Immediate neck manual therapy effects on atlas position and neck muscles
Official title: Immediate Neuromuscular Responses of the Obliquus Capitis Inferior Following Upper Cervical Manual Therapy
Run by Florida Gulf Coast University · NCT07725198 · Data updated 2026-11-12
This trial tests two upper neck manual therapy techniques to see their immediate effect on neck alignment, atlas position, and a neck muscle shape in adults with head and neck pain or headaches.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Florida Gulf Coast University Academic / other |
| Locations | 1 site (Fort Myers, Florida) |
| Status | Recruiting |
| Started | May 1, 2025 |
| Main results expected | January 1, 2027 |
| Study ends | January 1, 2027 |
| Registry record updated | August 28, 2026 |
| Trial ID | NCT07725198 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults who understand English and have no prior cervical spine surgery or traumatic cervical injury and no contraindications to cervical manual therapy.
✕Probably not a fit
Patients with conditions that negate manual therapy safety or those who do not respond to upper cervical interventions may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, repeated-measures study examines the immediate effects of thrust long-axis manipulation of the C1-C2 junction on craniovertebral alignment and the obliquus capitis inferior muscle. Participants undergo two upper cervical manual therapy interventions with measurements captured right away to assess changes in CVA, atlas position, and OCI morphology using ultrasound. The design allows within-subject comparison of the interventions to determine short-term biomechanical responses. The study is conducted at Florida Gulf Coast University and does not report a multi-site or powered comparative framework.
Why it matters
Potential benefit: If successful, the findings could help clinicians choose manual therapy approaches that optimize neck alignment and muscle response in patients with head and neck symptoms.
How similar studies have gone: Earlier research in manual therapy and cervical muscle responses has shown short-term biomechanical changes with similar techniques, though results can vary by individual.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * read and understand English * no previous history of cervical spine surgery or traumatic cervical injury * no contraindications to cervical manual therapy Exclusion Criteria: * any absolute contraindications to cervical manipulation * any other medical condition considered unsafe for manual therapy.
Where it's running
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Florida Gulf Coast University Marieb Hall 101
Fort Myers, Florida, United States Recruiting
Study contacts
- Study coordinator: Rob Sillevis, PhD
- Email: rsillevis@fgcu.edu
- Phone: 239-7454312
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.