Exercise and Manipulative Therapy for Older Persons With Headache
A Randomized Controlled Trial of Exercise and Manipulative Therapy for Older Persons With Frequent Intermittent Headaches Associated With Neck Pain and Impairment
1 other identifier
interventional
65
1 country
1
Brief Summary
The presence of cervical musculoskeletal impairment is not specific to cervicogenic headache but other various frequent intermittent headache types (i.e. migraine and tension-type headache) in the elderly population. There has been no trial to date which has investigated the effectiveness of physiotherapy treatment specifically for older persons with various types of headache with associated neck pain and cervical musculoskeletal impairment. Thus, the purpose of study investigate the efficacy of physiotherapy treatment for older persons who have headache concomitant with neck pain and musculoskeletal impairment
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Dec 2012
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 22, 2012
CompletedFirst Posted
Study publicly available on registry
November 29, 2012
CompletedStudy Start
First participant enrolled
December 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2015
CompletedJanuary 28, 2016
January 1, 2016
2 years
November 22, 2012
January 26, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Headache frequency
The number of headache frequency in the past week
Change from baseline in headache frequency at week 11 and 6 months after intervention
Secondary Outcomes (7)
Headache intensity
Change from baseline in headache intensity at week 11 and 6 months after intervention
Headache duration
Change from baseline in headache duration at week 11 and 6 months after intervention
Neck pain intensity
Change from baseline in neck pain intensity at week 11 and 6 months after intervention
Neck pain and disability
Change from baseline in neck pain and disability at week 11 and 6 months after intervention
Quality of life
Change from baseline in quality of life at week 11 and 6 months after intervention
- +2 more secondary outcomes
Study Arms (2)
Usual care intervention
EXPERIMENTALPrimary care as required including medication
Physiotherapy treatment
EXPERIMENTALExercise and manipulative therapy
Interventions
The usual care intervention will include appropriate primary care as required including medication
Exercise and manipulative therapy treatment for 10 weeks:The treatment intervention consists of two visits per week for the first four weeks (8 treatments) and one visit per week for the last six weeks (6 treatments)
Eligibility Criteria
You may qualify if:
- Volunteers suffering from frequent intermittent headache (either migraine, tension-type headache or cervicogenic headache) at least one per month over a period of 3 months or longer
- Aged 50 years or older, female or male
- A score of ≥ 3/10 on visual analogue scale (VAS) of neck pain
- Evidence of cervical musculoskeletal impairment: restriction in active range of cervical motion in extension and rotation and join tenderness in at least one of the upper joint as detected by manual palpation
You may not qualify if:
- Headache diagnosed as following: temporal arteritis, trigeminal neuralgia, cluster headache, chronic paroxysmal hemicrania/hemicranias continua, temporomandibular joint dysfunction
- Other diagnosed disorders: cerebrovascular disease, Parkinson disease, cognitive disturbance
- Previous history of head or neck surgery
- Lack of willingness to receive either pragmatic treatment or usual care
- Physiotherapy or chiropractic treatment for headache in previous 6 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Physical Therapy, Faculty of Associated Medical Sciences
Chiang Mai, Thailand
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sureeporn Uthaikhup, Ph.D.
Department of Physical Therapy, Faculty of Associated Medical Sciences
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
November 22, 2012
First Posted
November 29, 2012
Study Start
December 1, 2012
Primary Completion
December 1, 2014
Study Completion
July 1, 2015
Last Updated
January 28, 2016
Record last verified: 2016-01