Impact of Adding Integrated Neuromuscular Inhibition Technique to Postural Correction Exercises in Patients With Cervicogenic Headache
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 90
- Primary Endpoint
- pain intensity
Study Overview
Brief Summary
this study will be conducted to investigate the impact of adding integrated neuromuscular inhibition technique to postural correction exercises in patients with cervicogenic headache
Detailed Description
Cervicogenic headache (CeH) is a secondary headache attributed to dysfunctions of the cervical spine. CGH is a non-throbbing, unilateral, side locked headache that originates in the cervical spine and gradually spreads to the occipital, temporal and orbital areas. It is associated with neck pain or stiffness and is often aggravated by sustained neck postures, repeated neck movements or physical activity. INIT is effective as it causes sustained or intermittent compression which causes ischemia reduces local circulation until pressure is released, after which a flushing of fresh oxygenated blood occurs. Mechanoreceptors impulses interface with slower pain messages reducing amount of pain messges reaching the brain, releasing pain relieving hormones, decreasing myofascial pain. Stretches the taut bands of muscles fibers. INIT along with strengthening excercises proved to be beneficial in decreasing disability improving Range of motion.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
opaque sealed envelope
Eligibility Criteria
- Ages
- 20 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •20 to 60 years old patient with unilaterally of the head pain
- •pain triggered by external pressure over the upper cervical joints (c1-c3)
- •pain elicited by the neck movements, and/or sustained awkward positions with reduced neck ROM
- •headache intensity pain score of at least 20mm on the Visual analogue scale (VAS)
- •headache frequency of at least once a week for at least 3 months
- •minimum neck disability index score of 10 points or greater
Exclusion Criteria
- •Migraine, tension- type headache, tumor, osteoporosis, fracture, rheumatoid arthritis and metabolic diseases.
- •Prolonged history of steroid use.
- •Resting blood pressure greater than 140/90 mmhg.
- •cervical spinal stenosis, diminished sensation and central nervous system involvement,
Arms & Interventions
Integrated Neuromuscular Inhibition Technique
Forty-five patients will receive integrated neuromuscular inhibition technique plus postural correction exercises three times a week for six weeks
Intervention: Integrated Neuromuscular Inhibition Technique (Other)
Integrated Neuromuscular Inhibition Technique
Forty-five patients will receive integrated neuromuscular inhibition technique plus postural correction exercises three times a week for six weeks
Intervention: Postural Correction Exercise (Other)
Postural Correction Exercise
Forty-five patients will receive postural correction exercises three times a week for six weeks
Intervention: Postural Correction Exercise (Other)
Outcomes
Primary Outcomes
pain intensity
Time Frame: up to six weeks
visual analogue scale will be used to asses pain intensity which patient will be instructed to put point on line from no pain to tolerable pain. The scale consists of a line, usually 100 mm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel .
headache disability
Time Frame: up to 6 weeks
The Headache spesific Disability Questionnaire was used to assess headcahe disability. it is a self-administered scale with 9 items that assesses pain intensity, work or school disruptions, and the effect on recreational activities in individuals with headache complaints. Higher scores reflect greater impairment.
pain intensity
Time Frame: up to six weeks
visual analogue scale will be used to asses pain intensity which patient will be instructed to put point on line from no pain to tolerable pain. The scale consists of a line, usually 100 mm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel .
headache disability
Time Frame: up to 6 weeks
The Headache spesific Disability Questionnaire was used to assess headcahe disability. it is a self-administered scale with 9 items that assesses pain intensity, work or school disruptions, and the effect on recreational activities in individuals with headache complaints. Higher scores reflect greater impairment.
Secondary Outcomes
- pressure pain threshold(up to 6 weeks)
- cervical range of motion(up to 6 weeks)
- headache frequency(up to six weeks)
- medication intake(up to six weeks)
- headache duration(up to six weeks)
- pressure pain threshold(up to 6 weeks)
- cervical range of motion(up to 6 weeks)
- headache frequency(up to six weeks)
- medication intake(up to six weeks)
- headache duration(up to six weeks)
Investigators
Al Shaymaa Shaaban Abd El Azeim
principle investigator : alshaymaa shaaban abd el azeim
Cairo University