Hamstring Active Release Technique in Cervicogenic Headache

NCT05658627 | Unknown

• 1 other identifier: P.T.REC/012/003916
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

It has been suggested that the suboccipital muscles are a causative factor in both cervicogenic neck pain and headache. Hamstrings and sub-occipital muscles are connected by a neural system and sub-occipital muscles pass through the dura Mater. Increased tension and shortening of the hamstring's muscles can cause neck and shoulder pain. In addition, when the muscles around the neck are tensed, the muscles in the limbs are also tensed, so that if the tone of the hamstring muscles is decreased, SLR test score increased, and the tone of the sub-occipital muscles is reduced. Active release technique is found to have an effect on hamstring flexibility.

Conditions

Cervicogenic Headache

Keywords

active release technique and cervicogenic headache

Outcome Measures

Primary Outcomes (3)

• Assess the change in pain intensity level

  The visual analogue scale (VAS) is a widely utilized pain intensity level assessment instrument in rehabilitation.VAS is typically composed of a 100 mm horizontal line attached with two opposed labels, the left end marked "no pain" and the right end "severe intolerable pain".Patients will mark a score on the scale by a vertical line.

  Before treatment and after 4 weeks treatment

• Assess the change in headache severity

  The headache impact test (HIT-6) : is a tool that subjectively evaluates the frequency of a patient's headache. The lowest score is 36, and the highest score is 78 for six items.Usually, if the score is over 59, it means the patient's daily life is severely affected by the headache.

  Before treatment and after 4 weeks treatment

• Assess the change in pressure pain threshold

  Pressure algometry will be used to evaluate the (PPT) for suboccipital and hamstring muscles.In the prone position, the physician will apply 1 kg/s of pressure directly to suboccipital and hamstring muscles, the participant will speak up at the point where the pressure evoke a painful sensation, and the instantaneous value will be recorded as the PPT.

  Before treatment and after 4 weeks treatment

Secondary Outcomes (2)

• Assess the change in Cervical flexion rotation test

  Before treatment and after 4 weeks treatment

• Assess the change in Hamstrings flexibility

  Before treatment and after 4 weeks treatment

Study Arms (2)

1- control group

ACTIVE COMPARATOR

conventional physical therapy (ultrasound therapy- stretching exercise- strengthening exercise)

Other: conventional therapy

2- Experimental group

EXPERIMENTAL

Active release technique for hamstring+ conventional physical therapy(ultrasound therapy- stretching exercise- strengthening exercise)

Other: active release technique; Other: conventional therapy

Interventions

active release technique OTHER

Hamstring active release technique-

2- Experimental group

conventional therapy OTHER

ultrasound therapy - stretching Exercise - Strengthening Exercise -

1- control group; 2- Experimental group

Eligibility Criteria

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

You may qualify if:

• Unilateral headache (in the same side) related by pain, movement and sustaining position of neck started from the occiput spread to the tempro-frontal region for more than 3 months.
• Pain and tenderness at the upper cervical segment's palpation.
• Movement restriction in cervical region, especially in the upper cervical rotation.
• Positive SLR test for hamstring muscle less than 80◦.

You may not qualify if:

• Malignancy.
• Other types of headaches, including migraine, tension type, other serious headaches.
• History of head and neck trauma or surgery.
• Pregnancy.
• Physiotherapy for headache in the last 3 months.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (1)

• Cho SH, Kim SH, Park DJ. The comparison of the immediate effects of application of the suboccipital muscle inhibition and self-myofascial release techniques in the suboccipital region on short hamstring. J Phys Ther Sci. 2015 Jan;27(1):195-7. doi: 10.1589/jpts.27.195. Epub 2015 Jan 9.

  PMID: 25642072 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

• Wadida H Elsayed, Professor

  Cairo University

  STUDY CHAIR

• Ghada A Mousa, Ass.prof

  Cairo University

  STUDY DIRECTOR

• Hanaa K Atta, Lecturer

  Cairo University

  STUDY DIRECTOR

• Nabil H El Agooz, Professor

  Al-Azhar University

  STUDY DIRECTOR

Central Study Contacts

Samar A Mohammed, Msc

CONTACT

01275298428; t_nona45@yahoo.com

Wadida H Elsayed, Professor

CONTACT

01001097571; dr.wadida.hassan@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 12, 2022
• First Posted: December 21, 2022
• Study Start: April 1, 2023
• Primary Completion: June 1, 2023
• Study Completion: July 1, 2023
• Last Updated: April 10, 2023

Record last verified: 2023-04

Data Sharing

• IPD Sharing: Will not share