Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients

NCT ID: NCT05777395

Last Updated: 2023-03-21

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-01-01
• Study Completion Date: 2023-07-01

Brief Summary

Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.

Conditions

Cervicogenic Headache

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Maitland + Conventional PT Group

Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Maitland oscillatory mobilizations. 3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given in 2 seconds.

• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
• Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3.
• Techniques used are postero-anterior unilateral vertebral pressure and Maitland rotation.

Group Type: EXPERIMENTAL

Maitland Oscillatory Mobilization

Intervention Type: PROCEDURE

Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.

Conventional therapy

Intervention Type: PROCEDURE

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Kaltenborn + Conventional PT Group

Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.

• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
• Mobilizations will be performed in Grade 1 and then progressed to 2 and 3.
• Kaltenborn technique used will be atlas-axis rotation.

Group Type: EXPERIMENTAL

Kaltenborn Sustained Stretch Mobilization

Intervention Type: PROCEDURE

Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.

• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
• Mobilizations will be performed in Grade 1 and then progressed to 2 and 3.
• Kaltenborn technique used will be atlas-axis rotation

Conventional therapy

Intervention Type: PROCEDURE

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Interventions

Maitland Oscillatory Mobilization

Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.

Intervention Type: PROCEDURE

Kaltenborn Sustained Stretch Mobilization

Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.

• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
• Mobilizations will be performed in Grade 1 and then progressed to 2 and 3.
• Kaltenborn technique used will be atlas-axis rotation

Intervention Type: PROCEDURE

Conventional therapy

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Age 18-45 years
• Both males and females
• Unilateral headache with no shift of side
• C1-C2 dysfunction
• Headache with neck stiffness
• Headache at least once a month in the last 3 months
• Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
• Headache with a score of at least 4 in the Numeric pain rating scale

Exclusion Criteria

• Cervical spondylosis
• Headache of non-cervical origin
• Dizziness or visual disturbance
• Cervical radiculopathy/ nerve root involvement/ disc herniation
• Cervical instability/ fracture
• Vertebrobasilar insufficiency
• Thoracic outlet syndrome
• Cervical spine surgery
• Cervical spondylolisthesis
• Spinal infection or tumors
• Osteoporosis
• History of trauma
• Metabolic disorders
• Rheumatoid Arthritis
• Inflammatory Arthritis

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Fauji Foundation Hospital

Rawalpindi, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

FUI/CTR/2023/1

Identifier Type: -

Identifier Source: org_study_id