Manual Therapy and Exercise in Patients With Cervicogenic Headache
NCT ID: NCT01580280
Last Updated: 2014-11-14
Study Results
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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COMPLETED
NA
112 participants
INTERVENTIONAL
2012-04-30
2014-08-31
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Thrust manipulation
Thrust Manipulation
Upper cervical and upper thoracic thrust manipulation for 6-8 sessions over 2-4 weeks.
Non-thrust mobilization and exercise
Non-thrust Mobilization and Exercise
Upper cervical and upper thoracic non-thrust mobilization and exercise for 6-8 sessions over 2-4 weeks.
Interventions
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Thrust Manipulation
Upper cervical and upper thoracic thrust manipulation for 6-8 sessions over 2-4 weeks.
Non-thrust Mobilization and Exercise
Upper cervical and upper thoracic non-thrust mobilization and exercise for 6-8 sessions over 2-4 weeks.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Headache frequency of at least one per week for a minimum of 3 months
* Minimum pain score (NPRS) of 2/10 and minimum disability score (NDI) of 10/50
Exclusion Criteria
* Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia or hyperlipidemia
* Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e. tumor, fracture, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
* History of whiplash injury within the last 6 weeks
* Diagnosis of cervical spinal stenosis
* Bilateral upper extremity symptoms
* Evidence of central nervous system involvement, to include hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, the presence of pathological reflexes (i.e. positive Hoffman's and/or Babinski reflexes)
* Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
* Muscle weakness involving a major muscle group of the upper extremity.
* Diminished upper extremity deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors
* Diminished or absent sensation to pinprick in any upper extremity dermatome
* Prior surgery to the neck or thoracic spine.
* Involvement in litigation or worker's compensation regarding their neck pain and/or headaches.
* Physical therapy or chiropractic treatment for neck pain or headache in the 3 months before baseline examination.
* Any condition that might contraindicate spinal manipulative therapy
18 Years
65 Years
ALL
No
Sponsors
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Long Island University
OTHER
Alabama Physical Therapy & Acupuncture
OTHER
Responsible Party
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Principal Investigators
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Marshall Hagins, PT, PhD
Role: STUDY_CHAIR
Long Island University
Locations
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Alabama Physical Therapy & Acupuncture
Montgomery, Alabama, United States
Countries
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References
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Dunning JR, Cleland JA, Waldrop MA, Arnot CF, Young IA, Turner M, Sigurdsson G. Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial. J Orthop Sports Phys Ther. 2012 Jan;42(1):5-18. doi: 10.2519/jospt.2012.3894. Epub 2011 Sep 30.
Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Penas C, Hagins M, Stanislawski T, Donley J, Buck D, Hooks TR, Cleland JA. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskelet Disord. 2016 Feb 6;17:64. doi: 10.1186/s12891-016-0912-3.
Other Identifiers
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12/01-006
Identifier Type: -
Identifier Source: org_study_id