Effect of Instrument-Assisted Soft Tissue Mobilization on Proprioception and Disability in Patients With Cervicogenic Headache

NCT05545423 | Unknown

• 1 other identifier: P.T.REC/012/002832
• Study Type: interventional
• Target: 80
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will be conducted to investigate the effect of instrument assisted soft tissue mobilization technique In pain intensity, frequency of headache, medication Uptake, Suboccipital movement in flexion and extension, rounded shoulder, forward head posture and proprioception of cervical spine in cases of cervicogenic headache related to trigger points and myofascial restrictions when combined with conventional physical therapy modalities.

Conditions

Cervicogenic Headache

Keywords

instrumented assisted soft tissue mobilization; cervicogenic headache; proprioception

Outcome Measures

Primary Outcomes (1)

• joint position error

  The Cervical Joint Position Error (JPE) Test is a measurement tool used to clinically assess an individual's cervicocephalic proprioception ability. Cervicocephalic proprioception describes one's sense of position of their head and neck in space. The Cervical JPE Test measures the ability of a blindfolded patient to accurately relocate their head position back to a predetermined neutral point after cervical joint movement. The test is most commonly performed with head movement in the transverse and sagittal planes by cervical range of motion device (CROM).

  up to eight weeks

Secondary Outcomes (9)

• disability

  up to eight weeks

• headache frequency

  up to eight weeks

• headache duration

  up to eight weeks

• medication intake

  up to eight weeks

• pain intensity

  up to eight weeks

Study Arms (2)

instrumented assisted soft tissue mobilization

EXPERIMENTAL

patients will receive IASTM three times a week for eight weeks

Other: instrumented assisted soft tissue mobilization; Other: traditional therapy

traditional therapy

ACTIVE COMPARATOR

patients will receive traditional therapy three times a week for eight weeks

Other: traditional therapy

Interventions

instrumented assisted soft tissue mobilization OTHER

the appropriate Graston technique instrument will be selected to scan, and then treat the affected area for 30 to 60 seconds per treated area. The procedure will be applied to the superficial cervical fascia and invested the layers of deep cervical fascia that surround all the structures in the neck. Strokes will be applied on the sternocleidomastoids and upper fibers of trapezius muscles. The IASTM technique was applied at a 45° angle in a direction parallel to the treated muscle fibers for 20 seconds, following immediately by an additional 20-seconds application at a 45° angle in a perpendicular direction to the muscle fibers, resulting in a total treatment time of approximately 40 seconds.

instrumented assisted soft tissue mobilization

traditional therapy OTHER

The exercise program will be in the form of stretching exercises for the sternocleidomastoids (SCM), the scalenes, and upper fibers of trapezius; strengthening isometric exercises for the neck flexors, extensors, lateral flexors, and neck rotators; and postural correction and scapular stabilization exercises

instrumented assisted soft tissue mobilization; traditional therapy

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• to 50 years old
• unilaterality of the head pain
• pain triggered by external pressure over the upper cervical joints (C1-C3)
• pain elicited by the neck movements, and/or sustained awkward positions, reduced neck ROM
• headache intensity pain score of at least 20mm on the Visual Analogue Scale,
• headache frequency of at least once a week for at least 3 months
• minimum neck disability index score of 10 points or greater.

You may not qualify if:

• migraine
• tension-type headache
• tumor
• osteoporosis
• fracture
• rheumatoid arthritis and metabolic diseases
• prolonged history of steroid use
• resting blood pressure greater than 140/90 mmHg
• cervical spinal stenosis
• diminished sensation
• central nervous system involvement
• previous head or neck surgery
• whiplash injury history within the last 6 weeks
• head or neck pain treatment within the last month from any practitioner and PT approach for head or neck pain within the last 3 months
• open wounds and psychiatric/cognitive disorders

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelop
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Model Details: instrument-assisted soft tissue mobilization and traditional therapy

Study Record Dates

• First Submitted: September 14, 2022
• First Posted: September 19, 2022
• Study Start: September 30, 2022
• Primary Completion: March 30, 2023
• Study Completion: March 30, 2023
• Last Updated: September 19, 2022

Record last verified: 2022-09