"Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache: A Randomized Controlled Trial."
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale (NPRS)
研究概览
简要总结
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE
详细描述
This randomized controlled trial aims to compare the effectiveness of Kaltenborn and Maitland mobilization techniques in individuals with cervicogenic headache. The study will assess the effects of both interventions on pain intensity, cervical range of motion, neck disability, and headache-related disability. A total of 44 participants aged 18-40 years with clinically confirmed cervicogenic headache will be randomly allocated into two groups. Both groups will receive baseline physiotherapy treatment, while Group A will receive Kaltenborn mobilization and Group B will receive Maitland mobilization for 8 weeks, with three sessions per week. The findings will help determine which mobilization technique is more effective and provide evidence to guide physiotherapists in the management of cervicogenic headache.
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 (Participant)
盲法说明
Participant will be blinded
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
- •Age: 18-40 yrs
- •Gender: male/female
- •Unilateral neck pain and stiffness
- •Cervicogenic headache confirmed with Cervical Flexion Rotation Test
- •Cervical spine ROM>10°
- •Unilateral headache
- •Headache triggered on neck extension
排除标准
- •Congenital conditions of cervical spine
- •Disc herniation
- •Cervical radiculopathy
- •Myelopathy
- •Cervical fracture/ trauma past 3 months
- •Vestibular dysfunction/ VBI
- •TMJ dysfunction related headache
- •Whiplash injury
- •Other types of headache i-e tension type, migraine or cluster type
研究组 & 干预措施
Maitland mobilization
Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.
干预措施: Maitland mobilization (Other)
Kaltenborn Mobilization
Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.
干预措施: Kaltenborn (Other)
结局指标
主要结局
Numeric Pain Rating Scale (NPRS)
时间窗: baseline and after 8 weeks
The \*\*Numeric Pain Rating Scale (NPRS)\*\* is an 11-point scale used to assess pain intensity, ranging from \*\*0 (no pain) to 10 (worst possible pain)\*\*. Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.
Neck Disability Index (NDI)
时间窗: baseline and after 8 weeks
The \*\*Neck Disability Index (NDI)\*\* is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of \*\*10 items\*\*, with higher scores indicating greater levels of disability.
Inclinometer to asses ROM
时间窗: baseline and after 8 weeks
An \*\*inclinometer\*\* is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.
Headache Disability Index (HDI)
时间窗: baseline and after 8 weeks
The \*\*Headache Disability Index (HDI)\*\* is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.
次要结局
未报告次要终点
研究者
Marium Khalid
Assistant Professor
Ibadat International University, Islamabad