The Effectiveness of Sternocleidomastoid Muscle Pressure Points in Patients with Cervicogenic Headache
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- cervical neck pain
研究概览
简要总结
Sternocleidomastoid syndrome is often characterized by referred pain in other areas. Like all muscles, the SCM can develop tight, and non-contracting bands called trigger points that can refer pain elsewhere. For the SCM, the trigger point referral areas are the eye and forehead, the back of the head (occiput), front of the neck, cheek, and side of the head. Trigger points can be treated by direct manual massage, dry needling, or platelet-poor plasma injection.
详细描述
Cervicogenic headache is a specific type of headache that originates from the cervical spine and is typically chronic in nature. Diagnostic criteria for CGH have been established by the International Headache Society (IHS) and are cited extensively in the literature. Diagnosis of CGH through manual examination is a more recent practice. To our knowledge, no systematic review of manual diagnosis of CGH has been performed.
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 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •History of CGH ≥ 3 months at Baseline 1, ≥5 days of CGH per month
- •CGH intensity ≥3 (0-10 scale)
- •Cervical spine dysfunction (cervical joint tenderness and/or restricted segmental motion)
- •Clear temporal sequence linking the source of CGH to the neck: headache preceded by neck pain, stiffness, movement and/or awkward postures
排除标准
- •Other headaches within one year of enrollment (e.g. migraine occurring on >1 day per month in the last year, medication overuse, daily, cluster, temporomandibular joint dysfunction related headaches, sinus, posttraumatic, tumor and glaucoma related, occipital neuralgia, metabolic/toxic/substance abuse related).
- •Spinal manipulative therapy, massage or exercise therapy for neck pain or headaches in the previous 3 months. Any other types of care by a licensed provider in the previous month for headaches or neck pain
- •Contraindications to study treatments (e.g., inflammatory arthropathies, cervical instability, severe osteoporosis, vertigo, dizziness)
- •Daily prescription or nonprescription pain medication; corticosteroid use in previous month
- •Cancer in the past five years
- •ear problem
研究组 & 干预措施
study group
干预措施: trigger point pressure (Other)
control group
干预措施: neck exercises (Other)
结局指标
主要结局
cervical neck pain
时间窗: 4 weeks
visual analogue scale: This pain scale is most commonly used. A person rates their pain on a scale of 0 to 10 or 0 to 5. Zero means "no pain," and 5 or 10 means "the worst possible pain." These pain intensity levels may be assessed upon initial treatment, or periodically after treatment.
次要结局
- neck stability index(4 weeks)
- biodex balance system(4 weeks)
研究者
Hanan Hosny M Battesha
associate professor hanan hosny M Battesha
Al-Zaytoonah University of Jordan