Impact of Adding Instrument-assisted Soft Tissue Mobilization to Mulligan Therapy in Patients With Cervicogenic Headache
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 主要终点
- neck disability
研究概览
简要总结
this study will be conducted to investigate the impact of adding Instrument assisted soft tissue mobilization technique to mulligan therapy in patients with cervicogenic headache
详细描述
Cervicogenic headache (CGH) has seen a notable rise in prevalence in recent years, substantially impairing patients' daily functioning and occupational productivity. Despite its considerable burden, CGH remains frequently underdiagnosed and inadequately managed, often progressing to a chronic state that heightens the risk of work absenteeism and long-term disability and as the most common type of pain disorders, affecting 66% of the global population, represent a major public health concern due to their detrimental impact on quality of life and economic productivity . Epidemiological data indicate that CGH affects 4.1% of the general population, with prevalence escalating to 17.5% among individuals with severe headaches.Instrument Assisted Soft Tissue Mobilization using Graston (GT®) tool is regarded as one the most advanced and promising methods ,utilizing a specially designed instrument to adress a variety of soft tissue pathologies such as myofascial adhesions , scar tissue restriction , tissue thickenings, ridges, fibrotic nodules, crystalline deposits . this technique works by generating a mobilizing effect ,which contributes to pain reduction ,enhanced range of motion and improved overall function.The Mulligan manual technique is considered one of the most effective forms of manipulations. In contrast to conventional mobilization, which depends entirely on the therapist, Mulligan proposed that applying pressure to the spinous processes while the patient is in a weight-bearing position would cause the facet joints to glide in a coordinated ,parallel direction . simultaneously ,this approach involve the patient's active participation during movemwnt in order to achieve the perfect therapeutic outcomes
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
opaque sealed envelope
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
- •Unilateral CGH presentation
- •Age group above 18 years' old
- •History of chronic CGH (>3 months)
- •CGH owing to cervical spine (neck) dysfunction
- •Reduced cervical motion
- •Neck stiffness and movement restriction
排除标准
- •Participants with other types of headache (migraine headache)
- •Headache owing to other causes (sinus, tumor, neural, and tempero-mandibular joint issues)
- •Any contraindications to manual and manipulative therapy (fracture, instability, osteoporosis and neural symptoms)
- •Taking analgesics or corticosteroids and migraine-specific medications, such as triptans
- •Metastasis
- •Cardiac conditions (stroke and syncope)
- •Neurological conditions (radiculopathy, myelopathy)
研究组 & 干预措施
instrumeted assissted soft tissue mobilization and mulligan therapy
twenty patients will receive IASTM, mulligan therapy and postural correction exercises three times per week for 6 weeks.
干预措施: instrumeted assissted soft tissue mobilization and mulligan therapy (Other)
instrumeted assissted soft tissue mobilization and mulligan therapy
twenty patients will receive IASTM, mulligan therapy and postural correction exercises three times per week for 6 weeks.
干预措施: mulligan therapy (Other)
instrumeted assissted soft tissue mobilization and mulligan therapy
twenty patients will receive IASTM, mulligan therapy and postural correction exercises three times per week for 6 weeks.
干预措施: postural correction exercises (Other)
mulligan therapy
Twenty patients will receive Mulligan therapy and postural correction exercises three times per week for 6 weeks.
干预措施: mulligan therapy (Other)
mulligan therapy
Twenty patients will receive Mulligan therapy and postural correction exercises three times per week for 6 weeks.
干预措施: postural correction exercises (Other)
postural correction exercises
Twenty patients will receive postural correction exercises three times per week for 6 weeks.
干预措施: postural correction exercises (Other)
结局指标
主要结局
neck disability
时间窗: up to 6 weeks
Assessment of neck function was performed by Arabic neck disability index. It is a valid and reliable tool in the assessment of neck function. It contains ten category/classes. Each category contains six choices (zero-five).Score from zero to four no disability, from five to 15 this is mild, From 15 to 24 this is moderate, from 25 to 34 this is severe, more than 34 this is a complete disability
次要结局
- pain intensity(up to 6 weeks)
- cervical range of motion(up to six weeks)
- muscle stiffness(up to six weeks)
- headache frequency(up to six weeks)
- headache duration(up to six weeks)
- medication intake(up to 6 weeks)
研究者
Doaa Youssef Ahmed Mahmoud
principle investigator : doaa youssef ahmed mahmoud
Cairo University