Musculoskeletal Diseases
Conditions
Interventions
Group A
group B
group C
Sponsors
Anis Jellad
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria are: Age between 18 and 65 years, CR diagnosed at least 3 months before enrollment Cervicogenic headache diagnosed according to the International Classification of Headache Disorders 3rd edition (ICHD-3) criteria.
Exclusion criteria
Exclusion criteria: Exclusion criteria are: Other type of headache (according to ICHD-3 criteria), History of neck or head injury or surgery, peripheral or central neurological diseases, Contraindications for cervical traction.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Headache frequency: number of days with headache during the past week. ;Headache intensity measured using the visual analogue scale (VAS) graduated from 0 mm (no pain) to 100 mm (worst pain). ;Medication intake expressed as the quantity in grams of analgesic medication consumed during the past week. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cervical radiculopathy pain intensity using the visual analogue scale (VAS) graduated from 0 mm (no pain) to 100 mm (worst pain). ;Patients’ activities of daily living evaluated using the Neck disability index (NDI). It includes 10 items each scored from 0 (no disability) to 5 (total disability). The NDI will be expressed in percentage. ;Cervical range of motion (ROM) measured by the Cervical Range-of-Motion Instrument (CROM; Performance Attainment Associates, St Paul, MN). The CROM device is a valid clinical tool with three inclinometers allowing the measurement of active mobility of the cervical spine in flexion, extension, rotation, and lateral flexion. ROMs are expressed in degrees.;Handgrip strength (HGS) measured using the Jamar hydraulic hand dynamometer (Lafayette Instrument Company, USA) and is reported in kilogram.;Cervical muscles strength measured using handheld isometric dynamometer (MicroFET2; Hoggan Health Industries). Measurements will be specified in newton. To assess the strength of the flexor muscles, the dynamometer is placed on the forehead, while for the extensor muscles, it is placed at the back of the head. ;Cervical proprioception testing will be assessed using the CROM device. In sitting position, patients with CROM device in place are asked to keep the head in neutral position (reference position). The examiner asks patients to close their eyes and passively mobilize the head, then the patient return his head to reference position. The examiner records the angle error in degrees. The test is performed for the flexion and the extension.;The anxiety and depression profile is assessed using the Hospital Anxiety and Depression scale (HAD). It includes 14 items (7 for anxiety and 7 for depression) rated from 0 to 3 each. The maximum score is 21 for both symptoms.;The participants’ quality of life is assessed using the World Health Organization quality of life (WHOQOL-bref) questionnaire with 4 domains: physical health, psychological, social re | — |
Countries
Tunisia
Contacts
Public ContactAmine Kalai
University of Monastir
Outcome results
None listed