Cervicogenic Headache Among Subjects With Forward Head Posture: a Correlational Cross-sectional Study.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- comparing FRT and photogrammetry findings to CHISG criteria.
研究概览
简要总结
This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group.
详细描述
Headaches have been posed to be a common occurring complaint being as frequent as 66% in general population. One the common types of headaches is Cervicogenic Headache which is considered as a secondary headache whereas the symptoms occur due to cervical spine and its bony components, disc or soft tissue structures. Cervicogenic headache is a syndrome described as pain felt on one side of the head, relating same side neck, shoulder and arm pain that is aggravated by neck movements or sustained head posture The prevalence of CGH has been reported 4.1% in general population 17.5% in patients and 41.4% in medical students.
The most general cause of cervicogenic headache (CGH) is the alteration of structure in the neck due to bad posture.
Proper posture is defined as a musculoskeletal balance which involves a minimal amount of stress and strain on the body , Forward head posture (FHP) is one of the commonly recognized types of poor head postures in the sagittal plane.FHP was defined as 'any alignment in which the external auditory meatus is positioned anterior to the plumbline through the shoulder joint.
Sustaining the head in this forward posture for prolonged period of time has been associated with the development of other musculoskeletal disorders such as 'upper crossed syndrome', which leads to reduction of lordosis in lower cervical and kyphosis of upper thoracic vertebra. In the long run, this may cause shortening of muscular fibers muscles involving the atlanto-occipital articulation, overstretching of muscles around joint and leads to chronic neck pain , There are many factors that could contribute to the development of forward head posture such as age, gender frequency of physical activity, occupation, usage of computer and smartphones and others.
It is noted that CGHs can often be related to forward neck and head posture, which is accompanied by a high muscular tone of the supporting extensors to keep the head from gravity. Such unstable state causes overstrain of the cervical muscles, and induces headache and neck pain.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 25 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subjects with Craniovertebral angle (CVA) less than 50 degrees. (Gavin Morrison, 2018).
- •University students who were taking consecutive lectures for 3 hours and who worked forward for 3 hours or more on laptop (Arfa Naz et al, 2018).
排除标准
- •History of significant medical conditions that might be potential contraindications to physical examination of the cervical spine, including known cancer, osteoporosis, nerve root symptoms, inflammatory or infectious diseases affecting the neck instability of the cervical spine, or reported potential vertebrobasilar insufficiency symptoms (Peter K. Farmer et al, 2015).
- •History of cervical spine injures (fracture, sprain, strain, whiplash), cervical spondylosis, obvious spinal deformities, neurological and neuromuscular disorders, TMJ dysfunction, cervicothoracic and lumbar kyphoscoliosis, rheumatic disease, torticollis, and balance disorders (B. Shaghayegh fard et al, 2015).
结局指标
主要结局
comparing FRT and photogrammetry findings to CHISG criteria.
时间窗: baseline
Analysis of photogrammetry, interpreting the results of the flexion rotation test to diagnose the presence of forward head posture then identify if FHP is correlated with cervicogenic headeach which will be diagnosed by diagnostic criteria of the Cervicogenic Headache International Study Group (CHISG).
次要结局
未报告次要终点