Dry Needling Versus Dry Cupping on Pain and Disability in Cervicogenic Headache Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 45
- 主要终点
- Numerical pain rating scale
研究概览
简要总结
This study aims to compare the added effects of dry needling and dry cupping to conventional physical therapy on headache pain intensity, headache frequency, headache duration, upper cervical range of motion, and disability levels in patients with cervicogenic headache.
It will be assumed that:
- All patients will follow all the given instructions strictly during the study duration, regarding the assessment and the treatment procedure.
- All participants will be evaluated under the same environmental conditions.
详细描述
Neck pain is a highly popular musculoskeletal complain and the second most common musculoskeletal condition affecting people in their adolescence after low back pain. It is a common condition affecting general populations with high economic burden for neck pain including raised treatment costs, reduced productivity, and job-related problems. Headache is one of the most common disorders associated with neck pain with a potential for major disability.
Migraine, tension-type headache (TTH), and cervicogenic headache (CGH) are common types of headaches that negatively affect the quality of life, work activities, and family life. It has a direct or indirect economic burden on society.
Cervicogenic headache (CH) is a secondary headache caused by a disorder of the cervical spine and its disc or bony and/or periarticular components. In this type, pain originates from the back of neck and radiates towards the front of the head and eye on the same side. CGH can last from a few hours to days. The prevalence rate of CGH was estimated to be from 0.4% to 2.5% in the adult population and appears to affect women more than men.
The physiological mechanism of pain in CGH headache is the convergence of upper cervical spinal nerves (C1, C2, and C3) afferents and trigeminal afferents in the trigeminocervical nucleus caudalis. This convergence allows the bidirectional referral of painful sensations between the neck and trigeminal sensory receptive fields of the face and head.
Another cause of CGH is myofascial trigger points in the muscles. These trigger points, which are innervated by C1 to C3 (specifically in the suboccipital, semispinalis capitis, splenius cervices, trapezius, and sternocleidomastoid), can cause referral pain in various parts of the head.
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
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 25 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •The patients will be included in our study if they meet the following criteria:
- •Age between 25-45 years old for both genders.
- •No physiotherapy intervention for the last three months.
- •Intermittent headaches of varying duration and pain level at the rate of one headache per week for greater than 2 months.
- •Ipsilateral neck, shoulder, or arm pain.
- •Provocation of usual head pain by neck movement, sustained awkward neck positions or external pressure over the upper cervical or occipital region on the symptomatic side.
- •Limited neck ROM > 10 degrees confirmed by a positive Flexion Rotation Test.
- •Active trigger points (TrPs) within the suboccipital, upper trapezius or sternocleidomastoid muscles.
- •The diagnosis of active TrPs will be based on the major criteria proposed by):
- •Presence of a palpable taut band in a skeletal muscle
- •presence of a hypersensitive point in the taut band
- •local twitch response elicited by the snapping palpation of the taut band
- •reproduction of the referred pain in response to compression
- •patient recognition of the referred pain as a familiar symptom
排除标准
- •The patients will be excluded if they have:
- •Cervical radiculopathy.
- •History of neck, shoulder trauma or surgery.
- •Physical therapy intervention in the neck and shoulder region in the previous 3 months.
- •Vertebrobasilar insufficiency or vestibular dysfunctions.
- •Evidence of cognitive deficits.
- •Presence of any needle contraindication.
- •Presence of any cupping contraindication.
研究组 & 干预措施
Group A (Dry needling): The 15 patients will receive three dry needling sessions per week for four
干预措施: Group A (Dry Needling) (Other)
Group B (Dry cupping): The 15 patients will receive three dry cupping sessions per week for four we
干预措施: Group B (Dry cupping) (Other)
Group C (control): The 15 patients will receive standard exercise three sessions per week for four w
干预措施: Group C (control) (Other)
结局指标
主要结局
Numerical pain rating scale
时间窗: Pre- intervention and after 4 weeks of treatment
used to assess headache pain intenisty.
Cervical Range of Motion (CROM)
时间窗: Pre- intervention and after 4 weeks of treatment
CROM device will be used for the assessment of upper cervical ROM.
Headache impact test 6 items
时间窗: Pre- intervention and after 4 weeks of treatment
used to assess headache severity.
The Arabic Version Of Neck Disability Index (NDI).
时间窗: Pre- intervention and after 4 weeks of treatment
to assess the level of disabilities in patients with cervicogenic headache, in % points.
Pressure Algometer
时间窗: Pre- intervention and after 4 weeks of treatment
used to assess trigger points pain pressure threshold
次要结局
未报告次要终点
研究者
Mariam Samara Elsaeed Shahen
Demonstrater
Cairo University