Efficacy of Lumbar Motor Control Training in Treatment Of Patients With Cervicogenic Headache

NCT05952115 | Unknown

• 1 other identifier: P.T.REC/012/003835
• Study Type: interventional
• Target: 52
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of lumbar motor control training exercise on headache frequency, duration, intensity and neck functional disability in cervicogenic headache patients

Conditions

Cervicogenic Headache

Keywords

lumbar motor control; cervicogenic hedache; cervical stabilization exercises

Outcome Measures

Primary Outcomes (3)

• Headache frequency:

  Headache frequency will measure as the number of days with headache in the last week, ranging from 0 to 7 days

  up to four weeks

• Headache duration

  Headache duration will measure in total hours and average number of hours headaches lasted in the past week

  up to four weeks

• Headache intensity

  The Visual Analog Scale will use to quantify the patient's pain level or intensity. these scale consists of line, usually 10 cm long, ranging from no pain at one end and worst pain at the other end

  up to four weeks

Secondary Outcomes (1)

• neck disability

  up to four weeks

Study Arms (2)

lumbar motor control exercises

EXPERIMENTAL

patients will receive lumbar motor control and cervical stabilization exercises three times a week for four weeks

Other: lumbar motor control exercises; Other: Cervical stabilization exercises

cervical stabilization exercises

ACTIVE COMPARATOR

the patients will receive cervical stabilization exercises three times a week for four weeks

Other: Cervical stabilization exercises

Interventions

lumbar motor control exercises OTHER

the patients will receive lumbar motor control exercises in the form of three exercises (Abdominal draw in maneuver, side-bridge, and quadruped) and the level of difficulty increased each week. For all exercises, the number of repetitions stayed the same, but the difficulty increased each week, and we progressed to the advanced level of each of the three exercises. This training achieves co-contraction of the local/deep stabilizing muscles (Transversus abdominis and multifidus) and strengthening the global/large spinal stabilizers (erector spinae and obliques).

lumbar motor control exercises

Cervical stabilization exercises OTHER

The exercise program consisted of an axial elongation exercise, cranio-cervical flexion exercise, cervical extension exercise, and cervical-scapulothoracic strengthening exercise. The exercise program progressed based on the exercise tolerance of the patients by increasing the repetition of the exercise (10 reps to 15 reps to 20 reps). And for the resistive exercise, the participants change to an elastic band with greater resistance (progress to the next color resistance band). Exercises were performed for 20 min/session, and an exercise log recording the date and repetition of the exercises was maintained by the therapist for each participant.

cervical stabilization exercises; lumbar motor control exercises

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The age of the subjects ranged from 20-40 years old, both genders.
• Patients with chronic mechanical neck pain with frequent cervicogenic headaches persisting for more than 3 months.
• Positive flexion rotation test.
• Unilateral head pain without side shift or bilateral head pain with dominant side headache associated with neck pain and aggravated by neck movement and/or sustained awkward head positioning
• Joint tenderness in at least one of the upper three cervical joints or the occipital region as detected by manual palpation.
• Intensity of headache is moderate to severe.
• Abnormal performance in CCFT \< = 26 mmHg
• Body mass index range from 18 to 25 km/m2

You may not qualify if:

• Fracture or previous surgery on the vertebral column.
• Spinal stenosis.
• Disc prolapsed.
• TMJ dysfunction.
• Headache with autonomic involvement, dizziness, or visual disturbance.
• Congenital condition of the cervical spine.
• Neck pain of less than three months

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 hagar Abd El basset Ismail Marzouk

Model Details: lumbar motor control and cervical stabilization exercises

Study Record Dates

• First Submitted: July 11, 2023
• First Posted: July 19, 2023
• Study Start: July 16, 2023
• Primary Completion: October 16, 2023
• Study Completion: October 16, 2023
• Last Updated: July 19, 2023

Record last verified: 2023-07