Effect of Craniocervical Neural Mobilization on Quality of Life in Patients With Primary Tension Headache

Not Applicable

Not yet recruiting

• Conditions: Tension-Type Headache
• Interventions: Other: craniocervical neural mobilization; Other: selected physiotherapy program

• Registration Number: NCT05999201
• Lead Sponsor: Cairo University

Brief Summary

this study will be conducted to investigate the effect of craniocervical neural mobilization on quality of life in patients with primary tension headache.

Detailed Description

The World Health Organization estimates that the three most prevalent neurologic disorders worldwide are tension-type headache (1.5 billion), migraine (958.8 million), and medication overuse headache (58.5 million). Collectively, these three disorders contribute approximately 17% to the global burden of neurologic diseases, with migraine the second most disabling disease overall. TTH (Tension Type of Headache) is defined as mild to moderate band-like pressure headache with few associated symptoms. It varies considerably in frequency and duration, from rare, short-lasting episodes of discomfort to frequent, long-lasting, or even continuous disabling headaches.Physiotherapy treatment based on manual therapy achieved positive outcomes in pain intensity and frequency, disability, impact of headache, quality of life, and craniocervical range of motion in adults with TTH. Although pervious findings showed a clinical improvement, there is no clear evidence that one technique is superior to another.Neurodynamic techniques can improve mechanical functions in nerve structures, such as tension and sliding functions. When the nerve structure experiences clamping and disrupts mobility, pain occurs along the nerve. Neurodynamic sliding techniques play a major role in improving blood circulation and axonal transport, as well as increasing nerve integrity and reducing the pressure caused by intraneural and extraneural fibrosis. thirty patients with tension headache will be allocated randomly into two equal groups. the first one will receive craniocervical mobilization and a selected physiotherapy program and the control group will receive selected physiotherapy program for one month.

Study Timeline

• Status Verified: 2023-08
• Study First Submitted: 2023-08-11
• Study First Submitted QC: 2023-08-11
• Last Update Submitted: 2023-08-11
• Study Start: 2023-08-20
• Study First Posted: 2023-08-21
• Last Update Posted: 2023-08-21
• Primary Completion: 2023-10-30
• Study Completion: 2023-10-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• The type of headache will be primary tension type of headache.
• Age of subjects will range from 25-40 years.
• The duration of headaches swill be one years ago.
• Body mass index from 25 to less than 30.

Read More

Exclusion Criteria

• Major neurological conditions (e.g. stroke, multiple sclerosis, epilepsy, brain tumor, meningitis, and hypertension).
• Patients with cervical spinal cord injury, recent trauma of head.
• Patients with auditory and visual impairments.
• Smoker and addicted subjects.

Read More

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
craniocervical neural mobilization	craniocervical neural mobilization	the patients will receive craniocervical neural mobilization and a selected physiotherapy program twice a week for four weeks
craniocervical neural mobilization	selected physiotherapy program	the patients will receive craniocervical neural mobilization and a selected physiotherapy program twice a week for four weeks
selected physiotherapy program	selected physiotherapy program	the patients will receive a selected physiotherapy program twice a week for four weeks

Primary Outcome Measures

Name	Time	Method
frequency and severity of headache	up to four weeks	headache disability index will be used to assess the frequency and severity of headache. The questionnaire begins with two items that assess pain severity (mild, moderate, and severe) and frequency (once month, from 1 to 4 times a month, and more than once a week). It also includes 25 question on functional sub-scale (12 items) and emotional subscale (13 items) with three possible response option (No=0 points; Sometimes=2 points; Yes=4 points). The maximum score is 100 points, ranging from 0=no disability to 100=severe disability. A total score of 10-28 is considered o indicate mild disability; 30-48 is moderate disability; 50-68 is sever disability; 72 or more is complete disability
pain intensity	up to four weeks	visaul analogue scale will be used to assess pain intensity. Patients will be informed about visual analog scale that has two ends ; 0: no pain; 10: maximum pain.
life disability	up to four weeks	Headache Impact Test-6 scale will be used to assess life disability.It is a six-item, self-report, retrospective questionnaire. The six items in the HIT-6 address such aspects of quality of life as pain, social functioning, cognitive functioning, and psychological distress.The HIT-6 is scored by giving these responses a value of 6, 8, 10, 11, and 13, respectively. The four headache impact severity categories are little or no impact (49 or less), some impact (50-55), substantial impact (56-59), and severe impact (60-78).