The Effect of Myofascial Release in Patients With Cervicogenic Headache

NCT03113357 | Completed DMC

• 1 other identifier: 931672006
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache (CeH) is a secondary and often unilateral that is known by referring pain from soft or hard cervical structures to occipital, temporal, frontal and sometimes pre-orbital regions. There is higher prevalence of cervical muscle tightness, assessed clinically in CeH patients and anatomically there are some fascial connections between sub-occipital muscles with vertebra of C2 and Dura-mater.Therefore fascial restriction in this region can limit the normal movement of muscles between fascial plates in different directions in sub-occipital region. The purpose of current study was to compare the effect of MFR Technique in the upper cervical region with common (Exs) on pain intensity, frequency, duration and Pressure Pain Threshold (PPT) of upper cervical joints in subjects with CeH.

Conditions

Cervicogenic Headache

Keywords

myofascial release; cervicogenic headache; pain intensity; exercise therapy; pressure pain threshold

Outcome Measures

Primary Outcomes (1)

• headache severity

  Pain intensity using Visual Analogue Scale (VAS) were collected at base line and at the end of treatmen

  one year

Secondary Outcomes (3)

• headache frequency

  one year

• headache duration

  one year

• pressure pain threshold

  one year

Study Arms (2)

Myofascial release technique

EXPERIMENTAL

Subjects lied down in supine with knee flexion. Therapist seated on a stool at the head of the table. Elbows and supinated forearms on the table. Asked the client to lift their head off the table. Position the tips of the first three fingers into the soft tissue immediately inferior to the arc of atlas. The fingers are stabilized in a flexed position - around 45° at the MP and PIP joints. The subject is asked to rest their head back down so the fingertips are in the sub-occipital soft tissues and the finger pads rest firmly against the inferior aspect of the atlas. Once the position is perceived to be comfortable, a series of soft tissue responses will occur, characterized by local softening sensations followed by an increase in the weight of the head.

Other: Myofascial release technique

conventional exercise therapy

EXPERIMENTAL

Craniocervical flexion exercises, performed in supine lying, aimed to target the deep neck flexor muscles. Then they trained to be able to hold progressively increasing ranges of craniocervical flexion using feedback from an airfilled pressure sensor placed behind the neck. The muscles of the scapula, particularly the serratus anterior and lower trapezius, were trained using inner range holding exercises of scapular adduction and retraction, practiced initially in the prone lying position. The subjects were trained to sit with a natural lumbar lordosis while gently adducting and retracting their scapulas and gently flexed their cranio-cervical spine to facilitate the deep neck flexors.

Other: conventional exercise therapy

Interventions

Myofascial release technique OTHER

myofascial release technique take along about 3 minutes. This phase repeated 3 times in each session. At the end, for more release, sub-occipital traction will commence. The subject lies supine with head supported and therapist places the three middle fingers just caudal to the nuchal line, lifts the finger tips upward resting the hands on the treatment table, and then applies a gentle cranial pull, causing a long axis extension. The procedure is performed for 2 to 3 minutes. Subjects in each group received ten physical therapy treatment sessions. Treatment frequency was six times per week for MFR group and every day for exercise group which three times per week have been come to clinical center for checking of exercise by physiotherapist

Also known as: soft tissue release

Myofascial release technique

conventional exercise therapy OTHER

All exercises were performed to a count of 7 seconds and subjects were instructed to perform all exercises daily, 15 repetitions each (twice a day). Treatment frequency was every day for exercise group which three times per week have been come to "clinical center" for checking of exercise by physiotherapist. They also could be taught active muscle stretching exercises to address any muscle tightness assessed to be present.

conventional exercise therapy

Eligibility Criteria

• Age: 15 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Neck pain with referring unilateral pain to sub-occipital region.
• The pain and limitation of C1-C2 rotation with craniocervical FRT.
• Intensifying of Headache by manual pressure to upper cervical muscles and joints.
• Headache frequency of at least one per week a period of previous 6 months

You may not qualify if:

• Bilateral headaches (typifying tension headache).
• Intolerance to craniocervical FRT.
• Presence of autonomic system symptoms like vertigo, dizziness and visual impairment.
• Severe specific neck pain as disk herniation, canal stenosis and cervical spondylosis.
• Any condition that might contraindicate myofascial release technique in upper cervical region.
• Physiotherapy for headache in the previous 6 months.

Sponsors & Collaborators

• University of Social Welfare and Rehabilitation Science: lead

Study Sites (1)

University of Social Welfare and Rehabilitation Sciences

Tehran, Islamic Republic of, 1985713831, Iran

Location

MeSH Terms

Conditions

Post-Traumatic Headache; Pain

Interventions

Myofascial Release Therapy

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Amir M Arab, professor

  University of Social Welfare and Rehabilitation Science

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Amir Massoud Arab, University of Social Welfare and Rehabilitation Science

Study Record Dates

• First Submitted: April 10, 2017
• First Posted: April 13, 2017
• Study Start: January 1, 2015
• Primary Completion: September 1, 2016
• Study Completion: November 1, 2016
• Last Updated: April 13, 2017

Record last verified: 2017-04

Locations

IR (1)