MANUAL TREATMENT OF ACTIVE TRIGGER POINTS IN THE STERNOCLEIDOMASTOID MUSCLE IN PATIENTS WITH CERVICOGENIC HEADACHE: A PILOT RANDOMIZED CLINICAL TRIAL
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Change in headache intensity from baseline to one week after treatment
研究概览
简要总结
It is a pilot randomized controlled trial comparing real and simulated manual treatment of trigger points (TrPs) in patients with cervicogenic headache (CeH). The purpose of the current randomized clinical pilot trial was to determine the preliminary effects of TrP manual therapy in individuals with CeH with sternocleidomastoid muscle active TrPs as compared to manual contact over the muscle tissues.
详细描述
CeH pain has been mostly related to joint, disk and ligament pain from the upper cervical spine; however, clinicians should consider that the upper cervical spine also receives afferent inputs from muscles. In fact, the role of referred pain to the head elicited by muscle TrPs has received particular interest in recent years. No study has investigated the effectiveness of TrP manual therapy in patients with CeH exhibiting active TrPs. Investigators hypothesized that patients receiving a real TrP treatment will exhibit a greater reduction in pain, sensitivity, cervical range of motion and neck endurance than those receiving a manual control non-therapeutic intervention.
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 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •unilateral pain starting in the neck and radiating to the frontal-temporal region
- •pain aggravated by neck movement
- •restricted cervical range of motion
- •joint tenderness in at least one of the joints of the upper cervical spine (C1-C3)
- •headache frequency of at least one per week over a period greater than 3 months
- •active TrPs in the sternocleidomastoid muscle
排除标准
- •other primary headaches (i.e., migraine, tension type-headache)
- •bilateral headaches
- •had received treatment for neck or head pain in the previous year
- •presented any contraindications to manual therapy
- •had pending legal action regarding their neck and head pain.
结局指标
主要结局
Change in headache intensity from baseline to one week after treatment
时间窗: Baseline and one week after the intervention
The intensity of head and neck pain was separately assessed with an 11-point numerical pain rate scale (NPRS, 0: no current pain, 10: maximum pain). It was recorded as a mean based on headaches experienced in the preceding week.
次要结局
- Change in cervical range of motion from baseline to one week after treatment(Baseline and one week after the intervention)
- Change in pressure pain sensitivity from baseline to one week after treatment(Baseline and one week after the intervention)
- Change in deep cervical flexors motor performance from baseline to one week after treatment(Baseline and one week after the intervention)
研究者
César Fernández-de-las-Peñas
Professor
Universidad Rey Juan Carlos