Cervicocranial Dysfunction, Cervicogenic Headache, Dizziness, Neck Pain Musculoskeletal
Conditions
Keywords
osteopathic manipulation treatmant, manual therapy, physiotherapy, RCT, cervicogenic headache, dizziness rehabilitation
Brief summary
This study aims to compare the effects of osteopathic manipulative treatment and standard physiotherapy in patients with cervicocranial dysfunction. The study will evaluate outcomes including dizziness, headache impact, neck disability, and psychological stress. Participants will be randomly assigned to one of two groups: osteopathic treatment or standard physiotherapy. The interventions will be applied over a defined treatment period, and outcomes will be measured before and after the intervention. The purpose of this study is to determine which approach is more effective in improving symptoms and functional outcomes in patients with cervicocranial dysfunction.
Detailed description
Cervicocranial dysfunction is commonly associated with symptoms such as dizziness, headache, neck pain, and psychological stress, which significantly affect patients' quality of life. Various therapeutic approaches are used in clinical practice, including osteopathic manipulative treatment (OMT) and standard physiotherapy; however, comparative evidence between these approaches remains limited. This randomized controlled trial aims to evaluate the comparative effectiveness of osteopathic manipulative treatment versus standard physiotherapy in patients diagnosed with cervicocranial dysfunction. Participants will be randomly allocated into two groups. The experimental group will receive osteopathic manipulative treatment, while the control group will receive standard physiotherapy interventions. Outcome measures will include dizziness intensity, headache impact, neck disability index, and psychological stress levels. Assessments will be conducted at baseline and after completion of the intervention period. The results of this study are expected to provide evidence regarding the effectiveness of osteopathic treatment compared to conventional physiotherapy and contribute to improving clinical decision-making in the management of cervicocranial dysfunction.
Interventions
OTHERParticipants in this group will receive osteopathic manipulative treatment (OMT) targeting cervicocr
Conventional physiotherapy including therapeutic exercises, manual therapy, and physical modalities such as TENS and heat therapy
OTHERconventional physiotherapy
physiotherapy
Sponsors
Burim Peli
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Participants will be eligible for inclusion in the study if they meet the following criteria: * Age between 18 and 65 years. * Presence of cervicocranial symptoms for at least three months, indicating a chronic condition. * Neck pain with or without associated headache. * Dizziness associated with neck movement or cervical position. * Clinical findings consistent with cervicocranial dysfunction, based on clinical examination. * Ability to understand and complete standardized clinical questionnaires used in the study. * Willingness to participate in the study and provision of written informed consent.
Exclusion criteria
* Participants will be excluded from the study if they present with any of the following conditions: * Clinically confirmed vestibular disorders. * Central neurological disorders that may influence dizziness or balance. * Recent severe trauma to the cervical spine. * History of cervical spine surgery. * Systemic inflammatory diseases or serious spinal pathologies. * Presence of red flags related to the cervical spine identified during clinical screening. * Participation in concurrent intensive physiotherapy or rehabilitation treatment during the study period.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in Headache Impact Test (HIT-6) total score | Baseline and Week 4 | Mean change in HIT-6 total score from baseline to Week 4. Higher scores indicate greater headache impact. |
| Mean change in Dizziness Handicap Inventory (DHI) total score | Baseline and Week 4 | The DHI is a 25-item questionnaire assessing dizziness-related disability (score range: 0-100). Mean change from baseline to Week 4 will be calculated. |
| Mean change in Neck Disability Index (NDI) total score | Baseline and Week 4 | The NDI assesses neck-related disability (score range: 0-50). Mean change from baseline to Week 4 will be calculated. |
| Mean change in Perceived Stress Scale (PSS-10) total score | Baseline and Week 4 | Mean change in PSS-10 total score from baseline to Week 4. Higher scores indicate greater perceived stress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in Numeric Rating Scale (NRS) score for neck pain | Baseline and Week 4 | Mean change in neck pain intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4. |
| Mean change in Numeric Rating Scale (NRS) score for headache intensity | Baseline and Week 4 | Mean change in headache intensity measured using the 11-point Numeric Rating Scale (0 = no pain, 10 = worst imaginable pain) from baseline to Week 4. |
| Mean change in Tampa Scale of Kinesiophobia (TSK) total score | Baseline and Week 4 | Mean change in fear of movement measured using the TSK total score from baseline to Week 4. Higher scores indicate greater kinesiophobia. |
| Mean change in Pain Catastrophizing Scale (PCS) total score | Baseline and Week 4 | Mean change in pain catastrophizing measured using the PCS total score from baseline to Week 4. Higher scores indicate greater catastrophizing. |
| Mean change in cervical range of motion (degrees) | Baseline and Week 4 | Mean change in active cervical range of motion (flexion, extension, rotation, lateral flexion) measured in degrees using a goniometer from baseline to Week 4. |
| Mean change in Flexion-Rotation Test (FRT) range (degrees) | Baseline and Week 4 | Mean change in upper cervical rotation range measured using the Flexion-Rotation Test (FRT) in degrees from baseline to Week 4. |
Countries
Kosovo
Contacts
CONTACTBurim Peli, Phd cand.
Outcome results
None listed