ACTRN12626000831381进行中（未招募）不适用
The effect of cervical musculoskeletal management on the frequency and burden of episodic migraine among participants with or without identifiable cervical musculoskeletal dysfunction who experience migraines: a mixed-methods study
适应症
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 55
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Other
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（—）
- 性别
- All
入选标准
- •Unilateral migraine as the dominant headache consistent with the ICHD-3 migraine criteria
- •Headache frequency of at least 4 days per month (but not more than 15)
- •A history of regular neck pain
- •Physical examination inclusion criteria:
- •Arm 1 (Cohort A) require unilateral C1/2 segmental movement dysfunction identified on physical assessment with abnormal Cervical Flexion Rotation Test (CFRT) and C1/2 positive joint palpation
- •Arm 2 (Cohort B) need to have no identified cervical segmental movement dysfunction with a normal CFRT.
排除标准
- •A maximum number of 15 headache days per month
- •Specific disorders and congenital conditions of the cervical spine (e.g., past cervical spine surgery, infection, tumour, fracture, diffuse idiopathic skeletal hyperostosis, cervical degenerative joint disease, stenosis)
- •Receiving any manual therapy treatment to the neck or head in the past 3 months
- •A change in migraine medication in the past 3 months
- •Neck and head trauma requiring medical care/hospitalisation in the past 3 months
- •Contraindications to study treatments (e.g., inflammatory cervical arthropathies, cervical instability, severe osteoporosis, vertigo, dizziness)
- •Surgery in Temporomandibular joint (TMJ) area in past 6 months
- •A neurological history with current symptoms (multiple sclerosis, Amyotrophic lateral sclerosis (ALS), Parkinson’s, myelopathy, seizures, cervical radiculopathy, herniated disc, thoracic outlet syndrome, brachial plexus neuropathy)
- •A cardiovascular history with current symptoms (history of stroke, transient ischaemic attacks, stage 2 hypertension, taking anticoagulant medication, syncope, myocardial infarction, haemophilia)
- •Pregnancy, trying to get pregnant, or within 3 months postpartum
- •Active or pending medical litigation, personal injury, workers compensation, or disability compensation related to a head or neck injury
- •Cancer in the past five years
- •On physical examination:
- •hyperalgesia at > 3 cervical levels on a passive accessory manual examination (as this could indicate central sensitisation processes were a dominant component).
- •Test positive to Vertebrobasilar insufficiency (VBI) screening which is a safety concern for the vertebral artery during upper cervical rotation to ensure end of range positions do not provoke symptoms of cerebral ischaemia.
研究者
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