Cervicogenic Headache
Conditions
Brief summary
Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.
Interventions
PROCEDUREMaitland Oscillatory Mobilization
Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.
PROCEDUREKaltenborn Sustained Stretch Mobilization
Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 and then progressed to 2 and 3. * Kaltenborn technique used will be atlas-axis rotation
PROCEDUREConventional therapy
Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor will not be aware of which group the participant belongs to.
Intervention model description
This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Maitland oscillatory mobilizations and the second will receive Kaltenborn sustained stretch mobilizations with conventional physical therapy. Both groups will be recruited concurrently.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-45 years * Both males and females * Unilateral headache with no shift of side * C1-C2 dysfunction * Headache with neck stiffness * Headache at least once a month in the last 3 months * Positive flexion rotation test (Rotation restriction is greater than 10 degrees) * Headache with a score of at least 4 in the Numeric pain rating scale
Exclusion criteria
* Cervical spondylosis * Headache of non-cervical origin * Dizziness or visual disturbance * Cervical radiculopathy/ nerve root involvement/ disc herniation * Cervical instability/ fracture * Vertebrobasilar insufficiency * Thoracic outlet syndrome * Cervical spine surgery * Cervical spondylolisthesis * Spinal infection or tumors * Osteoporosis * History of trauma * Metabolic disorders * Rheumatoid Arthritis * Inflammatory Arthritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | 2 weeks | Pain will be measured on the basis of Numeric Pain Rating Scale score. |
| Cervical range of motion | 2 weeks | Cervical rotation will be measured through CROM device |
Countries
Pakistan
Outcome results
None listed