Cervicospinal Posture and Pain in Cervicogenic Headache

NCT04242290 | Completed

• 1 other identifier: 19-KAEK-064
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache (CEH) is a type of symptomatic headache that is characterized by chronic unilateral headache secondary to cervical spine dysfunction. Generally, it gets worse by neck movements, continuous placement of the head in an awkward position and exposure to external pressure on the upper cervical or occipital region. The pain was demonstrated to originate from lower cervical disc prolapse and spinal nerve roots in some studies, while it is suggested in some others to occur due to the upper cervical region as well. Although disturbed cervical alignment has been determined in tension headache and migraine, there are few studies with controversial results in the literature investigating the effects of the change in cervical lordosis on CEH. These contradictory results strongly influence the decision of whether exercise should be added to the treatment protocol in CEH and also the creation of an appropriate treatment program by the clinicians. In light of this background, the aim of this study was to compare the cervical radiographs of patients with CEH and patients with neck pain without a headache.

Conditions

Cervicogenic Headache; Neck Pain

Keywords

Cervicogenic headache; Disability; Pain

Outcome Measures

Primary Outcomes (1)

• General cervical lordosis

  General cervical lordosis is basically measured by the "Cobb" method. In the lateral graph, the angle between the two lines drawn perpendicular to the lines passing on the inferior end plate of the C2 and C7 vertebrae is considered as the "General cervical lordosis angle".

  3 months

Secondary Outcomes (1)

• Upper cervical lordosis

  3 months

Other Outcomes (2)

• Neck disability index

  3 months

• Visual analog scale

  3 months

Study Arms (2)

Cervicogenic headache

The group with cervicogenic headaches

Diagnostic Test: Lateral radiography

Neck pain

The group with isolated neck pain

Diagnostic Test: Lateral radiography

Interventions

Lateral radiography DIAGNOSTIC_TEST

The lordosis angles were measured on the lateral cervical graphs of all patients.

Cervicogenic headache; Neck pain

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: female
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

It was included 45 women with cervicogenic headaches with an age of 18-50 years and 45 women with only neck pain in the same ages who presented to the Neurosurgery outpatient clinic.

You may qualify if:

• For Cervicogenic headache group
• Unilateral headache, starting from the upper neck/occipital region and spreading to the oculofrontotemporal area on the symptomatic side
• Pain triggered by neck movements and/or continuous awkward positions
• Decreased joint range of motion in the cervical vertebra

You may not qualify if:

• For Cervicogenic headache group
• Previously diagnosed to have any other syndromes of headache (Migraine, Tension headache, etc.)
• Presence of bilateral headache; For the neck pain group,
• Presence of 2 or more neurological symptoms (decreased upper extremity muscle strength, decreased reflexes and hypoesthesia compatible with the dermatome regions)
• Suggesting nerve root compression (radiculopathy, plexopathy); for both groups,
• Presence of any signs suspicious of central nervous system involvement (hyperreflexia, nystagmus, decreased vision, etc)
• Reluctance to participate in the study.

Sponsors & Collaborators

• Hitit University: lead

Study Sites (1)

Hitit University Erol Olcok Training and Research Hospital

Çorum, 19000, Turkey (Türkiye)

Location

Related Publications (3)

• Dunning JR, Butts R, Mourad F, Young I, Fernandez-de-Las Penas C, Hagins M, Stanislawski T, Donley J, Buck D, Hooks TR, Cleland JA. Upper cervical and upper thoracic manipulation versus mobilization and exercise in patients with cervicogenic headache: a multi-center randomized clinical trial. BMC Musculoskelet Disord. 2016 Feb 6;17:64. doi: 10.1186/s12891-016-0912-3.

  PMID: 26852024 BACKGROUND

• Farmer PK, Snodgrass SJ, Buxton AJ, Rivett DA. An investigation of cervical spinal posture in cervicogenic headache. Phys Ther. 2015 Feb;95(2):212-22. doi: 10.2522/ptj.20140073. Epub 2014 Oct 9.

  PMID: 25301967 BACKGROUND

• Knackstedt H, Krakenes J, Bansevicius D, Russell MB. Magnetic resonance imaging of craniovertebral structures: clinical significance in cervicogenic headaches. J Headache Pain. 2012 Jan;13(1):39-44. doi: 10.1007/s10194-011-0387-4. Epub 2011 Sep 27.

  PMID: 21947945 RESULT

MeSH Terms

Conditions

Post-Traumatic Headache; Neck Pain; Pain

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

Study Officials

• Yeliz Bahar Ozdemir

  Hitit University Erol Olcok Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 6 Months
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Study Record Dates

• First Submitted: January 22, 2020
• First Posted: January 27, 2020
• Study Start: March 20, 2019
• Primary Completion: July 20, 2019
• Study Completion: September 20, 2019
• Last Updated: January 27, 2020

Record last verified: 2020-01

Locations

TU (1)