Evaluation the effect of exercise therapy and perineural electrical dry needling on the severity, frequency and disability of patients with cervicogenic headache: a randomized clinical trial.

Not Applicable

Conditions: Cervicogenic headache.
Headache associated with sexual activity
G44.8

Registration Number: IRCT20240315061292N1

Lead Sponsor: Tehran University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 26

Inclusion Criteria

The presence of laboratory, clinical and/or imaging evidence of a neck disorder, known to be able to cause headache.
A headache that has at least 2 of the following 4 criteria:
A) Headache in the temporal region that is related to the presence of neck disorders.
B) Headache that improves in parallel with the improvement of the neck disorder.
C) Cervical range of motion Is reduced and headache made worse by provocative manoeuvres.
D) Headache is abolished following cervical diagnostic anaesthetic blockade.
There is no other diagnosis for headache.
Definitive diagnosis of cervicogenic headache by a neurologist based on HIS criteria.
Absence of orthopedic disorders and diseases such as cervical discopathy that prevent exercises.
The patient has not participated in a regular exercise program or physical therapy during the last 4 weeks.
The patient has not been treated with corticosteroids (injection or oral) in the last 2 weeks.

Exclusion Criteria

The patient suffers an injury or any disorder during the study that prevents him or her from performing and continuing exercises and acupuncture.
The patient is unable to complete acupuncture sessions.
The patient's unwillingness to complete the exercise program and acupuncture sessions.
Follow-up through the logbook has missed 30% of the exercises.
A history of bleeding disorders or the use of anticoagulant drugs
Suffering from psychiatric disorders

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain intensity based on the Numerical Pain Rating Scale (NPRS). Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: The Numerical Pain Rating Scale (NPRS).

Secondary Outcome Measures

Name	Time	Method
Patient's disability. Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: The Neck Disability Index (NDI).;Pain intensity. Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: Headache Impact Test (HIT-6): This test consists of 6 questions and shows the impact of headache on the patient's life. For each question, a score between 6 and 13 is considered.;The Global Rating of Change Score (GROC). Timepoint: At the beginning of the study and after 6 weeks. Method of measurement: This questionnaire measures the overall changes in recovery and can include values from negative 7 to positive 7.