Dry Needle In Management of Cervicogenic Headache

• ClinicalTrials.gov Identifier: NCT04625387
• Recruitment Status: Completed
• First Posted: November 12, 2020
• Last Update Posted: November 13, 2020
• Sponsor: Raj Nursing and Paramedical College
• Information provided by (Responsible Party): Sharick Shamsi, Raj Nursing and Paramedical College

Study Description

Brief Summary:

Headache is an important health problem. It is the commonest type of all signs of illness in the people worldwide. Cervicogenic Headache is commonest musculoskeletal condition in physiotherapy practice. This study's main objective was to evaluate effectiveness of Dry Needle with exercise in decreasing pain and improving function in patients with Cervicogenic Headache.

Condition or disease	Intervention/treatment	Phase
Cervicogenic Headache	Other: Dry Needle and Exercise	Not Applicable

Detailed Description:

50 patients were included and assigned randomly to group A and B. Group-A received Dry Needle plus exercise and group-B received Dry Needle alone. Baseline assessment was taken before and after treatment; treatment was given for four weeks twice a week. Outcome indicators were measured by Visual analog scale, Neck Disability Index and Cervical Range Of Motion.

The study findings indicate that both groups improve the symptoms of a headache. Clinically better improvement was indicated by Dry Needle plus exercise group than Dry Needle alone group. As per our results, Dry Needle plus exercise should be preferred for the management of cervicogenic headache over Dry Needle alone.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 50 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: Double (Participant, Outcomes Assessor)
• Primary Purpose: Treatment
• Official Title: Efficacy of Dry Needle With Exercise In Cervicogenic Headache
• Actual Study Start Date: May 15, 2020
• Actual Primary Completion Date: June 25, 2020
• Actual Study Completion Date: June 25, 2020

Arms and Interventions

Arm	Intervention/treatment
Experimental: Dry Needle plus exercise; Group A received Dry Needling along with exercise having 25 individuals. Treatment lasted four weeks duration, twice a week.	Other: Dry Needle and Exercise; A 0.25 X 15 mm acupuncture needle was used for sub occipital muscle and 0.25 X 40 mm needle was used for paraspinal and trapezius muscle. All the necessary precautions were maintained before inserting the needle. Therapists wore hand gloves for all purposes. The exercise for the muscles of cervical group, for group A was carried out by elevating head from lying in supine position repeating 20 times in three sets and pressing a theraband forward in one set of 15 repetitions, to right side and to left side and back side; Other Name: Ice pack
Experimental: Dry Needling alone; Group B received Dry Needling alone having 25 individuals. Treatment lasted four weeks duration, twice a week.	Other: Dry Needle and Exercise; A 0.25 X 15 mm acupuncture needle was used for sub occipital muscle and 0.25 X 40 mm needle was used for paraspinal and trapezius muscle. All the necessary precautions were maintained before inserting the needle. Therapists wore hand gloves for all purposes. The exercise for the muscles of cervical group, for group A was carried out by elevating head from lying in supine position repeating 20 times in three sets and pressing a theraband forward in one set of 15 repetitions, to right side and to left side and back side; Other Name: Ice pack

Outcome Measures

Primary Outcome Measures :

1. Visual Analogue Scale [ Time Frame: four weeks ]
   Visual analogue scale is a subjective outcome measurement where patients judge the intensity of their pain on a scale of 0-10, which is in the form of a 10cm straight line . On this 0-10 scale, zero denotes no pain and ten denotes severe pain intensity
2. Neck Disability Index [ Time Frame: four weeks ]
   The Neck Disability index contains 10 items, seven related to activities of daily living, two related to pain, and one item related to concentration. Each item is scored ranging from 0 (no pain or disability) to 5 (severe pain and disability); and the total score is expressed as a percentage, with higher scores corresponding to greater disability.

Secondary Outcome Measures :

1. Cervical Range of Motion [ Time Frame: four weeks ]
   Range of motion of cervical spine is being measured by universal goniometer.

Eligibility Criteria

• Ages Eligible for Study: 20 Years to 50 Years (Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• Age between 20-50 years.
• Male and female both gender
• Worker in the Office.
• Employed permanently.
• Self-motivated for working continuously for rehab.
• Persistent or regular pain in the neck over a span of at least 6 months.

Exclusion Criteria:

• Cervical spine injury or surgery.
• Congenital spinal deformity.
• Participants having age less than 20 or elder than 50 years.
• Cervical radiculopathy,
• The participants had experienced any recent trauma or suffering from dizzy spells, any vascular neurological disorders.

Contacts and Locations

Locations

India

Sharick Shamsi

Gorakhpur, Uttar Pradesh, India, 273001

Sponsors and Collaborators

Raj Nursing and Paramedical College

Investigators

• Principal Investigator: Sharick Shamsi, PhD; Raj Nursing and Paramedical College

More Information

• Responsible Party: Sharick Shamsi, Principal Investigator, Raj Nursing and Paramedical College
• ClinicalTrials.gov Identifier: NCT04625387
• Other Study ID Numbers: RajNursingParamedical
• First Posted: November 12, 2020
• Last Update Posted: November 13, 2020
• Last Verified: November 2020

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Sharick Shamsi, Raj Nursing and Paramedical College:

Dry Needle; Exercise; Neck pain; Trigger point

Additional relevant MeSH terms:

Post-Traumatic Headache; Headache; Pain; Neurologic Manifestations; Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases