Effects of Cervical Manual Therapy on Cervicogenic Headache
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|ClinicalTrials.gov Identifier: NCT03385889|
Recruitment Status : Completed
First Posted : December 29, 2017
Last Update Posted : April 4, 2019
|Condition or disease||Intervention/treatment||Phase|
|Unilateral Headache Musculoskeletal Neck Pain||Procedure: Cervical Spine Mobilization Procedure: Cervical Spine Manipulation||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||35 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Pre-test, Post-test, control group design 3 groups - mobilization, manipulation, control|
|Masking:||Single (Outcomes Assessor)|
|Masking Description:||Assessors of joint position sense, balance, and cervical spine range of motion via the Cervical Flexion Rotation Test will be blinded to group allocation|
|Official Title:||Effects of Cervical Spine Manual Therapy on Range of Motion, Joint Position Sense, and Balance in Participants With Cervicogenic Headache|
|Actual Study Start Date :||February 15, 2018|
|Actual Primary Completion Date :||May 15, 2018|
|Actual Study Completion Date :||January 1, 2019|
Experimental: Cervical Spine Mobilization Group
Subjects with cervicogenic headache who will be assigned to cervical spine mobilization group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
Procedure: Cervical Spine Mobilization
C1/2 graded mobilizations (Grade III/IV) provided to C1/2 segment on ipsilateral side of unilateral headache. Mobilizations will be completed for 3 sets of 30 seconds.
Experimental: Cervical Spine Manipulation Group
Subjects with cervicogenic headache who will be assigned to cervical spine manipulation group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
Procedure: Cervical Spine Manipulation
C1/2 manipulation (Grade V) provided to C1/2 segment on ipsilateral side of unilateral headache. The goal of the manipulation technique is to elicit an audible cavitation. If no cavitation is achieved upon the first attempt, a second and final attempt will be completed. No more than two attempts will be utilized per each subject in this allocated group.
No Intervention: Control Group
No intervention. Subjects in this groups will wait for 5 minutes between pre- and post-testing of dependent variables.
- Change in Cervical Flexion Rotation Test (CFRT) [ Time Frame: Post-Intervention, 4-weeks ]The Cervical Range of Motion (CROM) instrument will be placed on the subject. The subject will lie supine on the treatment table. The investigator will then passively flex the entire cervical spine and then rotate the head to both the left and right. The range of motion available in each direction, as measured by the CROM, will be recorded.
- Change in Joint Position Error [ Time Frame: Post-Intervention, 4-weeks ]The subject will have a small laser pointer mounted onto a lightweight headband, which they will wear. The patient will be seated 90 cm from the wall. The starting point that is projected by the laser on the bullseye is marked. The patient will have their eyes closed and will perform an active neck movement. After this, the patient will return their head as accurately as possible to the starting position. This will include 6 trials, which will include cervical flexion, extension and rotation. The final laser position is measured against the starting position in centimeters. Errors will be measured following active return from cervical extension, flexion and rotation.
- Change in Balance as measured by NeuroCom Balance Master [ Time Frame: Post-Intervention, 4-weeks ]A pre-programmed option on the NeuroCom Balance Master will be utilized to assess the Modified Clinical test of Sensory Interaction on Balance (mCTSIB). Three different conditions will be utilized and each condition will last 30 secs. Three trials will be completed for each condition.First, the subject will be asked to maintain their balance while their eyes are closed. The amount of postural sway that they demonstrate will be recorded. Second, the subject will be asked to maintain their balance with their eyes open while the platform on the NeuroCom Balance Master force plate moves. The amount of postural sway demonstrated will be recorded. Third, the subject will be asked to rotate their head all the way to the left, then rotate their head all the way to the right. They will continue rotating between sides for the duration of the 30 second trial. The amount of postural sway that they demonstrate will be recorded.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03385889
|United States, Virginia|
|Winchester, Virginia, United States, 22601|
|Study Director:||Karen Abraham, PhD, PT||Shenandoah University|