McKenzie Method of Mechanical Diagnosis and Therapy for Management of Cervicogenic Headache: A Prospective Case Series

NCT05212844 | Unknown

• 1 other identifier: 081468
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this study is to examine the effectiveness the Mechanical Diagnosis and Therapy (MDT) approach for the management patients with neck related headache that are referred to a hospital based out-patient physical therapy clinic. Background: Headache conditions are among the most common complaints causing people to seek medical care. An estimated 14 billion dollars are spent annually on treating headaches. Neck related headache is characterized by pain which comes from the cervical spine (neck) and could be referred to the head and/or face. CGH is frequently managed clinically utilizing an MDT approach however to date there is limited research available examining the effectiveness of this intervention type in a population with CGH.

Conditions

Cervicogenic Headache

Keywords

Cervicogenic Headache; McKenzie; Neck Pain

Outcome Measures

Primary Outcomes (3)

• Change from Baseline in Neck Disability Index (NDI) Scores to Discharge

  The NDI measures the patient perceived level of function related to neck pain. The NDI is a 10 item questionnaire scored from 0-50 with higher scores indicating greater levels of disability.

  Baseline and 6 weeks

• Change from Baseline in Numeric Pain Rating Scale (NPRS) Scores to discharge

  The NPRS is an 11 item numeric scale that provides a patient rating of neck pain and headache symptoms. The scales corelates with a score of 0 indicating "no pain" and 10 indicating the "worst pain imaginable".

  Baseline and 6 weeks

• Change from Baseline in Headache Disability Index (HDI) Scores to Discharge

  The HDI measures the patient perceived level of pain and disability related to headache symptoms. The HDI is a 25 item questionnaire scored from 0-100 with a higher score indicating a greater level of disability related to the patient headache symptoms.

  Baseline and 6 weeks

Interventions

Musculoskeletal Physical Therapy PROCEDURE

Therapeutic exercise and manual physical therapy based on the individual response to end range repeated movements.

Also known as: Mechanical Diagnosis and Treatment

Eligibility Criteria

• Age: 19 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A sample of 15-20 subjects is expected. Subjects referred to physical therapy by their physician and meeting the inclusion criteria will be recruited for participation.

You may qualify if:

• Age 19-70
• During the physical therapy examination, it is found that movements, static positions, or postures affect the patient headache symptoms.
• Pain presents as unilateral or bilateral head/neck pain and/or stiffness
• Headache frequency at least 1x/week
• Headache symptoms are present for at least 3 months
• Dizziness and/or tinnitus affected by neck movements or positions
• Patient has been previously screened for their headache symptoms by their MD

You may not qualify if:

• Headache is determined to be of non-cervical origin including migraine, cluster headache, tension-type headache
• Malignancy/infection
• Cranial or cervical vascular disorder
• Substance use or withdrawal
• Acute Post cervical surgery
• Psychosis/psychiatric disorder/post-traumatic stress disorder
• Received nerve block or Botox injections during therapy
• Vertigo with nystagmus is present
• Involved in litigation related to headache complaints

Sponsors & Collaborators

• Faith Regional Health Services: lead
• Tufts University: collaborator
• D'Youville College: collaborator

Study Sites (1)

Faith Regional Rehabilitation Therapies

Norfolk, Nebraska, 68701, United States

RECRUITING

Related Publications (6)

• Hu XH, Markson LE, Lipton RB, Stewart WF, Berger ML. Burden of migraine in the United States: disability and economic costs. Arch Intern Med. 1999 Apr 26;159(8):813-8. doi: 10.1001/archinte.159.8.813.

  PMID: 10219926 BACKGROUND

• Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9-160. doi: 10.1111/j.1468-2982.2003.00824.x. No abstract available.

  PMID: 14979299 BACKGROUND

• Jull G, Barrett C, Magee R, Ho P. Further clinical clarification of the muscle dysfunction in cervical headache. Cephalalgia. 1999 Apr;19(3):179-85. doi: 10.1046/j.1468-2982.1999.1903179.x.

  PMID: 10234466 BACKGROUND

• Jull G, Kristjansson E, Dall'Alba P. Impairment in the cervical flexors: a comparison of whiplash and insidious onset neck pain patients. Man Ther. 2004 May;9(2):89-94. doi: 10.1016/S1356-689X(03)00086-9.

  PMID: 15040968 BACKGROUND

• Nilsson N. A randomized controlled trial of the effect of spinal manipulation in the treatment of cervicogenic headache. J Manipulative Physiol Ther. 1995 Sep;18(7):435-40.

  PMID: 8568424 BACKGROUND

• Page P. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther. 2011 Sep;6(3):254-66.

  PMID: 22034615 BACKGROUND

MeSH Terms

Conditions

Post-Traumatic Headache; Neck Pain

Interventions

Therapeutics

Condition Hierarchy (Ancestors)

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

Study Officials

• Ronal Schenk, PhD

  Tufts University

  STUDY DIRECTOR

Central Study Contacts

Ronald Schenk, PhD

CONTACT

716-566-8756; ronald.schenk@tufts.edu

Eric Miller, DSc

CONTACT

716-912-9046; millere@dyc.edu

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 17, 2021
• First Posted: January 28, 2022
• Study Start: December 17, 2021
• Primary Completion: July 31, 2022
• Study Completion: July 31, 2022
• Last Updated: January 28, 2022

Record last verified: 2022-01

Locations

US (1)