Effects of Graston Versus Myofascial Release Technique on Pain, Range of Motion and Functional Disability in Patients With Cervicogenic Headache
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 48
- 主要终点
- Neck Disability Index (NDI)
研究概览
简要总结
Cervicogenic Headache (CGH) is a painful condition that has pronounced impacts on quality and activity of daily lives. It is often associated with decreased mobility, muscular tightness, and postural deviations. When neck muscles become tight, weak, or irritated, they change the way the neck moves and put pressure on nearby joints and nerves. This pressure delivers pain signals to the head, causing a Cervicogenic headache.
详细描述
The aim of this study is to compare the effects of the Graston Technique and Myofascial Release in reducing pain, improving cervical range of motion, and decreasing functional disability in patients with Cervicogenic headache.
This study will be a randomized control trial and will be take place at Sehat Medical Complex, lake city branch, Lahore. Non-probability convenience sampling will be used to collect data. Sample size of ( ) subjects with age group between 18-40 years will be taken. Data will be collected from the patients having present complaint of Cervicogenic headache. Outcome measures will be assessed using numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI) to measure neck related disability, Headache Disability Index (HDI) to assess the impact of headaches on daily activities and emotional well-being and Goniometer for assessing range of motions. An informed consent will be taken and subjects will be selected on basis of inclusion and exclusion criteria. They will be divided into two groups by random number generator. One group will receive Graston technique and other myofascial release as a treatment while both groups will be receiving conventional treatment alongside. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 21.
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)
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females between age 18-40 years [A30.1]of age with Cervicogenic Headache
- •Diagnosed with Cervicogenic headache according to ICHD-3 criteria (3)
- •Presence of active myofascial trigger points in the SCM and upper trapezius and subocvcipital levator scapuli (confirmed [A31.1]via palpation and referred pain) simens [A32.1]criteria
- •Positive Cervical Flexion Rotation Test
排除标准
- •Any history of cervical trauma, fracture, or recent surgery.
- •Diagnosis of migraine, tension-type headache, or cluster headache (9).
- •Any cervical spine pathology e.g. cervical myelopathies and arthropathies.
- •Pregnant or lactating women.
- •Skin conditions or open wounds that contraindicate use of Graston tools e.g. open wounds, skin infections and burns etc.
结局指标
主要结局
Neck Disability Index (NDI)
时间窗: upto 4 weeks
Numeric Pain Rating Scale (NPRS)
时间窗: upto 4 weeks
Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".
次要结局
- Universal Goniometer (UG)(upto 4 weeks)
- Global Rating of Change (GROC) scale(upto 4 weeks)