Sustained Neutral Apophyseal Glides Half Rotation Technique and Gong's Mobilizations in Cervicogenic Headache

NCT05434468 | Completed

• 1 other identifier: REC/RCR&AHS/21/0133
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache is a very incessant issue that is often faced by general population.Cervicogenic headache is a significant issue in patients with upper cervical dysfunction. However, its physical therapy management is a subject of debate.As the Comparative effects of SNAGs half rotation technique and Gong's mobilizations has never been investigated in patients with cervicogenic headache and neck pain , the aim of this study is to investigate the effects of these treatments on two study groups(Group A\&B) respectively. This study will be a randomized clinical trial and will be conducted in D.H.Q Sahiwal . The study will be completed within the time duration of six months .Non- probability convenience sampling technique will be used to collect the data. The sample size of 30 patients will be taken in this study , aged 25-45 years, will allocate to two groups, Group A (Sustained neutral apophyseal glide half rotation technique) Group B (Gong's mobilization).cervical Sustained neutral apophyseal glide half rotation technique (SNAG) half rotation technique will be performed with the patient sitting on a chair in the erect posture. The thumb placement of therapist will be over the transverse process of C1. Then, glide will be applied 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 6 weeks.Group B will be treated three times in a week for 4 weeks.Group B will get Gong's mobilization for 15-20 mins.Participants will be treated 3 times per week for 6 weeks. Pre and Post treatment readings will be taken in 1st session and 6th week respectively. Assessment will done via flexion rotation test (FRT),6-item Headache Impact scale and neck disability index. Neck Disability Index will use to examine neck pain intensity and cervicogenic headache symptoms.

Conditions

Cervicogenic Headache

Keywords

cervicogenic headache ,Gong's mobilization ,

Outcome Measures

Primary Outcomes (4)

• neck disablity index

  The Neck Disability Index (NDI) is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. ... A higher NDI score means the greater a patient's perceived disability due to neck pain. The minimally clinically important change by patients has been found to be 5 or 10%.

  6 months

• flexion rotation test

  The passive flexion-rotation test (FRT-P) is performed with the patient supine. An examiner passively positions the patient's neck into full flexion to pre-tension the structures of the middle and lower cervical spine, then the patient's head is passively rotated each direction while the flexed position is maintained.

  6 months

• HIT questionnaire

  The HIT-6 consists of six items: pain, social functioning, role functioning, vitality, cognitive functioning, and psychological distress. The patient answers each of the six related questions using one of the

  6 months

• goniometer

  for measuring range of motion

  6 months

Study Arms (2)

Sustained neutral apophyseal glides group

EXPERIMENTAL

Sustained neutral apophyseal glides will apply on this group.

Other: Sustained neutral apophyseal glides

Gong mobilization

EXPERIMENTAL

mobilization technique

Other: Sustained neutral apophyseal glides

Interventions

Sustained neutral apophyseal glides OTHER

gong mobilization

Also known as: gong mobilization

Gong mobilization; Sustained neutral apophyseal glides group

Eligibility Criteria

• Age: 25 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Headache with neck stiffness and pain.
• Headache for the past 3 months at least once per week
• Aged 25-45 years
• Chronic neck pain for more than 3 months
• baseline NDI score of atleast

You may not qualify if:

• Physiotherapy or chiropractic treatment in the past 3 months
• Headache with autonomic involvement, dizziness, or visual disturbance
• Congenital conditions of the cervical spine
• Contraindication to manipulative therapy
• Involvement in litigation or compensation
• Inability to tolerate the flexion-rotation test

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Railway Hospital

Islamabad, Punjab Province, 54000, Pakistan

Location

Related Publications (2)

• Ylinen J, Nikander R, Nykanen M, Kautiainen H, Hakkinen A. Effect of neck exercises on cervicogenic headache: a randomized controlled trial. J Rehabil Med. 2010 Apr;42(4):344-9. doi: 10.2340/16501977-0527.

  PMID: 20461336 BACKGROUND

• Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, Sayed SHE, Mohamed GI. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. J Phys Ther Sci. 2019 Apr;31(4):376-381. doi: 10.1589/jpts.31.376. Epub 2019 Apr 1.

  PMID: 31037013 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

• Dr. Rabiya Noor, PhD

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 15, 2022
• First Posted: June 28, 2022
• Study Start: April 15, 2022
• Primary Completion: August 15, 2022
• Study Completion: September 5, 2022
• Last Updated: December 8, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)