Additional Effects of Sternocleidomastoid Release With SNAGS in the Management of Cervicogenic Headache
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 38
- 试验地点
- 1
- 主要终点
- Headache Disability
研究概览
简要总结
Cervicogenic headache is a common type of headache in adults which causes disability and difficulty in everyday activities. According to the latest International Headache Society model, cervicogenic headache (CGH) is a secondary headache having C1-C2 dysfunction. SNAGs are highly effective in the treatment approach for these patients. Sternocleidomastoid muscle receive overactive tension from forward neck posture, increasing muscular fatigue and tone of muscles. This tension in SCM causes referred pain in the head and neck region. SNAGs are very effective but musculoskeletal impairments especially the tightness of sternocleidomastoid muscle still persist and can exacerbate symptoms. Manual therapy targeted to the SCM muscle may be effective for reducing headache and neck pain intensity and increasing performance of deep cervical flexors. Findings of this study will aid the therapists in choosing which technique to use while treating the patients. This will save therapist's time and effort as they will not be using the less effective treatment protocol. Furthermore, patient's time and investment will be used in the right direction.
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
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age group: 18-45 years old
- •Both males and females
- •Unilateral headache with no shift of side
- •C1-C2 Dysfunction
- •Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
- •Headache at least once a month in the last 3 months
- •Headache with at least 4 score in NPRS (Sign and Symptoms of Neck Involvement)
- •Headache with restriction of ROM in the neck
- •Headache precipitated by:
- •Sustained neck movements, and awkward head positioning. External Pressure over upper cervical or occipital region
- •Headache Characteristics:
- •Moderate-severe, non-throbbing pain, usually starting in the neck.
- •Episodes of varying duration, or: fluctuating, continuous pain
排除标准
- •Headache of non-cervical origin
- •Diagnosed Cases of:Cervical spondylosis,Cervical radiculopathy/ nerve root involvement/ disc herniation,Cervical instability/ fracture,Vertebrobasilar insufficiency ,Cervical spine surgery,Cervical spondylolisthesis,Spinal infection or tumors,Osteoporosis,History of trauma,Rheumatoid Arthritis,Inflammatory Arthritis
研究组 & 干预措施
Conventional physical therapy Group
Both Group A and Group B will receive this conventional physical therapy protocol for cervicogenic headache.
- Moist heat therapy: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
- TENS application: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
In addition to this, they will receive Headache SNAGs (Sustained Natural Apophyseal Glides) 5 sets of 10 repetitions. Each repetition will be given with a 10 second hold.
• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
干预措施: Electrotherapy and physical agents (Procedure)
Conventional physical therapy Group
Both Group A and Group B will receive this conventional physical therapy protocol for cervicogenic headache.
- Moist heat therapy: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
- TENS application: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
In addition to this, they will receive Headache SNAGs (Sustained Natural Apophyseal Glides) 5 sets of 10 repetitions. Each repetition will be given with a 10 second hold.
• Frequency: 3 times a week for 2 weeks. 6 sessions in total.
干预措施: Headache SNAGs (Procedure)
Conventional physical therapy with sternocleidomastoid release
Both Group A and Group B will receive this conventional physical therapy protocol for cervicogenic headache.
- Moist heat therapy: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
- TENS application: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
Headache SNAGs: In addition to the conventional physical therapy protocol, they will receive Headache SNAGs (Sustained Natural Apophyseal Glides) 5 sets of 10 repetitions. Each repetition will be given with a 10 second hold.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total. Sternocleidomastoid Release: Group B will also receive Sternocleidomastoid release in addition with headache SNAGs. Release to the sternocleidomastoid muscle will be given once per session for 5-8 minutes.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total.
干预措施: Electrotherapy and physical agents (Procedure)
Conventional physical therapy with sternocleidomastoid release
Both Group A and Group B will receive this conventional physical therapy protocol for cervicogenic headache.
- Moist heat therapy: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
- TENS application: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
Headache SNAGs: In addition to the conventional physical therapy protocol, they will receive Headache SNAGs (Sustained Natural Apophyseal Glides) 5 sets of 10 repetitions. Each repetition will be given with a 10 second hold.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total. Sternocleidomastoid Release: Group B will also receive Sternocleidomastoid release in addition with headache SNAGs. Release to the sternocleidomastoid muscle will be given once per session for 5-8 minutes.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total.
干预措施: Headache SNAGs (Procedure)
Conventional physical therapy with sternocleidomastoid release
Both Group A and Group B will receive this conventional physical therapy protocol for cervicogenic headache.
- Moist heat therapy: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
- TENS application: Frequency: 15 minutes, 3 times per week (alternatively) for 2 weeks.
Headache SNAGs: In addition to the conventional physical therapy protocol, they will receive Headache SNAGs (Sustained Natural Apophyseal Glides) 5 sets of 10 repetitions. Each repetition will be given with a 10 second hold.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total. Sternocleidomastoid Release: Group B will also receive Sternocleidomastoid release in addition with headache SNAGs. Release to the sternocleidomastoid muscle will be given once per session for 5-8 minutes.
- Frequency: 3 times a week for 2 weeks. 6 sessions in total.
干预措施: Sternocleidomastoid Release (Procedure)
结局指标
主要结局
Headache Disability
时间窗: 2 weeks
Headache Disability Index will be used
Range of motion
时间窗: 2 weeks
Cervical rotation will be measured through CROM device
Cervical Proprioception
时间窗: 2 weeks
Joint Position Error Test will be used
Pain intensity
时间窗: 2 weeks
Pain will be measured on the basis of Numeric Pain Rating Scale score.
次要结局
未报告次要终点