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Active and Passive Cervical Flexion-rotation Tests

Completed
Conditions
Cervicogenic Headaches
Registration Number
NCT02070172
Lead Sponsor
Des Moines University
Brief Summary

Motion limitations have been previously reported in people with headaches originating from the neck/cervicogenic headaches. A test involving flexing and rotating the neck has been found useful to diagnose this type of headache. This observational study investigates this neck motion test when performed actively by the patient and passively by the examiner, then compares the results of motion attained.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • One-sided headaches
  • Headaches caused by neck movement or sustained head positioning
  • Neck, shoulder, or arm pain
  • Intermittent headaches at least one headache per week for greater than 2 months
  • Headaches of moderate intensity
Exclusion Criteria
  • A diagnosis of rheumatoid arthritis
  • Current pregnancy
  • International Headache Society criteria for other headache forms (such as tension or migraine)
  • Cervical radiculopathy
  • Treatment for headaches by a physical therapist, chiropractor, massage therapist, or osteopath in the past month
  • Positive test for vertebral artery insufficiency or cranial-vertebral ligament instability

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Cervical Range of Motion in degrees with the Flexion Rotation TestBaseline only

Two versions of this test were examined. A motion analysis system was used to measure degrees of motion. The test was done in two ways on each subject. Subjects sat in a chair, looked downward, then rotated their head/neck each direction. Subjects laid on their back while an examiner lifted their head, then rotated it each direction (same motion as described for the active test in the previous sentence).

Within session reliability was also examined.

Secondary Outcome Measures
NameTimeMethod
Northwick park neck disability indexBaseline only

This self-report questionnaire was completed by subjects prior to testing. It was not re-assessed as an outcome but rather used for baseline description of the subjects included in the study.

Trial Locations

Locations (1)

Des Moines University

🇺🇸

Des Moines, Iowa, United States

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