The effectiveness of Sensorimotor Training on Headache Disability, Cervical Joint Position Error and Craniocervical Endurance in patients with Cervicogenic headache
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 52
- 试验地点
- 1
- 主要终点
- Headache disability inventory, Cervical joint position error
研究概览
简要总结
Cervicogenic headache (CGH) is a chronic headache originating from the neck’s musculoskeletal structures, often triggered by neck movement. Its prevalence in the general population ranges from 0.17% to 4.1%, but accurate epidemiological data is limited due to varying diagnostic criteria. The condition arises from dysfunction in the upper cervical spine and is linked to the trigeminocervical nucleus, which transmits pain from the neck to the head. Sensorimotor disturbances, such as impaired neck mobility, altered motor control, and proprioceptive deficits, play a significant role in CGH. These disturbances affect balance, eye movement, and postural stability, as cervical afferents contribute to essential reflexes coordinating head, eye, and body movements.
Sensorimotor training has emerged as a promising approach for CGH management, improving neck function and reducing pain. Physiotherapy, including exercise and spinal manual therapy, is also effective, especially in distinguishing CGH from migraines and tension-type headaches. Therapeutic exercise (TE) is particularly beneficial, as it reduces headache intensity, frequency, and disability with minimal side effects.The aim of the study was to find out the effect of sensorimotor training on headache disability, cervical joint position sense, and craniocervical endurance in subjects diagnosed with cervicogenic headache.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •Subjects diagnosed with cervicogenic headache according to established diagnostic criteria, third edition of the International Classification of Headache Disorders (ICHD-3).
- •The ICHD-3 criteria for cervicogenic headache are as follows:
- •Any headache fulfilling criterion C
- •Clinical and/or imaging evidence of a lesion or disorder in the cervical spine or soft tissues of the neck that can cause headache
- •Evidence of cause of headache demonstrated by at least two of these: 3.1 Headache has developed in temporal relation to the appearance of the lesion or the onset of the cervical disorder 3.2 Headache has significantly improved or resolved in unison with improvement in or the resolution of the cervical lesion or disorder 3.3 Cervical range of motion is reduced, and provocative maneuvers may significantly worsen the headache 3.4 Headache is abolished following diagnostic blockade of a cervical structure or its nerve supply
- •Not better accounted for by another ICHD-3 diagnosis.
- •History of neck pain occurring for more than three months and joint position error of more than 3 in at least two out of four directions of neck movements (flexion, extension, left and right rotation).
排除标准
- •Tension-type headaches and migraine
- •Internal carotid or vertebral artery dissection
- •Arnold-Chiari malformation
- •Herniated intervertebral disc
- •Intramedullary or extramedullary spinal tumor
- •Spinal nerve compression or tumor
- •Arteriovenous malformation
- •Neck-tongue syndrome.
结局指标
主要结局
Headache disability inventory, Cervical joint position error
时间窗: the data will be collected at baseline and after intervention given for a time period of 4 weeks.
次要结局
- craniocervical endurance(the data will be collected at baseline & after intervention given for a time period of 4 weeks.)
研究者
Avrajit Sarkar
SGT University