NCT05754931

Brief Summary

Aim of this study is to compare the effects of deep neck flexors stretching versus muscles energy technique on pain, cervical range of motion, sleep disturbance and cervical spine posture in patients with Cervicogenic headache and interpret which technique is better among both.A randomized control trial that will include total 28 participants.The first group will receive deep neck flexors stretching along with conventional therapy and 2nd group will receive muscles energy technique along with conventional therapy.Data collected will be analyzed through SPSS 25.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
28

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Mar 2023

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 23, 2023

Completed
11 days until next milestone

First Posted

Study publicly available on registry

March 6, 2023

Completed
9 days until next milestone

Study Start

First participant enrolled

March 15, 2023

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 15, 2023

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

September 15, 2023

Completed
Last Updated

March 13, 2024

Status Verified

March 1, 2024

Enrollment Period

5 months

First QC Date

February 23, 2023

Last Update Submit

March 12, 2024

Conditions

Cervicogenic Headache

Keywords

Cervicogenic HeadacheNeck Musclesexercise muscle stretchpostures

Outcome Measures

Primary Outcomes (1)

  • Numeric Pain rating scale

    The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain.

    4 weeks

Secondary Outcomes (3)

  • Inclinometer

    4 weeks

  • Cervical posture

    4 weeks

  • Insomnia Severity Index (ISI)

    4 weeks

Study Arms (2)

deep neck flexor group

EXPERIMENTAL

Deep neck flexors stretch Conventional Therapy: Moist heat therapy for 10 minutes, TENS 10 min, cervical active ROMS, Non-thrust mobilizations

Other: Deep neck flexors training + Conventional therapy

muscle energy technique

ACTIVE COMPARATOR

Post isometric stretch on trapezious and suboccipital muscles Conventional Therapy: Moist heat therapy for 10 minutes, TENS 10 min, cervical active ROMS, Non-thrust mobilizations

Other: Muscles energy techniques + conventional therapy

Interventions

Deep neck flexors training + Conventional therapyOTHER

Hold for 10 sec and repeated 10 times.Patients will be treated 3 times a week for 4 consecutive weeks

deep neck flexor group
Muscles energy techniques + conventional therapyOTHER

position of patient is in maximal comfort and lengthening After engaging the barrier use of an isometric contraction Feel the release and lengthen the muscle repeated for 4 time per session Patients will be treated 3 times a week for 4 consecutive weeks

muscle energy technique

Eligibility Criteria

Age18 Years - 55 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Subjects aged 18 - 55 years.
  • Both male and female subjects will be recruited in the study.
  • Unilateral headache (without side shift) related by pain, movement and sustaining
  • position of neck started from the occiput spread to the tempro-frontal region for more than 3 months
  • \>20 degree movement restriction in cervical ROM, especially in the upper cervical rotation.
  • Positive flexion rotation test to confirm Cervicogenic headache.
  • Subjects with rounded shoulders having distance between on the table and the acromion\>2.5 cm

You may not qualify if:

  • Fracture or previous surgery on vertebral column
  • History of spinal stenosis or disc prolapse
  • dysfunction or headache with autonomic involvement
  • Other types of headache including migraine, tension type etc.
  • laxity of alar ligaments
  • vertebra basilar artery insufficiency
  • Patients with a history of physiotherapy at least 3 months prior to the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Railway General Hospital

Rawalpindi, Punjab Province, 44000, Pakistan

Location

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, SecondaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Madiha Ali, MSOPMT

    Riphah International University

    PRINCIPAL INVESTIGATOR

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
SPONSOR

Study Record Dates

First Submitted

February 23, 2023

First Posted

March 6, 2023

Study Start

March 15, 2023

Primary Completion

August 15, 2023

Study Completion

September 15, 2023

Last Updated

March 13, 2024

Record last verified: 2024-03

Data Sharing

IPD Sharing
Will not share

Locations

PA(1)