Health Condition 1: G430- Migraine without aura Health Condition 2: G448- Other specified headache syndromes Health Condition 3: G442- Tension-type headache
Conditions
Interventions
Intervention1: Exercises only: 1. Upper quarter low load endurance training exercises -
a. A conventional cervical flexion exercise (head lift) protocol as described by Oâ??leary et al (2007) will be
Sponsors
None listed
Eligibility
Inclusion criteria
Inclusion criteria: 1. Subjects with Migraine, TTH and CGH with pain intensity > 6 on a 0â??10 visual analog scale at the time of presentation 2. A minimum 1-year history of headache with a minimum frequency of 1 per week. 3. Age more than 18 years and less than 60 years 4. Hypomobility of the upper cervical spine on manual examination from C0-3 5. Reproduction of headache on palpation of the upper cervical spine from C0-3
Exclusion criteria
Exclusion criteria: 1. Subjects with headache other than, Migraine, TTH and CGH 2. Instability of the upper cervical spine on alar ligament and transverse ligament tests 3. Evidence of vertebrobasilar artery insufficiency 4. Vertigo or dizziness 5. Rheumatoid arthritis, ankylosing spondylosis 6. History of cervical spine fractures 7. Pregnancy 8. Cognitive compromise 9. Any other contraindications to manual therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.The headache frequency number of headache days per month. Participants will be requested to note down in a headache diary with new diary completed prior to each assessment dates.Timepoint: 4 weeks, 3 and 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Headache intensity on 10 cm VAS 2. Headache duration in the hours per week. 3. Medication Intake total tablets per week. 4. Peripheral and Central sensitization determined by pain pressure threshold 6. Headache disability will be recorded with the Headache Activities of Daily Living 7. Patient satisfaction scale with (0-100%) percentage rating scale 8. Passive upper cervical rotation ROM in degrees with the flexion - rotation test. Timepoint: 4 weeks, 3 and 6 months | — |
Countries
India
Contacts
Public ContactKiran Satpute
Sancheti Institute College Of Physiotherapy
Outcome results
None listed