Active and Passive Cervical Flexion-rotation Tests

A Comparison of Range of Motion During the Active and Passive Flexion-rotation Tests in Subjects Patients With Cervicogenic Headache

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02070172

Enrollment

Registered

2014-02-25

Start date

2009-02-28

Completion date

2011-01-31

Last updated

2014-02-25

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cervicogenic Headaches

Keywords

headache diagnosis, flexion rotation test, range of motion, upper cervical

Brief summary

Motion limitations have been previously reported in people with headaches originating from the neck/cervicogenic headaches. A test involving flexing and rotating the neck has been found useful to diagnose this type of headache. This observational study investigates this neck motion test when performed actively by the patient and passively by the examiner, then compares the results of motion attained.

Interventions

None listed

Study design

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

20 Years to 55 Years

Healthy volunteers

Yes

Inclusion criteria

* One-sided headaches * Headaches caused by neck movement or sustained head positioning * Neck, shoulder, or arm pain * Intermittent headaches at least one headache per week for greater than 2 months * Headaches of moderate intensity

Exclusion criteria

* A diagnosis of rheumatoid arthritis * Current pregnancy * International Headache Society criteria for other headache forms (such as tension or migraine) * Cervical radiculopathy * Treatment for headaches by a physical therapist, chiropractor, massage therapist, or osteopath in the past month * Positive test for vertebral artery insufficiency or cranial-vertebral ligament instability

Design outcomes

Primary

Measure	Time frame	Description
Cervical Range of Motion in degrees with the Flexion Rotation Test	Baseline only	Two versions of this test were examined. A motion analysis system was used to measure degrees of motion. The test was done in two ways on each subject. Subjects sat in a chair, looked downward, then rotated their head/neck each direction. Subjects laid on their back while an examiner lifted their head, then rotated it each direction (same motion as described for the active test in the previous sentence). Within session reliability was also examined.

Secondary

Measure	Time frame	Description
Northwick park neck disability index	Baseline only	This self-report questionnaire was completed by subjects prior to testing. It was not re-assessed as an outcome but rather used for baseline description of the subjects included in the study.

Countries

United States

Outcome results