Relation Between Cervicogenic Headache and Forward Head Posture

NCT04722913 | Recruiting

• 1 other identifier: CGH among subjects with FHP
• Study Type: observational
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group.

Conditions

Cervicogenic Headache

Outcome Measures

Primary Outcomes (1)

• comparing FRT and photogrammetry findings to CHISG criteria.

  Analysis of photogrammetry, interpreting the results of the flexion rotation test to diagnose the presence of forward head posture then identify if FHP is correlated with cervicogenic headeach which will be diagnosed by diagnostic criteria of the Cervicogenic Headache International Study Group (CHISG).

  baseline

Interventions

Photogrametry , flexion rotation (FRT) test, Diagnosis of CGH according diagnostic criteria of the Cervicogenic Headache International Study Group (CHISG) DIAGNOSTIC_TEST

Photogrammetry is the science and technology of obtaining reliable information about physical objects and the environment through the process of recording, measuring and interpreting photographic images and patterns of electromagnetic radiant imagery and other phenomena. Flexion rotation (FRT) test: FRT is a manual examination technique with high sensitivity and specificity. It is performed with the patient in supine by passively taking the cervical spine into full flexion. End-range cervical flexion imparts ligamentous tension that impedes movement at vertebral segments below C2.7 Maintaining the flexion position, the patient's head is then rotated to each side until the patient reports pain or the operator determines that end of motion has been achieved. It is then determined if a restriction in ROM is present.

Eligibility Criteria

• Age: 18 Years - 25 Years
• Sex: all
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

University students who were taking consecutive lectures for 3 hours. Subjects who worked forward for 3 hours or more on laptop. Subjects usually in awkward head position.

You may qualify if:

• Subjects with Craniovertebral angle (CVA) less than 50 degrees. (Gavin Morrison, 2018).
• University students who were taking consecutive lectures for 3 hours and who worked forward for 3 hours or more on laptop (Arfa Naz et al, 2018).

You may not qualify if:

• History of significant medical conditions that might be potential contraindications to physical examination of the cervical spine, including known cancer, osteoporosis, nerve root symptoms, inflammatory or infectious diseases affecting the neck instability of the cervical spine, or reported potential vertebrobasilar insufficiency symptoms (Peter K. Farmer et al, 2015).
• History of cervical spine injures (fracture, sprain, strain, whiplash), cervical spondylosis, obvious spinal deformities, neurological and neuromuscular disorders, TMJ dysfunction, cervicothoracic and lumbar kyphoscoliosis, rheumatic disease, torticollis, and balance disorders (B. Shaghayegh fard et al, 2015).

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Mirna Ebrahim Abdelmagid

Giza, 12511, Egypt

RECRUITING

Related Publications (1)

• Blumenfeld A, Siavoshi S. The Challenges of Cervicogenic Headache. Curr Pain Headache Rep. 2018 Jun 13;22(7):47. doi: 10.1007/s11916-018-0699-z.

  PMID: 29900508 BACKGROUND

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

• Yasser Ramzy, Professor

  Cairo University

  STUDY DIRECTOR

• Maher El-Kabalawy, Professor

  Cairo University

  STUDY CHAIR

Central Study Contacts

merna ibrahim, Bsc

CONTACT

01113983641; mernaibrahim00@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Researcher

Study Record Dates

• First Submitted: January 21, 2021
• First Posted: January 25, 2021
• Study Start: December 10, 2024
• Primary Completion: January 30, 2025
• Study Completion: February 15, 2025
• Last Updated: January 20, 2025

Record last verified: 2024-10

Locations

EG (1)