Effects of Back School Based Intervention Versus Cranio-Cervical Muscle Training on Pain, Posture and Disability in Computer Users With Cervicogenic Headache
概览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- Lahore University of Biological and Applied Sciences
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Visual Analogue scale
概览
简要总结
The aim of the study is to compare Back School Based Intervention with Cranio- Cervical muscle training in participants with Cervicogenic headache. The study wants to investigate that which intervention helps to mange pain, improve posture and reduce disability. The study aims to answer the question:
- How effective is Back School Based intervention on pain, posture and disability in computer users with Cervicogenic headache compared to Cranio-cervical Muscle Training? Participants will
- Attend the treatment sessions of the group in which they are placed.
- Take treatment session two times a week for eight weeks.
- Participants will be asked about their pain and activities throughout the study.
详细描述
- Headache is one of the disorder that affects 50% of the population worldwide which have negative impact on the quality of life. Cervicogenic headache is the secondary type of headache in which the pain referred from the cervical spine. Headache aggravates by the neck movement and significant reduced range of motion is noticed among patients.
- The management of the cervicogenic headache is both pharmacological and non- pharmacological but pharmacological having more side effects.Non pharmacological management includes massage, dry needing, physical therapy exercises, manual therapy and patient education.
- Cranio-cervical muscle training include cranio-cervical flexion exercises, strengthening, stretching, posture exercises and cervical stabilization exercises. These exercises altogether helps in the strengthening of the neck and shoulder muscles which ultimately correct the cervical impairment which neutralize the posture and decrease the load on the structures of the spine.
- Back school based exercise program can have both practical and theoretical sessions. In practical part patient is guided to the different strengthening and flexibility exercises with increase resistance in each session. In theoretical part patient education is the main part. Patient is educated about the anatomical and posture related changes in the spine so he/ she can identify and correct them by incorporating in their daily life.
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)
入排标准
- 年龄范围
- 19 Years 至 44 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants of both gender.
- •Participants aged between 19 to 44 years.
- •Participants having unilateral headache without side shift for\>3 months aggravated by neck movement.
- •Participants with pain intensity ≥3 on a visual analog scale (VAS).
- •Participants working on the computer for an average 32 h per week.
- •Participants having positive cervical flexion rotation test (CFRT).
- •Participants having joint tenderness in at least one of the upper three cervical joints with palpation.
排除标准
- •If participants having any history of fractures or previous surgery of the vertebral column, any degenerative and inflammatory arthritis, osteoporosis, dislocations, cervical radiculopathy/myelopathy and any history of whiplash injury.
- •Participants showing any signs of the five 'D's' or three 'N's.
研究组 & 干预措施
Back School Based Intervention
Back School Based Intervention
干预措施: Back School Based Intervention (Other)
Cranio- Cervical Muscle Training
Cranio- cervical muscle Training
干预措施: Cranio-Cervical muscle Training (Other)
结局指标
主要结局
Visual Analogue scale
时间窗: It will be measured at baselines, 4 weeks and at 8 weeks.
Visual Analogue Scale is used for the measurement of pain.a hand written mark on 10 cm line helps to differentiate pain in different patients. If Patient reports minimum pain level more than 3 than considered as the patient required for study maximum pain level will be 10
Headache Disability Index
时间窗: It will be measured at baseline, 4 weeks and at 8 weeks.
Headache Disability Index is used to evaluate the impact of headache on person's daily life activities. It consists of 25 questions. Patient answer the question as yes scored as 4, sometimes as 2 or no as 0. The score interpretation for disability is measured and for mild disability it is 10 to 28, for moderate disability is 30 to 48, for severe disability is 50 to 68 and for complete disability 72 or higher is noticed.
Plumb Line Assessment of Posture
时间窗: It will be measured at baseline, 4 weeks and at 8 weeks.
A plumb line is used as reference to measure the abnormality or deviation from posture. It helps to pinpoint those areas of the body which are away from neutral alignment of the body such as rounded shoulder, forward head posture and abnormal tilt of pelvis. Patient reported as deviated or non deviated from neutral posture.
Cervical Flexion Rotation Test
时间窗: It will be measured at baseline, 4 weeks and at 8 weeks.
Cervical flexion rotation test is used to determine the presence of joint dysfunction at the C 1/2 level. The cervical spine is fully flexed to avoid rotational movements then rotated to right and left to find out any pain or restrictions in the joints. Pain provocation and limited rotation indicate the positive test result. Maximum range of rotation will be 45 which is considered as normal. Range less than 45 will need to be corrected.
次要结局
未报告次要终点
研究者
Dr. Hufsa Tariq
Assistant Professor
Lahore University of Biological and Applied Sciences