McKenzie Method of Mechanical Diagnosis and Therapy for Management of Cervicogenic Headache: A Prospective Case Series
NCT ID: NCT05212844
Last Updated: 2022-01-28
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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UNKNOWN
20 participants
OBSERVATIONAL
2021-12-17
2022-07-31
Brief Summary
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Background: Headache conditions are among the most common complaints causing people to seek medical care. An estimated 14 billion dollars are spent annually on treating headaches. Neck related headache is characterized by pain which comes from the cervical spine (neck) and could be referred to the head and/or face. CGH is frequently managed clinically utilizing an MDT approach however to date there is limited research available examining the effectiveness of this intervention type in a population with CGH.
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Detailed Description
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Design: Prospective consecutive case series.
Background: Headache conditions are among the most common complaints causing people to seek medical care. An estimated 14 billion dollars are spent annually on treating headaches. Cervicogenic headache (CGH) is described as a secondary type of headache characterized by pain which emanates from the cervical spine and is potentially referred to one or more regions of the head and/or face. CGH is frequently managed clinically utilizing an MDT approach however to date there is limited research available examining the effectiveness of this intervention type in a population with CGH.
Study Selection Criteria: Convenience sampling will be utilized. Subjects diagnosed with CGH and meeting inclusion criteria will be recruited from a population of patients referred by their physician to a hospital based out-patient physical therapy clinic for treatment.
Procedures: Subjects meeting inclusion criteria will be evaluated, classified, and receive interventions based on the MDT approach. Outcome measures utilized will include the Neck Disability Index (NDI), Numeric Pain Rating Scale (NRS), and Headache Disability Index (HDI) will be completed at baseline, visit 5, and visit 10 or discharge, whichever comes first.
Data Management: Descriptive statistics will be used to describe sample characteristics. A repeated measures ANOVA will be utilized to identify changes in group means.
Key Words: Cervicogenic Headache, Mechanical Diagnosis and Treatment.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Interventions
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Musculoskeletal Physical Therapy
Therapeutic exercise and manual physical therapy based on the individual response to end range repeated movements.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* During the physical therapy examination, it is found that movements, static positions, or postures affect the patient headache symptoms.
* Pain presents as unilateral or bilateral head/neck pain and/or stiffness
* Headache frequency at least 1x/week
* Headache symptoms are present for at least 3 months
* Dizziness and/or tinnitus affected by neck movements or positions
* Patient has been previously screened for their headache symptoms by their MD
Exclusion Criteria
* Malignancy/infection
* Cranial or cervical vascular disorder
* Substance use or withdrawal
* Acute Post cervical surgery
* Psychosis/psychiatric disorder/post-traumatic stress disorder
* Received nerve block or Botox injections during therapy
* Vertigo with nystagmus is present
* Involved in litigation related to headache complaints
19 Years
70 Years
ALL
No
Sponsors
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Tufts University
OTHER
D'Youville College
OTHER
Faith Regional Health Services
OTHER
Responsible Party
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Lan Lin Pu
Principal Investigator
Principal Investigators
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Ronal Schenk, PhD
Role: STUDY_DIRECTOR
Tufts University
Locations
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Faith Regional Rehabilitation Therapies
Norfolk, Nebraska, United States
Countries
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Central Contacts
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Facility Contacts
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References
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Hu XH, Markson LE, Lipton RB, Stewart WF, Berger ML. Burden of migraine in the United States: disability and economic costs. Arch Intern Med. 1999 Apr 26;159(8):813-8. doi: 10.1001/archinte.159.8.813.
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9-160. doi: 10.1111/j.1468-2982.2003.00824.x. No abstract available.
Jull G, Barrett C, Magee R, Ho P. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia. 1999 Apr;19(3):179-85. doi: 10.1046/j.1468-2982.1999.1903179.x.
Jull G, Kristjansson E, Dall'Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004 May;9(2):89-94. doi: 10.1016/S1356-689X(03)00086-9.
Nilsson N. A randomized controlled trial of the effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther. 1995 Sep;18(7):435-40.
Page P. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther. 2011 Sep;6(3):254-66.
Other Identifiers
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081468
Identifier Type: -
Identifier Source: org_study_id
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