Effect of Osteopathic Manipulative Treatment for Patients With Chronic Headache

NCT ID: NCT01332864

Last Updated: 2013-02-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-03-31

Study Completion Date

2012-12-31

Brief Summary

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Participants with chronic or recurrent headache, unrelated to any known pathology or disease, will be randomly assigned to one of four interventions: Osteopathic manipulation of the body other than the head, osteopathic manipulation of the head, osteopathic manipulation of the head and rest of the body, or light touch on the head only but no manipulation. Measurements of heart rate and blood pressure variability, peripheral blood flow, and behavioral changes, such as mood, pain duration, intensity and frequency will be assessed.

Detailed Description

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Sixty subjects will be recruited to participate in the study via word of mouth and mass email notification of employees and students at Western University of Health Sciences in Pomona, CA.

Patients will be randomly assigned to 1 of 4 groups for a specific Osteopathic Manipulative Treatment (OMT): Compression of Fourth Ventricle (CV4) only, CV4 and subject appropriate OMT, subject appropriate OMT only (no CV4), and sham (touch only). There will be 8 subjects per OMT group, making it 24 subjects altogether assigned to one of the three OMT groups, and 24 sham subjects.

Power analysis for determination of sample sizes: The investigators have no data on preliminary studies of the effect of OMT on chronic headaches, and there is only one study of the immediate effect on tension type headache patients after CV4, so power analysis is a rough estimate at this point for the one week headache symptom evaluation post OMT. From preliminary studies in this lab, the investigators can expect for 'CV4 only' 80% of participants to have significant still point objective response vs sham treatment which the investigators expect will significantly effect about 10% of the participants. There needs to be at least 16 subjects in each of two groups assessing this outcome measure, so 16 receiving CV4 and 16 sham to detect the 70% difference in still point measure. To detect differences between any OMT and sham, since there are three groups receiving OMT of some type, when the investigators consider how many in each of these three groups vs the sham group, the investigators figured 8 per each OMT group, of which 2 are CV4 (thus 16 get CV4), making it 24 subjects in the combined OMT groups. Therefore, the investigators need 24 sham subjects to make it equal numbers for balanced analysis (OMT vs sham), and to detect differences in the OMT interventions and sham interventions. Considering a possibility of 25%, or 12 subjects, not responding to the follow up survey at one week, the investigators figured recruitment of 60 subjects would ensure the investigators would have enough to make our calculations and be able to determine if there are significant differences between groups.

The investigators have no preliminary studies on the effect of OMT or sham on mood in patient with headaches, so this part of the study is an exploratory assessment and sample size calculations will be able to be performed with the data gathered from this study for subsequent studies.

Conditions

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Headache Cephalgia Migraine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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OMT to the head and rest of body

OMT is the intervention that will be applied to areas of somatic dysfunction as well as to the head using a compression of the fourth ventricle (CV4) technique.

Group Type ACTIVE_COMPARATOR

Osteopathic Manipulative Treatment (OMT)

Intervention Type PROCEDURE

O OMT applied to areas of somatic dysfunction other than the head region.

Light touch

Light touch will be applied to the head region for 10 minutes with the patient at rest in the supine position.

Group Type PLACEBO_COMPARATOR

Light touch

Intervention Type PROCEDURE

Light touch applied to head region for 10 minutes with patient supine at rest.

OMT with CV4 to head

OMT is the intervention using the CV4 technique to the head region for 10 minutes with patient at rest.

Group Type EXPERIMENTAL

Osteopathic Manipulative Treatment (OMT)

Intervention Type PROCEDURE

O OMT applied to areas of somatic dysfunction other than the head region.

OMT to the body except the head region

OMT is the intervention that will be applied to areas of somatic dysfunction in any region except the head.

Group Type ACTIVE_COMPARATOR

Osteopathic Manipulative Treatment (OMT)

Intervention Type PROCEDURE

O OMT applied to areas of somatic dysfunction other than the head region.

Interventions

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Osteopathic Manipulative Treatment (OMT)

O OMT applied to areas of somatic dysfunction other than the head region.

Intervention Type PROCEDURE

Light touch

Light touch applied to head region for 10 minutes with patient supine at rest.

Intervention Type PROCEDURE

Other Intervention Names

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headache; OMT; somatic dysfunction ICD-9 code 739.0 placebo; sham

Eligibility Criteria

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Inclusion Criteria

* chronic or recurrent headaches at least as often as one time per week

Exclusion Criteria

* recent head trauma
* brain disease or pathology
* seizure disorder
* using beta or alpha blocker medications
* allergy to sticky tape used to affix leads to skin
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Western University of Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Michael Seffinger

Principal Investigator, Associate Professor and Chair of Dept. of NMM/OMM

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Michael A. Seffinger, D.O.

Role: PRINCIPAL_INVESTIGATOR

Western University of Health Sciences

Locations

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Western University of Health Sciences

Pomona, California, United States

Site Status

Countries

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United States

Related Links

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http://www.westernu.edu

Western University web site

Other Identifiers

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CV4OMTHA

Identifier Type: -

Identifier Source: org_study_id

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