Cervical SNAG Half Rotation Technique in Cervicogenic Headache Patients.

NCT04788160 | Completed DMC

• 1 other identifier: REC/00765 Yusra javed
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to find out the effect of cervical sustained natural apophyseal glide half rotation technique in patients with cervicogenic headache. Not many researches have focused specifically on the cervical sustained natural apophyseal glide half rotation technique and this study intends to see its effect in the cervicogenic headache patients.

Conditions

Cervicogenic Headache

Keywords

SNAGs; cervicogenic headache; FRT; NDI; NPRS

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale (NPRS)

  This scale will be used for assessing low back pain before and after treatment.0 no pain 1-4 mild pain 5-7 moderate and 8-10 sever pain. Baseline,6th day and 12th day

  12th day

• Flexion rotation test (FRT)

  The cervical flexion-rotation test (FRT) is used to assist in the diagnosis of CGH and, in particular, C1-C2 segmental dysfunction.Normal range of movement is 44° to each side. The reliability of the test is ICC= 0.7 to 0.75 along with 95% confidence interval

  12th day

• Neck disability index (NDI)

  gives information about how much neck pain affects the ability to manage everyday life. The reliability of this test in Urdu version is ICC= 0.50 to 0.98

  12th day

Study Arms (2)

Cervical SNAGs along with conventional therapy

EXPERIMENTAL

patient will receive Cervical SNAGs along with conventional therapy (Group A)

Other: Cervical SNAGs along with conventional therapy

Conventional Therapy

OTHER

patient will receive only conventional therapy (Group B)

Other: Conventional Therapy

Interventions

Cervical SNAGs along with conventional therapy OTHER

cervical SNAG half rotation technique will be performed with the patient sitting on a chair in the erect posture. The therapist placed his thumb over thumb over the transverse process of C1. Then, he glided ventrally with active rotation of the restricted site 10 times holding for 10 seconds with overpressure at end of the rotation with 30 second rest in between each repetition and 3 session/week for 4 weeks. * Conventional therapy will include: * Hot pack over the cervical region for 10 minutes. * TENS for 10 minutes. * Furthermore, general stretching the upper cervical muscles will be done with 5 repetitions with 3 sessions/week for 4 weeks. * Isometric cervical extensor exercise with 10 seconds hold for 10 times will be done. * Cervical flexor strengthening will be done 10 times in sitting position.

Cervical SNAGs along with conventional therapy

Conventional Therapy OTHER

* Patients in this group will undergo only conventional therapy which will include: * Hot pack for 15 minutes. * TENS for 10 minutes. * Furthermore, general stretching the upper cervical muscles will be done with 5 repetitions each 3 sessions/week for 4 weeks. * Isometric cervical extensor exercise with 10 seconds hold for 10 times will be done. * Cervical flexor strengthening will be given to the patient by the therapist, 10 times in sitting position.

Conventional Therapy

Eligibility Criteria

• Age: 25 Years - 35 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients having experienced headache in the last three months and those with unilateral neck pain.
• Patients experiencing stiffness are also included along with those exhibiting limited range of motion of neck \>10 degree which will be confirmed positive through FRT (flexion-rotation test).

You may not qualify if:

• Congenital conditions of the cervical spine
• Disc herniation patients or fractures in the cervical spine.
• VBI and associated dizziness
• Vestibular dysfunctions.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Islamabad, Fedral,Pakistan, 440000, Pakistan

Location

Related Publications (12)

• Umar M, Naeem A, Badshah M, Zaidi S. A randomized control trial to review the effectiveness of cervical mobilization combined with stretching exercises in cervicogenic headache. J Public Health Biolo Sci. 2012;1(1):09-13.

  BACKGROUND

• Hall T, Briffa K, Hopper D. Clinical evaluation of cervicogenic headache: a clinical perspective. J Man Manip Ther. 2008;16(2):73-80. doi: 10.1179/106698108790818422.

  PMID: 19119390 BACKGROUND

• Petersen SM. Articular and muscular impairments in cervicogenic headache: a case report. J Orthop Sports Phys Ther. 2003 Jan;33(1):21-30; discussion 30-2. doi: 10.2519/jospt.2003.33.1.21.

  PMID: 12570283 BACKGROUND

• Islam R, Quddus N, Miraj M, Anwer S. Efficacy of deep cervical flexor strength training versus conventional treatment in cervicogenic headache. Int J Cur Res Rev. 2013;5(08):84-90.

  BACKGROUND

• Fernandez-de-Las-Penas C, Courtney CA. Clinical reasoning for manual therapy management of tension type and cervicogenic headache. J Man Manip Ther. 2014 Feb;22(1):44-50. doi: 10.1179/2042618613Y.0000000050.

  PMID: 24976747 BACKGROUND

• Garcia JD, Arnold S, Tetley K, Voight K, Frank RA. Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence? Front Neurol. 2016 Mar 21;7:40. doi: 10.3389/fneur.2016.00040. eCollection 2016.

  PMID: 27047446 BACKGROUND

• Teys P, Bisset L, Vicenzino B. The initial effects of a Mulligan's mobilization with movement technique on range of movement and pressure pain threshold in pain-limited shoulders. Man Ther. 2008 Feb;13(1):37-42. doi: 10.1016/j.math.2006.07.011. Epub 2006 Oct 27.

  PMID: 17070090 BACKGROUND

• Gross A, Kay TM, Paquin JP, Blanchette S, Lalonde P, Christie T, Dupont G, Graham N, Burnie SJ, Gelley G, Goldsmith CH, Forget M, Hoving JL, Bronfort G, Santaguida PL; Cervical Overview Group. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015 Jan 28;1(1):CD004250. doi: 10.1002/14651858.CD004250.pub5.

  PMID: 25629215 BACKGROUND

• Slaven EJ, Goode AP, Coronado RA, Poole C, Hegedus EJ. The relative effectiveness of segment specific level and non-specific level spinal joint mobilization on pain and range of motion: results of a systematic review and meta-analysis. J Man Manip Ther. 2013 Feb;21(1):7-17. doi: 10.1179/2042618612Y.0000000016.

  PMID: 24421608 BACKGROUND

• Blanpied PR, Gross AR, Elliott JM, Devaney LL, Clewley D, Walton DM, Sparks C, Robertson EK. Neck Pain: Revision 2017. J Orthop Sports Phys Ther. 2017 Jul;47(7):A1-A83. doi: 10.2519/jospt.2017.0302.

  PMID: 28666405 BACKGROUND

• Wilson E. The Mulligan concept: NAGS, SNAGS and mobilizations with movement. Journal of Bodywork and Movement Therapies. 2001;5(2):81-9.

  BACKGROUND

• Exelby L. The Mulligan concept: its application in the management of spinal conditions. Man Ther. 2002 May;7(2):64-70. doi: 10.1054/math.2001.0435.

  PMID: 12374089 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

• Shafaq Shahid, MSPT(OMPT)

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 16, 2021
• First Posted: March 9, 2021
• Study Start: August 13, 2020
• Primary Completion: March 20, 2021
• Study Completion: March 20, 2021
• Last Updated: September 20, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)