Cervicogenic headache. Headache associated with sexual activity
Conditions
Interventions
Intervention 1: Intervention group: The intended intervention consists of 8 sessions of 20-30 minutes of dry needling with perineural electrical stimulation with a frequency of 50 Hz and home exercise
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: The presence of laboratory, clinical and/or imaging evidence of a neck disorder, known to be able to cause headache. A headache that has at least 2 of the following 4 criteria: A) Headache in the temporal region that is related to the presence of neck disorders. B) Headache that improves in parallel with the improvement of the neck disorder. C) Cervical range of motion Is reduced and headache made worse by provocative manoeuvres. D) Headache is abolished following cervical diagnostic anaesthetic blockade. There is no other diagnosis for headache. Definitive diagnosis of cervicogenic headache by a neurologist based on HIS criteria. Absence of orthopedic disorders and diseases such as cervical discopathy that prevent exercises. The patient has not participated in a regular exercise program or physical therapy during the last 4 weeks. The patient has not been treated with corticosteroids (injection or oral) in the last 2 weeks.
Exclusion criteria
Exclusion criteria: The patient suffers an injury or any disorder during the study that prevents him or her from performing and continuing exercises and acupuncture. The patient is unable to complete acupuncture sessions. The patient's unwillingness to complete the exercise program and acupuncture sessions. Follow-up through the logbook has missed 30% of the exercises. A history of bleeding disorders or the use of anticoagulant drugs Suffering from psychiatric disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity based on the Numerical Pain Rating Scale (NPRS). Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: The Numerical Pain Rating Scale (NPRS). | — |
Secondary
| Measure | Time frame |
|---|---|
| Patient's disability. Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: The Neck Disability Index (NDI).;Pain intensity. Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: Headache Impact Test (HIT-6): This test consists of 6 questions and shows the impact of headache on the patient's life. For each question, a score between 6 and 13 is considered.;The Global Rating of Change Score (GROC). Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: This questionnaire measures the overall changes in recovery and can include values from negative 7 to positive 7. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMarzieh Mahmoudi Zarandi
Tehran University of Medical Sciences
Outcome results
None listed