Dry Needling Versus Instrumented Assisted Soft Tissue Mobilization In the Patient With Cervicogenic Treatment Headache; Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- pressure pain threshold
研究概览
简要总结
the aim of this study is to investigate the efficacy of Dry Needling Versus Instrumented Assisted Soft Tissue Mobilization In the Patient With Cervicogenic Treatment Headache
详细描述
Cervicogenic headache has been classified as a secondary type headache, and it is usually associated with cervical myofascial pain sources as myofascial trigger points . It also could be related to any joint, disc, and ligament disease of the upper region of the neck.physiotherapist use trigger point dry needling as an invasive treatment for CGH where a solid filament needle is inserted into a myofascial trigger point . The advantages of Dry needling are increasingly documented .Instrument-assisted soft tissue mobilization technique has been reported to decrease pain, improve overall function, and increase range of motion . It enhances the ability of physical therapists to detect altered tissue properties, through the vibration sense within the instrument, and to treat soft tissue dysfunction. It also enhances the patient's awareness of altered sensations within the treated tissues.
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, Outcomes Assessor)
盲法说明
random generator
入排标准
- 年龄范围
- 20 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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,
- •previous head or neck surgery or whiplash injury history within the last 6 weeks
结局指标
主要结局
pressure pain threshold
时间窗: up to four weeks
pressure pain threshold will be assessed by commander algometer
pain intensity
时间窗: up to four 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 10 cm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel .
neck disability
时间窗: up to four weeks
will be measured by Arabic neck disability index. It contains ten category/classes. Each category contains six choices (zero-five).Score from zero to four no disability, from five to 15 this is mild, From 15 to 24 this is moderate, from 25 to 34 this is severe, more than 34 this is a complete disability
次要结局
- medication intake(up to four weeks)
- range of motion(up to four weeks)
- headache frequency(up to four weeks)
- headache duration(up to four weeks)
研究者
Al Shaymaa Shaaban Abd El Azeim
principal investigator
Cairo University