Effectiveness of thrust technique in rotation of the atlas with indexial contact in patients with tension-type headache: pilot study

Introduction: Tension-type headache (TTH) is one of the most common headaches among the population. Its prevalence is high and can influence the quality of life and the social and work environment, leading to the intake of drugs and this way, favouring chronic headaches. Objectives: Evaluate the effectiveness of the thrust technique in rotation of the atlas, with indexial contact (TTRA), in patients with TTH. Material and methods: A randomized pilot study was carried out. The sample consisted of twenty-nine patients (n=29), whom were randomly distributed into two groups; experimental group (EG, n=12) and control group (CG, n=17). Both groups were evaluated using goniometric measurements before and after the intervention. Jones' points from the sternocleidomastoid, levator scapulae, obliquus capitis inferior and rectus capitis lateralis muscles, on the side of the atlas dysfunction, were inhibited. The TTRA was applied to the EG and non-active placebo to the CG. Changes in cervical mobility were analysed through a universal goniometer, Cervical Range of Movement (CROM). Results: We found a significant increase in the suboccipital flexion, in the EG compared to the CG (p=0.002). The other variables of cervical mobility were not significant. Conclusions: TTRA significantly increases the suboccipital flexion (AU)