Instrument Based Fascial Abrasion Versus Myofascial Release Technique in Cervicogenic Headache Patients

NCT05249647 | Completed

• 1 other identifier: REC/RCR&AH/21/0128/Warda Zafar
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Study will be randomized clinical trial. Data will be collected from non probability consecutive sampling technique. Total 44 participants from Rafiqa Hospital and District Headquarter (DHQ) Sargodha will be selected and randomly allocated to two different groups i.e Group A and Group B. Group A will be treated with Instrument assisted Fascial Abrasion and Conventional Therapy for 5 minutes, 6 sessions (3 sessions per week) (12) while Group B will be treated with Myofascial Release Technique and Conventional Therapy for 2 to 3 minutes, 5-7 repetitions and 3 sessions per week on alternate days were given for 6 weeks. NPRS, MOS-36, NDI will be used as outcome measuring tool before and after treatment. Data will be analyzed by using Statistical package for social sciences 25.

Conditions

Cervicogenic Headache

Keywords

Neck and head pain

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale for pain

  Scale consists of 4 questions regarding actual pain level, zero indicates no pain and 10 indicates worst pain imaginable

  6 weeks

• Neck disability index to measure functional status of neck

  Scale consists of 10 sections,each section contains questions regarding head/ neck pain and some questions regarding the daily activities that we perform.

  6 weeks

• Medical outcome study( MOS-36) to measure functions of daily living

  Questionnaire consists of 11 questions regarding functions of daily living

  6 weeks

Secondary Outcomes (1)

• Measuring tape for measuring ranges at cervical region

  6 weeks

Study Arms (2)

Instrument based fascial abrasion technique

EXPERIMENTAL

IASTM using tools over Myofascial trigger points of the length of targeted muscles (SCM, descending fiber of trapezius, suboccipitalis muscles) in a multidirectional stroking fashion applied to the skin at 30°- 60° for 5 minutes. Participants were in a comfortable position during treatment. Emollient (anti-allergic) was applied to prevent skin irritation prior to Fascial Abrasion application. Each session included 1 minute of sweeping (longitudinal strokes performed parallel to the muscle fibers similar to compression with oscillations) directly over the Myofascial trigger points, 2 minutes of fanning (one end of the instrument was held in place \& the other end moved through a semicircular pattern similar to petrissage) and concluded with 1 min of sweeping.

Other: Instrument based Fascial abrasion technique

Myofascial release technique

ACTIVE COMPARATOR

All participants will get Conventional therapy i.e heating pad for 10 minutes. For the application of technique, the patient position will be supine lying with head fully supported on therapist hands and therapist places 3 middle fingers just inferior to the nucle line, lifts the finger tips towards the ceiling while resting the head on the table and then therapist applied a gentle upward pull. This procedure done for 2-3 minutes, 5-7 repetitions, 3 sessions per week on alternate days given for 6 weeks.

Other: Myofascial release technique

Interventions

Instrument based Fascial abrasion technique OTHER

Participants were in a comfortable position during treatment. Emollient (anti-allergic) was applied to prevent skin irritation prior to Fascial Abrasion application. Each session included 1 minute of sweeping (longitudinal strokes performed parallel to the muscle fibers similar to compression with oscillations) directly over the Myofascial trigger points, 2 minutes of fanning (one end of the instrument was held in place \& the other end moved through a semicircular pattern similar to petrissage) and concluded with 1 min of sweeping. Fascial Abrasion tool was washed in alcohol-based sanitizer before and after every treatment session and all norms of COVID-19 precautions were maintained. Myofascial trigger points were marked with a 1×1 cm piece of tape/under wrap to confirm consistency of subsequent treatments.

Also known as: Instrument based soft tissue release technique

Instrument based fascial abrasion technique

Myofascial release technique OTHER

All participants will get Conventional therapy i.e heating pad for 10 minutes. For the application of technique, the patient position will be supine lying with head fully supported on therapist hands and therapist places 3 middle fingers just inferior to the nucle line, lifts the finger tips towards the ceiling while resting the head on the table and then therapist applied a gentle upward pull. This procedure done for 2-3 minutes, 5-7 repetitions, 3 sessions per week on alternate days given for 6 weeks.

Also known as: Soft tissue release technique

Myofascial release technique

Eligibility Criteria

• Age: 18 Years - 66 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients having headaches with neck stiffness and pain.
• Headache for the past 3 months at least once per week.
• Positive flexion rotation test and restriction greater than 10°
• Patient aged 18-66 years old.

You may not qualify if:

• Headache not of cervical origin.
• Physiotherapy or chiropractic treatment in the past 3 months.
• Headache with autonomic involvement, dizziness and visual disturbance.
• Congenital conditions of Cervical spine

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Warda Zafar

Sargodha, Sargodha,Punjab,Pakistan, 40100, Pakistan

Location

MeSH Terms

Conditions

Post-Traumatic Headache; Headache

Interventions

Myofascial Release Therapy

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Muhammad Sanaullah, MS

  Study Principal Investigator

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 1, 2022
• First Posted: February 22, 2022
• Study Start: January 25, 2022
• Primary Completion: July 13, 2022
• Study Completion: July 13, 2022
• Last Updated: December 12, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)