Effects of Cervical Spine Manual Therapy on Range of Motion, Joint Position Sense, and Balance in Participants With Cervicogenic Headache
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 35
- 试验地点
- 2
- 主要终点
- Change in Cervical Flexion Rotation Test (CFRT)
研究概览
简要总结
The effects of cervical spine manual therapy, including mobilization and manipulation, on cervical spine range of motion, joint position sense, and balance is unknown among individuals with cervicogenic headache. Previous studies have indicated improved frequency of headache, decreased perceived disability, and demonstrated improved neuromuscular function following upper cervical manipulation. Other authors report improved cervical spine range of motion, joint position sense, and balance following cervical spine manual therapy for individuals with cervicogenic dizziness. Through an experimental design, this study aims to determine the effects of cervical spine manual therapy on variables such as cervical spine range motion, joint position sense, and balance among individuals with headache of a cervical spine origin.
详细描述
A convenience sample will be utilized to obtain subjects who suffer from cervicogenic headaches, as defined by the International Headache Classification. Subjects will be given an online medical screening questionnaire to differentiate and screen additional types of headache symptoms (migraine, cluster, tension-type, for example) and identify possible contraindications for manual therapy treatment techniques and exclude individuals if necessary. Subjects will be randomized into one of three groups (upper cervical mobilization, upper cervical manipulation, or control) and be tested with the Cervical Flexion Rotation Test, Joint Position Error testing, and sensorimotor balance testing via NeuroCom Balance Master. Subjects with cervicogenic headaches will receive their assigned intervention and dependent variables will be reassessed immediately, as well as 4-weeks after initial intervention. Individuals in either intervention group (mobilization or manipulation) will also complete a specific home-exercise program, which has been reported to improve upper cervical range of motion, to the C1/2 segment.
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
- Single (Outcomes Assessor)
盲法说明
Assessors of joint position sense, balance, and cervical spine range of motion via the Cervical Flexion Rotation Test will be blinded to group allocation
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Over the age of 18
- •Signs and symptoms consistent with cervicogenic headache (including unilateral headache, headache that improves or resolves as cervical disorder or lesion improves or resolves, headache that is made worse with cervical movement or sustained painful neck positions, reduced cervical range of motion
- •Headache frequency of at least once a week for 3 months
排除标准
- •Bilateral headaches
- •Non-musculoskeletal red flags
- •Two or more positive neurologic signs indicative of nerve root compression
- •Diagnosed with cervical spinal stenosis
- •Bilateral upper extremity symptoms
- •Symptoms indicative of central nervous system lesion
- •History of whiplash injury within the previous 6 weeks
- •Prior head or neck surgery
- •Has received treatment for head or neck pain from any practitioner within the previous month
- •Has received physical therapy or chiropractic treatment for head or neck pain within the previous 3 months
- •Having a known vestibular or balance dysfunction (BPPV, unilateral vestibular loss, etc.)
- •Other headaches that do not originate from the cervical spine, primarily migraine, vascular (cervical artery dysfunction), and tension-type headache.
研究组 & 干预措施
Cervical Spine Mobilization Group
Subjects with cervicogenic headache who will be assigned to cervical spine mobilization group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
干预措施: Cervical Spine Mobilization (Procedure)
Cervical Spine Manipulation Group
Subjects with cervicogenic headache who will be assigned to cervical spine manipulation group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
干预措施: Cervical Spine Manipulation (Procedure)
Control Group
No intervention. Subjects in this groups will wait for 5 minutes between pre- and post-testing of dependent variables.
结局指标
主要结局
Change in Cervical Flexion Rotation Test (CFRT)
时间窗: Post-Intervention, 4-weeks
The Cervical Range of Motion (CROM) instrument will be placed on the subject. The subject will lie supine on the treatment table. The investigator will then passively flex the entire cervical spine and then rotate the head to both the left and right. The range of motion available in each direction, as measured by the CROM, will be recorded.
次要结局
- Change in Joint Position Error(Post-Intervention, 4-weeks)
- Change in Balance as measured by NeuroCom Balance Master(Post-Intervention, 4-weeks)
研究者
Aaron Hartstein
Assistant Professor of Physical Therapy
Shenandoah University