Active and Passive Cervical Flexion-rotation Tests

NCT02070172 | Completed

• 1 other identifier: DMUSP2
• Study Type: observational
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

Motion limitations have been previously reported in people with headaches originating from the neck/cervicogenic headaches. A test involving flexing and rotating the neck has been found useful to diagnose this type of headache. This observational study investigates this neck motion test when performed actively by the patient and passively by the examiner, then compares the results of motion attained.

Conditions

Cervicogenic Headaches

Keywords

headache diagnosis; flexion rotation test; range of motion; upper cervical

Outcome Measures

Primary Outcomes (1)

• Cervical Range of Motion in degrees with the Flexion Rotation Test

  Two versions of this test were examined. A motion analysis system was used to measure degrees of motion. The test was done in two ways on each subject. Subjects sat in a chair, looked downward, then rotated their head/neck each direction. Subjects laid on their back while an examiner lifted their head, then rotated it each direction (same motion as described for the active test in the previous sentence). Within session reliability was also examined.

  Baseline only

Secondary Outcomes (1)

• Northwick park neck disability index

  Baseline only

Study Arms (2)

Cervicogenic Headache Group

This group of subjects is considered the symptomatic group. No intervention was provided in this study so there are no intervention groups.

Healthy, Asymptomatic Group

Subjects in this group had no headache symptoms. Their neck motion was compared to subjects in the headache group. No intervention was provided to subjects in either group for this study.

Eligibility Criteria

• Age: 20 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

two groups of subjects were included; those with cervicogenic headaches and an asymptomatic group of healthy volunteers

You may qualify if:

• One-sided headaches
• Headaches caused by neck movement or sustained head positioning
• Neck, shoulder, or arm pain
• Intermittent headaches at least one headache per week for greater than 2 months
• Headaches of moderate intensity

You may not qualify if:

• A diagnosis of rheumatoid arthritis
• Current pregnancy
• International Headache Society criteria for other headache forms (such as tension or migraine)
• Cervical radiculopathy
• Treatment for headaches by a physical therapist, chiropractor, massage therapist, or osteopath in the past month
• Positive test for vertebral artery insufficiency or cranial-vertebral ligament instability

Sponsors & Collaborators

• Des Moines University: lead

Study Sites (1)

Des Moines University

Des Moines, Iowa, 50312, United States

Location

Biospecimen

Retention: NONE RETAINED

This study compares observation of neck range of motion measures during the flexion rotation test (combining neck flexion with neck rotation) in two groups of subjects, one group has headaches and one groups is a healthy, asymptomatic group.

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Shannon Petersen, PT, DScPT

  Des Moines University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor, Doctor of Physical Therapy Program

Study Record Dates

• First Submitted: February 20, 2014
• First Posted: February 25, 2014
• Study Start: February 1, 2009
• Primary Completion: January 1, 2011
• Study Completion: January 1, 2011
• Last Updated: February 25, 2014

Record last verified: 2014-02

Locations

US (1)