The Effect Of Cervical Mobilization And Clinical Pilates in Cervicogenic Headache

NCT05883319 | Completed

• 1 other identifier: SankoMU
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache (CH) arises from cervical region problems. Various physiotherapy methods such as manual therapy approaches and exercise training are used in the treatment of CH. The aim of our study is to investigate cervical mobilization and clinical Pilates exercises on pain, muscle stiffness, head and neck blood flow in CH. Including individuals diagnosed with CH in the study. Those to be included in the study will be divided into 3 groups by a simple method. Demographic information of the individuals, age, height, weight, Body Mass Index (BMI), gender, educational status, occupation, marital status, smoking, alcohol use will be recorded. In evaluations about pain before treatment; pain intensity, pain frequency, duration and characteristics will be evaluated with Visual Analog Scale (VAS). In addition, analgesic use (frequency, amount) in headache situations will be recorded. Migraine Disability Assessment Scale (MIDAS) will be used to determine the effect of headache on quality of life. Disability Index will be used in the assessment of functional desire, and Postur Screen mobile application will be used in the assessment of posture. Range of motion(ROM) of all neck joint movements will be evaluated by CROM goniometer, deep neck flexor muscle strength by Pressure Biofeedback Unit (PBU), sternocleidomastoid(SKM), suboccipital and upper trapezius muscle stiffness myotonometer, and head-neck artery flow volume will be evaluated by Doppler ultrasound. Cervical mobilization methods will be applied to the 1st group, clinical pilates applications to the 2nd group, clinical pilates with cervical mobilization will be applied to the 3rd group for 3 days / week for 6 weeks. All evaluations were completed again after the 3rd week and after the treatment. After the obtained results are obtained, the literature will be discussed.

Conditions

Headache, Cervicogenic; Exercise; Therapeutics

Keywords

Cervicogenic Headache,; Pilates based exercises; Cervical mobilization; Blood flow; posture; muscle stifness

Outcome Measures

Primary Outcomes (4)

• Change of headache

  headache intensity by Visual Analogue Scale , headache frequency and analgesic intake

  6 week

• Change of muscle stiffness degree

  SKM,suboccipital and upper trapezoidal muscle stiffness with Myoton Pro

  6 week

• Change of blood flow degree

  head-neck artery flow Doppler Ultrasound (US)

  6 week

• change of posture

  The PostureScreen Mobile® application

  6 week

Secondary Outcomes (4)

• neck range of motion

  6 week

• deep neck flexor muscle endurance

  6 week

• headache life quality

  6 week

• neck functional status

  6 week

Study Arms (3)

cervical mobilization

ACTIVE COMPARATOR

Cervical mobilization methods will be applied to 1st group for 3 days / week for 6 weeks.

Other: manuel therapy

clinical pilates exercises

ACTIVE COMPARATOR

clinical pilates exercises will be applied to 2nd group,for 3 days / week for 6 weeks.

Other: exercises

cervical mobilization and clinical pilates exercises

ACTIVE COMPARATOR

cervical mobilization and clinical pilates exercises will be applied to 3rd group,for 3 days / week for 6 weeks.

Other: manuel therapy; Other: exercises

Interventions

manuel therapy OTHER

approaches will be applied for 3 days / week for 6 weeks.

Also known as: cervical mobilization

cervical mobilization; cervical mobilization and clinical pilates exercises

exercises OTHER

approaches will be applied for 3 days / week for 6 weeks.

Also known as: clinical pilates exercises

cervical mobilization and clinical pilates exercises; clinical pilates exercises

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosed with Cervicogenic Headache
• aged 18-65
• did not receive medical (except analgesic) treatment or physiotherapy for bit Cervicogenic Headache in the previous few months

You may not qualify if:

• Individuals who have undergone Cervicogenic Headache surgery
• have had a serious cardiac history or surgery
• a history of ongoing or previous malignancy
• a diagnosis of epilepsy.

Sponsors & Collaborators

• Meltem Uzun: lead

Study Sites (1)

SANKO University

Gaziantep, Please Select, 27060, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Post-Traumatic Headache; Motor Activity

Interventions

Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Meltem Uzun, PhD(c)

  Sanko University

  STUDY DIRECTOR

Study Design

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

Study Record Dates

• First Submitted: March 22, 2022
• First Posted: May 31, 2023
• Study Start: April 1, 2022
• Primary Completion: April 15, 2023
• Study Completion: January 3, 2024
• Last Updated: March 27, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)