Dose Related Effects of Radial Extracorporeal Shock Wave Therapy on Upper Trapezius Trigger Points in Patients With Cervicogenic Headache: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 135
- 试验地点
- 1
- 主要终点
- Henry Ford Hospital Headache disability inventory (HDI)
研究概览
简要总结
A randomized double blinded controlled trial will be conducted to determine and compare the effects of low and medium dose radial extracorporeal shock wave therapy on upper trapezius trigger points in patients with cervicogenic headache. Data will be collected at base line and at the end of the treatment program. Participants will be assigned randomly into three groups Group (A) will receive 2000 shock waves at frequency 10 MHz and 0.045 mj/mm2 flux density plus strengthening and stretching exercise for upper trapezius muscle.
Group (B) will receive 2000 shock waves at frequency 10 MHz and 0.18 mj/mm2 energy flux density plus strengthening and stretching exercise for upper trapezius muscle.
Group (C) will receive sham shock wave therapy plus strengthening and stretching exercise for upper trapezius muscle.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Symptoms of mechanical neck pain lasting for more than three months
- •Skeletal muscle with a palpable taut band
- •Hypersensitive point inside the taut band with the ability to reproduce referred pain when the sensitive spot is palpated,
- •Joint soreness in at least one of the upper cervical spine's joints (c1-c3)
- •Unilateral discomfort that originates in the neck and radiates to the frontotemporal area
- •Pain that is made worse by moving the neck
- •Headaches that occur at least once a week for a duration longer than three months.
排除标准
- •Other primary headaches (i.e., migraine, tension-type headache)
- •Bilateral headaches,
- •Other defined cervical problem such as fracture, dislocation, skin disease, illness that is inflammatory, neural illness, vertebrobasilar insufficiency, a birth defect, tumor, or infection.
研究组 & 干预措施
Group A
Low dose shock wave therapy plus strengthening and stretching exercise.
干预措施: Low dose shock wave therapy plus strengthening and stretching exercise for upper trapezius (Other)
Group B
Medium dose shock wave therapy on upper trapezius trigger points plus strengthening and stretching exercise for upper trapezius
干预措施: Medium dose shock wave therapy plus strengthening and stretching exercise for upper trapezius (Other)
Group C
Sham shock wave therapy plus strengthening and stretching exercises
干预措施: sham shock wave therapy plus strengthening and stretching exercise for upper trapezius (Other)
结局指标
主要结局
Henry Ford Hospital Headache disability inventory (HDI)
时间窗: before the first session and after the last session (Four weeks)
Upper trapezius electromyographic activity
时间窗: before the first session and after the last session (Four weeks)
次要结局
未报告次要终点
研究者
Radwa Fayek Hammam
Lecturer of Basic Science, Faculty of Physical Therapy, MTI University.
MTI University