Cervicogenic Headache
Conditions
Brief summary
This study is a randomised control trial and the purpose of this study is to determine the Additional effects of sternocleidomastoid release along with suboccipital muscle release in management of cervicogenic headache.
Detailed description
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 treating. patients with cervicogenic headache are mostly presented with forward head posture and weak deep neck flexors which may excerbate the headache symptoms.Therefore The purpose of this study is to determine the Additional effects of sternocleidomastoid release along with suboccipital muscle release in management of cervicogenic headache
Interventions
PROCEDURESuboccipital muscle release
Suboccipital muscle release.6 consecutive sessions for 2 weeks • Frequency:( 3mins 3 reps) 9 mins .12 sessions in total
PROCEDUREConventional physical therapy
TENS and hot pack for 10 mins 6 days a week for consecutive 2 weeks
PROCEDURESternocleidomastoid release
Frequency: 5 mins of SCM release and 9 mins (3 mins 3 reps )of suboccipital release. 12 sessions in total.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a randomized controlled trial having two groups.one group will recieve conventional physical therapy including hot pack and tens for 10mins and suboccipital muscle release ( 3mins 3 reps) 9 mins .12 sessions in total where as group B will receive Sternocleidomastoid release for 5 mins along with suboccipital muscle release and conventional physical therapy.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Participants will be included according to international classification of headache criteria which includes: * Headache with neck stiffness * Headache at least once a month in the last 3 months * Headache with at least 4 score in Numeric Pain Rating Scale(NPRS) * Unilateral headache with no shift of side * Positive flexion rotation test (Rotation restriction is greater than 10 degrees) * C1-C2 dysfunction * Headache precipitated by sustained neck movements,myofacial trigger points palpation in neck * Age group 18-45 * Both male and female
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 * meningitis * subarachnoid hemorrhage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | 2 weeks | Pain will be measured on the basis of Numeric Pain Rating Scale score. |
| ROM | 2 weeks | Cervical rotation will be measured through CROM device |
Countries
Pakistan
Contacts
Primary ContactAyesha Arshad, MS-MSKPT
Outcome results
None listed