Cervicogenic headache Post-Traumatic Headache
Conditions
Interventions
The observation group received conventional treatment plus manual therapy combined with cervical core muscle functional exercise over 6 weeks. Conventional treatment consisted of structured patient ed
Experimental Other,Experimental Other
The observation group (conventional treatment plus manual therapy and cervical core exercise),The control group (conventional treatment plus manual therapy alone)
Sponsors
Beichen Zhang
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 18 to 65 years. 2. Patients conform to ICHD-3 diagnostic criteria for chronic CEH confirmed by neurologists or rehabilitation physicians. 3. Average NPRS score is no less than 4 within one week before enrollment. 4. NDI score is higher than 14. 5. Patients voluntarily participate in this study and sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Patients have other primary headache diseases. 2. Patients suffer from bilateral headache. 3. Patients present red flag signs including tumor fracture and systemic diseases. 4. Patients have neurological deficits suggesting radiculopathy or myelopathy. 5. Patients have a history of cervical spine surgery or injury in recent 12 months. 6. Patients have contraindications for manual therapy and exercise including severe osteoporosis inflammatory diseases and pregnancy. 7. Patients show poor treatment compliance.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity baseline, post-treatment, 6 weeks, and 12 weeks Measured by Numeric Pain Rating Scale (NPRS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Neck Disability Index baseline, post-treatment, 6 weeks, and 12 weeks It is used to assess neck-related functional dysfunction,Cervical Flexor Endurance Test baseline, post-treatment, 6 weeks, and 12 weeks It evaluates the endurance of cervical flexor muscles,Cervical Extensor Endurance Test baseline, post-treatment, 6 weeks, and 12 weeks It evaluates the endurance of cervical extensor muscles.,Cervical Isometric Strength Test baseline, post-treatment, 6 weeks, and 12 weeks It measures maximal cervical isometric contraction strength,Cervical Range of Motion baseline, post-treatment, 6 weeks, and 12 weeks It includes forward flexion extension lateral flexion and rotation | — |
Countries
China
Contacts
Public ContactBeichen Zhang
The First Rehabilitation Hospital of Shanghai
Outcome results
None listed