Efficacy of Lumbar Motor Control Training in Treatment Of Patients With Cervicogenic Headache

Not Applicable

Not yet recruiting

• Conditions: Cervicogenic Headache
• Interventions: Other: lumbar motor control exercises; Other: Cervical stabilization exercises

• Registration Number: NCT05952115
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to investigate the effect of lumbar motor control training exercise on headache frequency, duration, intensity and neck functional disability in cervicogenic headache patients

Detailed Description

Cervicogenic Headache is a referred pain spreading from cervical structures supplied by the upper cervical spinal nerve roots (C1-C3), this referred pain that starts from the posterior aspect of the head and neck is usually found to be unilateral, and it also can spread to the frontal, temporal and orbital aspects of the head.The patient frequently reports having a terrible headache, having less neck range of motion, performing less well at work, and having trouble focusing, that may linger for hours. The convergence of primary sensory afferents from cervical nerve roots C1 to C3 with the afferents from the occiput and trigeminal nerve causes the underlying pathology. Because of this, the Suboccipital muscles particularly, which cervical roots C1 innervates to C3, are potential risk structures. Treatment options include posture correction, cervical and upper thoracic strengthening exercises, facet joint manipulation, ultrasound therapy, laser therapy, trigger release therapy, and cervical joint mobilization.famous exercise known as "Motor control exercise" attempts to improve the coordination and effectiveness of the muscles that support and govern the spine. It can also improve coordination between the deep neck flexors and superficial neck flexors and between core muscles of the lumbar region. fifty two patients will be randomly assigned to two equal groups; experimental group will receive lumbar motor control and cervical stabilization exercises and control group will receive cervical stabilization exercises only.

Study Timeline

• Status Verified: 2023-07
• Study First Submitted: 2023-07-11
• Study First Submitted QC: 2023-07-11
• Last Update Submitted: 2023-07-11
• Study Start: 2023-07-16
• Study First Posted: 2023-07-19
• Last Update Posted: 2023-07-19
• Primary Completion: 2023-10-16
• Study Completion: 2023-10-16

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 52

Inclusion Criteria

• The age of the subjects ranged from 20-40 years old, both genders.
• Patients with chronic mechanical neck pain with frequent cervicogenic headaches persisting for more than 3 months.
• Positive flexion rotation test.
• Unilateral head pain without side shift or bilateral head pain with dominant side headache associated with neck pain and aggravated by neck movement and/or sustained awkward head positioning
• Joint tenderness in at least one of the upper three cervical joints or the occipital region as detected by manual palpation.
• Intensity of headache is moderate to severe.
• Abnormal performance in CCFT < = 26 mmHg
• Body mass index range from 18 to 25 km/m2

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Exclusion Criteria

• Fracture or previous surgery on the vertebral column.
• Spinal stenosis.
• Disc prolapsed.
• TMJ dysfunction.
• Headache with autonomic involvement, dizziness, or visual disturbance.
• Congenital condition of the cervical spine.
• Neck pain of less than three months

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
lumbar motor control exercises	lumbar motor control exercises	patients will receive lumbar motor control and cervical stabilization exercises three times a week for four weeks
lumbar motor control exercises	Cervical stabilization exercises	patients will receive lumbar motor control and cervical stabilization exercises three times a week for four weeks
cervical stabilization exercises	Cervical stabilization exercises	the patients will receive cervical stabilization exercises three times a week for four weeks

Primary Outcome Measures

Name	Time	Method
Headache frequency:	up to four weeks	Headache frequency will measure as the number of days with headache in the last week, ranging from 0 to 7 days
Headache duration	up to four weeks	Headache duration will measure in total hours and average number of hours headaches lasted in the past week
Headache intensity	up to four weeks	The Visual Analog Scale will use to quantify the patient's pain level or intensity. these scale consists of line, usually 10 cm long, ranging from no pain at one end and worst pain at the other end

Secondary Outcome Measures

Name	Time	Method
neck disability	up to four weeks	Arabic version of neck disability index will be used to measure neck disability. The NDI consists of 10 sections: pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleeping, and recreation. Each section is expressed by 6 different assertions in the range 0-5, with 0 indicating no disability and 5 indicating highest disability. The total score ranges from 0 to 50.0-4= No disability,5-14= Mild disability,15-24=Moderate disability, 25-34=Sever disability,35 or more=Complete disability.