/C1 Cervical Vertebrae

Intervention / Treatment
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* Procedure: Atlas-Standard method


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with chronic subluxation of the first cervical vertebra with complaints of pain in the occiput/cervical/thoracic/lumbar spine/limitation of head rotation in one or both directions. Scoliotic deformity of the spine 1-2 degrees. Exclusion Criteria: Pregnancy Fractures of the first / second cervical vertebra in history Fractures of the spine in any of the departments in the anmenesis Assimilation of the atlas with the occipital bone or the second cervical vertebra Operations on the spine using metal structures Scoliosis 3-4 degree Botulinum toxin injections in the suboccipital region within the last year Taking muscle relaxants Corrective surgery on muscles and bones Braces Active period of dental implants installation Postoperative period (any operation, including on the eyes) less than 6 months Acute infectious diseases - less than 2 weeks from the start of recovery Skin diseases with inflammatory manifestations in the neck Oncological diseases Recovery period after injury (cervical and brain injury) or stroke less than a year Established mental illness Extreme malnutrition (cachexia)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Atlas correction<br>Basic group. | Procedure: Atlas-Standard method<br>* Hardware acupressure of the suboccipital muscles according to the Atlas-Standard method for the reduction of chronic subluxation of the first cervical vertebra.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Distance between righr and left inner surface of the lateral mass of the atlas and the outer surface of the odontoid process of the axis on x-ray | Elimination of asymmetry between the right and left atlantodental intervals | 1 month. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain level | Change in the pain level in the spine according to VAS (Visual Analog Scale from 0 to 10 where 0 is no pain, 10 is worst pain imaginable) | 1 month | 
| Painkillers | Number of participants who use painkillers before and after procedure | 1 month | 
| The functional disability | Evaluated with the Oswestry Disability Index (ODI: 0 = minimal [better outcome] to 100% = maximal disability [worse outcome]) | 1 month | 
| Changes in the angles of deviation of the spinous processes | Measurement of the angles of deviation of the spinous processes in degrees of the frontal and sagittal cavities from C7 to S3 in the position of full flexion, extension of the spine and in the vertical position measured by Spinal Mouse device | 1 month | 
| Changes in the range of motion of the spine | Changes in the range of motion of the spine in degrees in the frontal and sagittal planes in the range from C7 to S3 in the position of full flexion and extension of the spine measured by Spinal Mouse device | 1 month |