Cervicogenic Headache
Conditions
Keywords
ELDOA, Cervicogenic Headache, Cervical spine
Brief summary
The aim of our study is to determine the effect of ELDOA in relieving pain, improving ROM and functional disability in patients with cervicogenic headache. This study will add to the growing body of knowledge that if this technique yields comparable outcomes, it would be the alternative therapy. Moreover, it would add to the society as no literature is available on the effect of ELDOA technique in the management of Cervicogenic headache.
Detailed description
Cervicogenic Headache (CEH) is mainly caused by neck or paravertebral soft tissue lesions. It is chronic headache that arises from the Atlanto-occipital and upper cervical joints and is perceived in one or more regions of the head or face. One of the known treatment options that create decompression at spinal segment level is called ELDOA it is described as a conditioning method involving a series of movements and body stretches to help correct body posture, rehabilitate people with injuries and prevent injuries
Interventions
OTHERELDOA and conventional therapy
hot pack and TENS for10 min, cervical PIR (MET) in flexion, extension, side bending and rotation (single set of 4rep with 6 sec hold once a day) and ELDOA method C0-C1-C2, C2 & C3 positions for cervical spine (2 sets of five repetitions with 45 sec hold and 15sec rest between each set once a day).
OTHERconventional therapy
include hot pack and TENS for 10 minutes, cervical PIR (MET) in flexion, extension, side bending and rotation (single set of 4 reps with 6 seconds hold once a day).
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
30 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Age: 30-45 years * Both male and female. * Onset of pain \> 4 weeks. * Flexion rotation test positive with estimated rotation range reduced by more than 10 degrees from the anticipated normal range (44 degrees) * Tenderness of upper three cervical joints. * Presence of active trigger points in upper trapezius and sub occipital extensors.
Exclusion criteria
* Hypertension. * Recent (\<6 months) whiplash injury and other cervical soft tissue injuries. * History of cervical spinal vertebrae fracture. * Positive sharp purser test * Acute disc protrusion • History of cancer. * Previous surgical intervention of head, neck and thoracic spine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| (Numeric Pain Rating Scale). | four weeks | The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale from 0 to 10. 0 = no pain and 10 = the most intense pain imaginable while the NPRS exhibited moderate reliability (ICC = 0.27-0.84) |
| NDI (U) (Neck Disability Index) | four weeks | The neck disability index is a ten-item self-reported questionnaire that assesses pain and associated disability, with a total max score of 50 points . An Urdu version of neck disability index will use in this study. An intra-class correlation coefficient (ICC) revealed excellent test-retest reliability for all items (ICC = 0.86-0.98) and total scores (ICC = 0.99) of the NDI-U. |
| Inclinometer | four weeks | Cervical range of motion will be measured using inclinometer. It is a common instrument used to measure joint range of motion. |
Countries
Pakistan
Outcome results
None listed