Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients

NCT05777395 | Unknown

• 1 other identifier: FUI/CTR/2023/1
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.

Conditions

Cervicogenic Headache

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Pain will be measured on the basis of Numeric Pain Rating Scale score.

  2 weeks

• Cervical range of motion

  Cervical rotation will be measured through CROM device

  2 weeks

Study Arms (2)

Maitland + Conventional PT Group

EXPERIMENTAL

Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Maitland oscillatory mobilizations. 3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given in 2 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. * Techniques used are postero-anterior unilateral vertebral pressure and Maitland rotation.

Procedure: Maitland Oscillatory Mobilization; Procedure: Conventional therapy

Kaltenborn + Conventional PT Group

EXPERIMENTAL

Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 and then progressed to 2 and 3. * Kaltenborn technique used will be atlas-axis rotation.

Procedure: Kaltenborn Sustained Stretch Mobilization; Procedure: Conventional therapy

Interventions

Maitland Oscillatory Mobilization PROCEDURE

Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.

Maitland + Conventional PT Group

Kaltenborn Sustained Stretch Mobilization PROCEDURE

Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 and then progressed to 2 and 3. * Kaltenborn technique used will be atlas-axis rotation

Kaltenborn + Conventional PT Group

Conventional therapy PROCEDURE

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Kaltenborn + Conventional PT Group; Maitland + Conventional PT Group

Eligibility Criteria

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

You may qualify if:

• Age 18-45 years
• Both males and females
• Unilateral headache with no shift of side
• C1-C2 dysfunction
• Headache with neck stiffness
• Headache at least once a month in the last 3 months
• Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
• Headache with a score of at least 4 in the Numeric pain rating scale

You may not qualify if:

• Cervical spondylosis
• Headache of non-cervical origin
• Dizziness or visual disturbance
• Cervical radiculopathy/ nerve root involvement/ disc herniation
• Cervical instability/ fracture
• Vertebrobasilar insufficiency
• Thoracic outlet syndrome
• Cervical spine surgery
• Cervical spondylolisthesis
• Spinal infection or tumors
• Osteoporosis
• History of trauma
• Metabolic disorders
• Rheumatoid Arthritis
• Inflammatory Arthritis

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Fauji Foundation Hospital

Rawalpindi, Punjab Province, 4600, Pakistan

Location

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: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The outcome assessor will not be aware of which group the participant belongs to.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Maitland oscillatory mobilizations and the second will receive Kaltenborn sustained stretch mobilizations with conventional physical therapy. Both groups will be recruited concurrently.

Study Record Dates

• First Submitted: March 9, 2023
• First Posted: March 21, 2023
• Study Start: January 1, 2023
• Primary Completion: June 15, 2023
• Study Completion: July 1, 2023
• Last Updated: March 21, 2023

Record last verified: 2023-03

Locations

PA (1)