SCM Muscle Released in Patients with Cervicogenic Headache

NCT ID: NCT06733896

Last Updated: 2025-02-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 52 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-01-01
• Study Completion Date: 2025-02-10

Brief Summary

Sternocleidomastoid syndrome is often characterized by referred pain in other areas. Like all muscles, the SCM can develop tight, and non-contracting bands called trigger points that can refer pain elsewhere. For the SCM, the trigger point referral areas are the eye and forehead, the back of the head (occiput), front of the neck, cheek, and side of the head. Trigger points can be treated by direct manual massage, dry needling, or platelet-poor plasma injection.

Detailed Description

Cervicogenic headache is a specific type of headache that originates from the cervical spine and is typically chronic in nature. Diagnostic criteria for CGH have been established by the International Headache Society (IHS) and are cited extensively in the literature. Diagnosis of CGH through manual examination is a more recent practice. To our knowledge, no systematic review of manual diagnosis of CGH has been performed.

Conditions

Cervicogenic Headache

Study Design

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

Study Groups

study group

Group Type: EXPERIMENTAL

trigger point pressure

Intervention Type: OTHER

The midpoint of the sternocleidomastoid muscle with abundant nerve distribution and the onset and endpoint of the sternocleidomastoid muscle were used as acupoints, which can relieve localised muscle spasms and promote nerve nutrition.

control group

Group Type: ACTIVE_COMPARATOR

neck exercises

Intervention Type: OTHER

Manual Cervical Traction Technique and others

Interventions

trigger point pressure

The midpoint of the sternocleidomastoid muscle with abundant nerve distribution and the onset and endpoint of the sternocleidomastoid muscle were used as acupoints, which can relieve localised muscle spasms and promote nerve nutrition.

Intervention Type: OTHER

neck exercises

Manual Cervical Traction Technique and others

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• History of CGH ≥ 3 months at Baseline 1, ≥5 days of CGH per month
• CGH intensity ≥3 (0-10 scale)
• Cervical spine dysfunction (cervical joint tenderness and/or restricted segmental motion)
• Clear temporal sequence linking the source of CGH to the neck: headache preceded by neck pain, stiffness, movement and/or awkward postures

Exclusion Criteria

• Other headaches within one year of enrollment (e.g. migraine occurring on >1 day per month in the last year, medication overuse, daily, cluster, temporomandibular joint dysfunction related headaches, sinus, posttraumatic, tumor and glaucoma related, occipital neuralgia, metabolic/toxic/substance abuse related).
• Spinal manipulative therapy, massage or exercise therapy for neck pain or headaches in the previous 3 months. Any other types of care by a licensed provider in the previous month for headaches or neck pain
• Contraindications to study treatments (e.g., inflammatory arthropathies, cervical instability, severe osteoporosis, vertigo, dizziness)
• Daily prescription or nonprescription pain medication; corticosteroid use in previous month
• Cancer in the past five years
• ear problem

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Al-Zaytoonah University of Jordan

OTHER

Sponsor Role: lead

Responsible Party

Hanan Hosny M Battesha

associate professor hanan hosny M Battesha

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Umm Al Qura University

Mecca, , Saudi Arabia

Countries

Saudi Arabia

Related Links

https://pubmed.ncbi.nlm.nih.gov/34003165/

Related Info

Other Identifiers

Cervicogenic Headache

Identifier Type: -

Identifier Source: org_study_id