Health Condition 1: M959- Acquired deformity of musculoskeletal system, unspecified
Conditions
Interventions
Intervention1: Electrical Dry Needling Auricular Vagus Nerve Stimulation (eDN-aVNS) and Craniofacial Manual Therapy: Total Duration of the treatment is 6 weeks. Participants in the experimental group
Sponsors
Dr Ramesh Chandra Patra
Eligibility
Inclusion criteria
Inclusion criteria: Participants eligible for the study must have a confirmed diagnosis of cervicogenic headache according to the International Classification of Headache Disorders criteria, as well as a diagnosis of temporomandibular disorders based on the DC/TMD criteria. They must have experienced chronic symptoms for at least three months and provided written informed consent to participate.
Exclusion criteria
Exclusion criteria: Individuals will be excluded if they have known contraindications to dry needling or manual therapy, suffer from severe systemic illness, are pregnant or lactating, have psychiatric disorders that may interfere with participation, or have experienced recent trauma or surgery in the craniofacial region within the last six months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache Intensity Measured using the Visual Analog Scale (VAS), assessed before and after the intervention to quantify the subjective intensity of cervicogenic headache. Headache Frequency Number of headache days per month, recorded using a headache diary, compared pre- and post-intervention. Temporomandibular Joint Dysfunction Assessed using the Helkimo Clinical Dysfunction Index, which evaluates TMJ function, joint sounds, range of motion, and pain. Jaw Pain Intensity Measured using a Numerical Rating Scale (NRS) from 0 (no pain) to 10 (worst pain possible), recorded pre- and post-intervention to assess changes in TMD-related pain. Mouth Function Assessed by the Mandibular Functional Impairment Questionnaire (MFIQ), which evaluates difficulty in performing functional activities such as chewing, speaking, yawning, and mouth opening.Timepoint: Baseline, 6 weeks and 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Pressure Pain Threshold (PPT) Measured using an algometer at standardized points in the craniofacial and cervical regions to objectively quantify sensitivity and mechanical pain thresholds. Autonomic Nervous System Balance Evaluated via Heart Rate Variability (HRV) parameters, specifically SDNN (Standard Deviation of NN intervals) and RMSSD (Root Mean Square of Successive Differences), to assess vagal tone and autonomic function. Quality of Life Assessed using the SF-36 questionnaire, measuring overall physical and mental health status.Timepoint: Baseline, 6 weeks and 12 weeks | — |
Countries
India
Contacts
Public ContactDr Ramesh Chandra Patra
Lovely Professional University Faculty of Applied Medical Sciences
Outcome results
None listed