Comparison of Ventro-Cephalic to Dorso-Caudal Translatoric Glides in Management of Cervicogenic Headache

NCT ID: NCT07006454

Last Updated: 2025-06-16

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-18
• Study Completion Date: 2025-06-20

Brief Summary

This study is a randomised control trial and the purpose of this study is to compare ventro-cephalic to dorso-caudal translatoric glides in management of cervicogenic headache.

Detailed Description

Participants will be recruited into their respective groups using a coin toss method.Cervicogenic headache will be assesed using International Classification of Headache Disorders, 3rd edition:

A- Any headache fulling criterion C. B- Clinical and/or imaging evidence of lesion or disorder in cervical spine or soft tissues of neck that can cause headache.

C- Evidence of cause of headache demonstrated by at least 2 of these:

1. headache has developed in temporal relation to the onset of the cervical disorder or lesion.

2. headache has significantly improved or resolved in parallel with improvement in cervical lesion or disorder.

3. cervical range of motion is reduced, and headache is made significantly worse by provocative maneuvers.

4. headache is abolished following anaesthetic blocked of cervical structure. D- Not better accounted for by another ICHD-3 diagnosis.

CEH subject selection is based on clinical criteria, however anaesthetic blockades is not used as a criterion.

Conditions

Cervicogenic Headache

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Group A

Participants of group A will receive ventro-cephalic translatoric glide, total of 3 sets with 15 repetitions per set.

Duration (5 treatment sessions per week for 2 weeks)

Group Type: EXPERIMENTAL

Ventro-Cephalic Translatoric Glide

Intervention Type: PROCEDURE

Participants of group A will receive ventro-cephalic translatoric glides, total of 3 sets with 15 repetitions per set.

PROCEDURE:

1. Patient sits on low chair with back straight and therapist stand facing the patient's right side.

2. Therapist's stable hand: with the thumb and index finger of left hand fixate caudal vertebra.

3. Therapist's moving hand: therapist will place his/her right hand on left side of patient's head and cervical spine than place little finger around cranial vertebra of segment to be moved.

4. Apply glide in ventro-cranial direction in the right angle of the treatment plane of the facet joint.

Group B

Participants of group B will receive Dorso-caudal translatoric glide, total of 3 sets with 15 repetitions per set.

Duration (5 treatment sessions per week for 2 weeks)

Group Type: EXPERIMENTAL

Dorso-Caudal Translatoric Glide

Intervention Type: PROCEDURE

Participants of group B will receive Dorso-caudal translatoric glides, total of 3 sets with 15 repetitions per set.

PROCEDURE:

1. Patient sits on low chair with back straight and therapist stand facing the patient's left side.

2. Therapist's stable hand: with the thumb and index finger of right hand fixate caudal vertebra.

3. Therapist's moving hand: therapist will place his/her left hand on right side of patient's head and cervical spine than place little finger around cranial vertebra of segment to be moved.

4. Apply glide in dorso-caudal direction in the right angle of the treatment plane of the facet joint.

Interventions

Ventro-Cephalic Translatoric Glide

Participants of group A will receive ventro-cephalic translatoric glides, total of 3 sets with 15 repetitions per set.

PROCEDURE:

1. Patient sits on low chair with back straight and therapist stand facing the patient's right side.

2. Therapist's stable hand: with the thumb and index finger of left hand fixate caudal vertebra.

3. Therapist's moving hand: therapist will place his/her right hand on left side of patient's head and cervical spine than place little finger around cranial vertebra of segment to be moved.

4. Apply glide in ventro-cranial direction in the right angle of the treatment plane of the facet joint.

Intervention Type: PROCEDURE

Dorso-Caudal Translatoric Glide

Participants of group B will receive Dorso-caudal translatoric glides, total of 3 sets with 15 repetitions per set.

PROCEDURE:

1. Patient sits on low chair with back straight and therapist stand facing the patient's left side.

2. Therapist's stable hand: with the thumb and index finger of right hand fixate caudal vertebra.

3. Therapist's moving hand: therapist will place his/her left hand on right side of patient's head and cervical spine than place little finger around cranial vertebra of segment to be moved.

4. Apply glide in dorso-caudal direction in the right angle of the treatment plane of the facet joint.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• • Age 18 to 44 years old

• Both male and female A- Any headache fulling criterion C. B- Clinical and/or imaging evidence of lesion or disorder in cervical spine or soft tissues of neck that can cause headache.

C- Evidence of cause of headache demonstrated by at least 2 of these:

1. headache has developed in temporal relation to the onset of the cervical disorder or lesion.

2. headache has significantly improved or resolved in parallel with improvement in cervical lesion or disorder.

3. cervical range of motion is reduced, and headache is made significantly worse by provocative maneuvers.

4. headache is abolished following diagnostic blocked of cervical structure. D- Not better accounted for by another ICHD-3 diagnosis

Exclusion Criteria

• 1- Tension-type headaches and migraine 2- History of Vertigo or Dizziness 3- Already taking manual therapy treatment 4- Prior surgery to the head and neck 5- Trauma

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 44 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Foundation University Islamabad

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Foundation University College of Physical Therapy

Islamabad, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Aeysha Bibi, DPT

Role: CONTACT

ayeshaaltaf604@gmail.com

+923058766593

Facility Contacts

Hafiz Ali Bin Asim, MS-SPT

Role: primary

ali.asim@fui.edu.pk

+923135088144

Other Identifiers

FUI/CTR/2024/79

Identifier Type: -

Identifier Source: org_study_id