Secondary Headache Disorders
Conditions
Interventions
Triple-blind randomized clinical trial sample of 41 patients with characteristics of cervicogenic headache according to the diagnostic criteria developed by the Cervicogenic Headache International Stu
E02.190.599
Sponsors
Escola de Osteopatia de Madrid
Escola de Osteopatia de Madrid
Eligibility
Age
18 Years to 49 Years
Inclusion criteria
Inclusion criteria: Age between 18 years and 49 years; Both sexes; Unilateral headache, starting in the posterosuperior region of the neck or occipital region, eventually spreading to the oculofrontotemporal on the symptomatic side; Pain triggered by neck movement and/or positions sustained inadequate; Reduced range of motion in the cervical spine; Pain caused by external pressure at at least one cervical level superior (C0 to C3/C4); Present moderate to severe complaint and/or symptoms, not throbbing and not lacinating; Headache frequency of at least once a week for a minimum period of 3 months; Have a minimum disability score of 20% or more (or that is, 10 points or more on the 0-50 NDI scale; Be able to move independently with or without the use of assistance; Be able to understand enough Portuguese to be able to fill in the questionnaires;
Exclusion criteria
Exclusion criteria: Other primary headaches Migraine, Tension Headache; Bilateral headaches; Time less than 6 months after surgery on the cervical spine, head or neck; history of cervical injury; upper limbs or region facial; Performing an invasive procedure for pain relief in the last 3 months; Receiving physical therapy, osteopathic or chiropractic treatment in the last 3 months; If you have two or more positive neurological signs consistent with nerve root compression muscle weakness involving a large upper extremity muscle group, decreased upper extremity deep tendon reflex, or decreased or absent pinprick sensation in any upper extremity dermatome; Diagnosis of cervical spinal stenosis; Exhibit these bilateral upper extremity symptoms; Evidence of central nervous system involvement hyperreflexia, sensory disturbances in the hand, hand atrophy, unsteadiness during gait, nystagmus, loss of visual acuity, decreased face sensation, taste alteration, presence of pathological reflex signs; Inflammatory rheumatic diseases eg rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, systemic lupus erythematosus, etc.; Progressive neurological disease e.g. multiple sclerosis, Parkinson's disease, first neuron disease Unstable heart conditions;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate the effectiveness of pragmatic osteopathic manipulative treatment in patients with cervicogenic headache; It is expected to find improvement in pain, range of motion and disability, as well as improvement in quality of life and decrease in allodynia in patients with cervicogenic headache after treatment.Using the pragmatic osteopathic manipulative treatment method is expected to find greater results and improved outcomes than compared to the cervical manipulation protocol. | — |
Secondary
| Measure | Time frame |
|---|---|
| Check VAS pain and disability scale related to cervicogenic headache and short, medium and long term effect after pragmatic osteopathic manipulative treatment. ; It is expected to find a decrease in the number of recurrent headache complaints in a period of up to 3 months, verified using the VAS method and allometry, based on the verification of a variation of at least 5% in the pre- and post-intervention measurements. | — |
Countries
Brazil
Contacts
Public ContactMichelle Mello
Escola de Osteopatia de Madrid
Outcome results
None listed