Musculoskeletal Impairment in Headaches Attributed to Rhinosinusitis
- Conditions
- Headache
- Interventions
- Other: No intervention will be administered. We are only performing tests and measures.
- Registration Number
- NCT04222244
- Lead Sponsor
- Des Moines University
- Brief Summary
Neck pain, neck muscle weakness, and limited neck range of motion have been shown in individuals with sinus headaches. Individuals in this previous study self-diagnosed their sinus headaches. It is unknown whether or not individuals who have been diagnosed with sinus headaches according to diagnostic criteria also present with musculoskeletal impairments.
The purpose of this study is to determine if musculoskeletal neck impairments are present in individuals diagnosed with headaches attributed to rhinosinusitis compared to people without headaches.
Upper cervical range of motion can be measured using different tests. The side bend rotation test has been suggested as potentially more useful than the flexion rotation test in individuals with hyper-laxity, however, has not been examined in a symptomatic population.
A secondary purpose is to compare the side bend rotation test to the cervical flexion rotation test in people with varying degrees of joint laxity.
- Detailed Description
Design: Observational, case control Background: A recent study showed neck pain, neck muscle weakness, and limited neck range of motion in individuals who reported having sinus headaches. These impairments are also associated with cervicogenic headaches (headaches originating in the neck), but had not previously been shown in people with sinus headaches.
Because the individuals in this previous study self-diagnosed their sinus headaches, it is possible that they did not have sinus headaches but rather had a different kind of headache. It is unknown whether or not individuals who have been diagnosed with sinus headaches according to diagnostic criteria also present with musculoskeletal impairments.
Purpose 1: The purpose of this study is to determine if musculoskeletal neck impairments are present in individuals diagnosed with headaches attributed to rhinosinusitis (sinus headaches) compared to people without headaches. Question: Do people with diagnosed with headaches attributed to rhinosinusitis have neck pain or impairments in neck strength, neck range of motion, or segmental neck joint mobility compared to people without headaches?
Background for question 2: Upper cervical range of motion can be measured using the flexion-rotation test or the side bend rotation test. The side bend rotation test has been suggested as potentially more useful in individuals with hyper-laxity, however, has not been examined in a symptomatic population.
Purpose 2: To compare the side bend rotation test to the cervical flexion rotation test and manual joint assessment in people with varying degrees of joint laxity. Question: What is the diagnostic accuracy of the side bend rotation test compared to the index tests of the flexion rotation test and manual joint assessment?
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 82
Not provided
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Headache Attributed to Rhinosinusitis Group (HAR) No intervention will be administered. We are only performing tests and measures. No interventions will be provided. Headache-Free Control Group (Control) No intervention will be administered. We are only performing tests and measures. No interventions will be provided.
- Primary Outcome Measures
Name Time Method range of motion Day 1 measured with a cervical range of motion device (CROM)
- Secondary Outcome Measures
Name Time Method Cervical side bend rotation test Day 1 neck range of motion side bending first, then rotating the head and neck
disability Day 1 Neck Disability Index (self-report questionnaire)
segmental joint mobility Day 1 manual segmental joint examination
Pain Level Day 1 visual analogue scale
headache impact Day 1 Headache Impact Test (self-report questionnaire)
sino-nasal outcome test (SNOT-22) Day 1 self-report questionnaire
neck flexor endurance Day 1 neck flexor muscle endurance test in supine
cervical flexion rotation test Day 1 neck range of motion flexing first, then rotating
Beighton score Day 1 a series of range of motion tests to measure hyper-laxity of joints
Trial Locations
- Locations (6)
University of Hartford
🇺🇸Hartford, Connecticut, United States
Youngstown State University
🇺🇸Youngstown, Ohio, United States
Performance Rehabilitation
🇺🇸Totowa, New Jersey, United States
Des Moines University
🇺🇸Des Moines, Iowa, United States
The Corvallis Clinic
🇺🇸Corvallis, Oregon, United States
Pain Relief and Physical Therapy
🇺🇸Havertown, Pennsylvania, United States