Hamstring Active Release Technique in Cervicogenic Headache

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

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-30

Study Completion Date

2023-07-31

Brief Summary

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It has been suggested that the suboccipital muscles are a causative factor in both cervicogenic neck pain and headache. Hamstrings and sub-occipital muscles are connected by a neural system and sub-occipital muscles pass through the dura Mater. Increased tension and shortening of the hamstring's muscles can cause neck and shoulder pain. In addition, when the muscles around the neck are tensed, the muscles in the limbs are also tensed, so that if the tone of the hamstring muscles is decreased, SLR test score increased, and the tone of the sub-occipital muscles is reduced. Active release technique is found to have an effect on hamstring flexibility.

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Detailed Description

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Cervicogenic Headache (CGH) is a secondary and often unilateral headache that is known by referring pain from soft or hard cervical structures to occipital, temporal and frontal regions. There are some fascial connections between suboccipital muscles with dura mater and C2 vertebra. Presumably, fascial restriction in one part of the body causes unusual stress in other parts of the body due to fascial continuity. It has demonstrated that increased tension and shortening of the hamstring's muscles can cause neck and shoulder pain. This occurs because the superficial fascial back line of the myofascial chain connects from the neck to the lower extremity, and the soft tissue in the cervical spine links the dura and suboccipital muscle fascia. Therefore, it is probable that if the tone of the hamstring muscles is decreased (passively, with a fascial treatment or with active movements), the tone of the knee flexors (hamstring muscles) is reduced and the amplitude of hip flexion is increased, thereby increasing the straight leg raise (SLR) test score. Active release technique (ART) is a type of manual therapy used for treating soft tissue injuries. Problems with muscles, tendons, ligaments, fascia and nerves are successfully treated with it and is found to have an effect on hamstring flexibility.

Conditions

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Cervicogenic Headache

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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1- control group

conventional physical therapy (ultrasound therapy- stretching exercise- strengthening exercise)

Group Type ACTIVE_COMPARATOR

conventional therapy

Intervention Type OTHER

ultrasound therapy - stretching Exercise - Strengthening Exercise -

2- Experimental group

Active release technique for hamstring+ conventional physical therapy(ultrasound therapy- stretching exercise- strengthening exercise)

Group Type EXPERIMENTAL

active release technique

Intervention Type OTHER

Hamstring active release technique-

conventional therapy

Intervention Type OTHER

ultrasound therapy - stretching Exercise - Strengthening Exercise -

Interventions

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active release technique

Hamstring active release technique-

Intervention Type OTHER

conventional therapy

ultrasound therapy - stretching Exercise - Strengthening Exercise -

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Unilateral headache (in the same side) related by pain, movement and sustaining position of neck started from the occiput spread to the tempro-frontal region for more than 3 months.
* Pain and tenderness at the upper cervical segment's palpation.
* Movement restriction in cervical region, especially in the upper cervical rotation.
* Positive SLR test for hamstring muscle less than 80◦.

Exclusion Criteria

* Malignancy.
* Other types of headaches, including migraine, tension type, other serious headaches.
* History of head and neck trauma or surgery.
* Pregnancy.
* Physiotherapy for headache in the last 3 months.

Minimum Eligible Age

25 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No