Musculoskeletal Impairment in Headaches Attributed to Rhinosinusitis

NCT ID: NCT04222244

Last Updated: 2020-09-18

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

UNKNOWN

Total Enrollment

82 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-03-01

Study Completion Date

2022-12-01

Brief Summary

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Neck pain, neck muscle weakness, and limited neck range of motion have been shown in individuals with sinus headaches. Individuals in this previous study self-diagnosed their sinus headaches. It is unknown whether or not individuals who have been diagnosed with sinus headaches according to diagnostic criteria also present with musculoskeletal impairments.

The purpose of this study is to determine if musculoskeletal neck impairments are present in individuals diagnosed with headaches attributed to rhinosinusitis compared to people without headaches.

Upper cervical range of motion can be measured using different tests. The side bend rotation test has been suggested as potentially more useful than the flexion rotation test in individuals with hyper-laxity, however, has not been examined in a symptomatic population.

A secondary purpose is to compare the side bend rotation test to the cervical flexion rotation test in people with varying degrees of joint laxity.

Detailed Description

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Design: Observational, case control Background: A recent study showed neck pain, neck muscle weakness, and limited neck range of motion in individuals who reported having sinus headaches. These impairments are also associated with cervicogenic headaches (headaches originating in the neck), but had not previously been shown in people with sinus headaches.

Because the individuals in this previous study self-diagnosed their sinus headaches, it is possible that they did not have sinus headaches but rather had a different kind of headache. It is unknown whether or not individuals who have been diagnosed with sinus headaches according to diagnostic criteria also present with musculoskeletal impairments.

Purpose 1: The purpose of this study is to determine if musculoskeletal neck impairments are present in individuals diagnosed with headaches attributed to rhinosinusitis (sinus headaches) compared to people without headaches. Question: Do people with diagnosed with headaches attributed to rhinosinusitis have neck pain or impairments in neck strength, neck range of motion, or segmental neck joint mobility compared to people without headaches?

Background for question 2: Upper cervical range of motion can be measured using the flexion-rotation test or the side bend rotation test. The side bend rotation test has been suggested as potentially more useful in individuals with hyper-laxity, however, has not been examined in a symptomatic population.

Purpose 2: To compare the side bend rotation test to the cervical flexion rotation test and manual joint assessment in people with varying degrees of joint laxity. Question: What is the diagnostic accuracy of the side bend rotation test compared to the index tests of the flexion rotation test and manual joint assessment?

Conditions

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Headache

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Headache Attributed to Rhinosinusitis Group (HAR)

No interventions will be provided.

No intervention will be administered. We are only performing tests and measures.

Intervention Type OTHER

No intervention will be administered. We are only performing tests and measures.

Headache-Free Control Group (Control)

No interventions will be provided.

No intervention will be administered. We are only performing tests and measures.

Intervention Type OTHER

No intervention will be administered. We are only performing tests and measures.

Interventions

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No intervention will be administered. We are only performing tests and measures.

No intervention will be administered. We are only performing tests and measures.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* HAR has been present for at least 12 weeks OR
* Participant has had at least 4 HAR over the past 12 months without persistent symptoms between (chronic or recurrent)
* Diagnosis of headache attributed to rhinosinusitis (or sinus headaches) according to International Classification of Headache Disorders (ICHD-3)

Exclusion Criteria

* History of surgery to the cervical spine
* Whiplash injury within the past 5 years or any persistent symptoms attributable to a whiplash associated disorder
* Diagnosis of any headache type other than sinus headache with exception of an occasional, mild headache for which they have not sought medical care.


* Any history of headaches for which they have sought medical care
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Texas Tech University

OTHER

Sponsor Role collaborator

University of Hartford

OTHER

Sponsor Role collaborator

Youngstown State University

OTHER

Sponsor Role collaborator

American Academy of Orthopaedic Manual Physical Therapists

OTHER

Sponsor Role collaborator

Des Moines University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Shannon Petersen, PT

Role: PRINCIPAL_INVESTIGATOR

Des Moines University

Locations

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University of Hartford

Hartford, Connecticut, United States

Site Status RECRUITING

Des Moines University

Des Moines, Iowa, United States

Site Status RECRUITING

Performance Rehabilitation

Lafayette, New Jersey, United States

Site Status RECRUITING

Performance Rehabilitation

Totowa, New Jersey, United States

Site Status RECRUITING

Youngstown State University

Youngstown, Ohio, United States

Site Status RECRUITING

The Corvallis Clinic

Corvallis, Oregon, United States

Site Status RECRUITING

Pain Relief and Physical Therapy

Havertown, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Shannon Petersen, PT

Role: CONTACT

5152711688

Facility Contacts

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Brian Swanson

Role: primary

860-768-5314

Shannon M Petersen, DScPT

Role: primary

515-271-1688

Damon Daura

Role: primary

973-688-4981

Damon Daura

Role: primary

973-688-4981

Ken E Learman, PhD

Role: primary

330-941-7125

Michael Gray

Role: primary

541-754-1265

Bryan O'Halloran

Role: primary

610-789-9887

Other Identifiers

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DesMoinesU

Identifier Type: -

Identifier Source: org_study_id

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