{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:21:42Z","timestamp":1777465302909,"version":"3.51.4"},"reference-count":21,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>Hypomobility on a cervical segment is a frequent finding which is sometimes asymptomatic. The effects of inhibitory suboccipital techniques on cervical mobility have not been evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE:<\/jats:title>\n                    <jats:p>To compare the effect on cervical mobility, of pressure maintained suboccipital inhibition manual technique versus a self-treatment using an Occipivot cushion, in asymptomatic subjects with limited mobility assessed by the flexion-rotation test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>Before-after randomized uncontrolled trial. Thirty-two subjects were recruited and randomized into two groups: Manual Group and Instrumental Group, receiving a single session of the assigned technique. Upper and overall cervical spine mobility was measured. Subjective sensation during technique application and post-treatment, and number and intensity of headache episodes during the following 15 days after treatment were also registered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Comparing with the Instrumental Group, the Manual Group showed statistically significant improvements on flexion-rotation test (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.01 to\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.03), upper cervical extension (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.01), overall right rotation (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.05) and overall right (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.01) and left (\n                      <jats:inline-formula>\n                        <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" alttext=\"p&lt;\" display=\"inline\" overflow=\"scroll\">\n                          <mml:mrow>\n                            <mml:mi>p<\/mml:mi>\n                            <mml:mo>&lt;<\/mml:mo>\n                            <mml:mi\/>\n                          <\/mml:mrow>\n                        <\/mml:math>\n                      <\/jats:inline-formula>\n                      0.01) side-bending.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>In asymptomatic subjects with limited cervical mobility, pressure maintained suboccipital inhibition manual technique achieves further improvement on cervical range of motion than the technique using the Occipivot cushion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/bmr-160756","type":"journal-article","created":{"date-parts":[[2018,7,24]],"date-time":"2018-07-24T13:19:03Z","timestamp":1532438343000},"page":"1193-1200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Comparative study of the effects of two inhibitory suboccipital techniques in non-symptomatic subjects with limited cervical mobility"],"prefix":"10.1177","volume":"31","author":[{"given":"Vanessa","family":"Gonz\u00e1lez-Rueda","sequence":"first","affiliation":[{"name":"Baix Llobregat Centre Rehabilitation Service, DAP Costa de Ponent, Catalan Institute of Health, Barcelona, Spain"},{"name":"Jordi Gol Institute of Research on Primary Health Care, Barcelona, Spain"},{"name":"OMT, 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Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andoni","family":"Carrasco-Uribarren","sequence":"additional","affiliation":[{"name":"University of Zaragoza","place":["Spain"]},{"name":"OMT, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mart\u00edn Eusebio","family":"Barra-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Jordi Gol Institute of Research on Primary Health Care, Barcelona, Spain"},{"name":"International University of Catalonia","place":["Spain"]},{"name":"OMT, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,11]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"KapandjiIA. 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