Associations Between Neck Muscle Fatigue, Joint Position Sense, and Headache in Cervicogenic Headache

NCT05972382 | Unknown

• 1 other identifier: CGH01
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This research study aims to better understand the relationships between neck muscle function, neck joint position sense, and headache pain and disability in people with chronic cervicogenic headache. Cervicogenic headache is headache originating from the neck area. Participants will fill out questionnaires about their headache pain and ability to do daily activities. They will also do tests to measure neck muscle fatigue and neck joint position sense. Researchers will analyze if those with more neck muscle fatigue and poorer joint position sense have worse headache pain and disability. The results may improve understanding of cervical spine factors related to cervicogenic headache. This could help guide more targeted treatment approaches.

Conditions

Cervicogenic Headache

Outcome Measures

Primary Outcomes (1)

• Headache Pain Intensity

  Average headache pain over the past week rated on a 0-10 Numerical Rating Scale (NRS). Participants asked to rate their average pain level over the past week on a 0 to 10 scale, where 0 is no pain and 10 is the worst possible pain.

  Baseline

Secondary Outcomes (3)

• Headache Disability

  Baseline

• Neck Flexor Fatigue

  baseline

• Cervical Joint Position Sense

  Baseline

Study Arms (1)

Cervicogenic Headache

Individuals with chronic cervicogenic headache (\>3 months duration)

Diagnostic Test: Quantitative Sensory and Neurophysiological Testing

Interventions

Quantitative Sensory and Neurophysiological Testing DIAGNOSTIC_TEST

Participants will undergo the following quantitative sensory and neurophysiological diagnostic tests: Surface electromyography (EMG) of the neck flexor muscles during the craniocervical flexion test to assess neck flexor muscle fatigue. EMG sensors will be placed over the sternocleidomastoid and longus colli muscles. Cervical joint position error testing to evaluate proprioceptive awareness and cervicocephalic kinesthetic sensibility. Participants will be seated upright and blindfolded.

Cervicogenic Headache

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Adults with chronic cervicogenic headache recruited from neurology clinics

You may qualify if:

• Ages 18-60 years
• Chronic CGH (\>3 months duration)
• Headache frequency ≥15 days/month

You may not qualify if:

• Cervical nerve root compression or other specific pathologies explaining headache
• History of cervical spine surgery
• Botulinum toxin injections in cervical musculature in past 6 months

Sponsors & Collaborators

• Ahram Canadian University: lead

Study Sites (1)

Outpatient clinic of faculty of physical therapy, Ahram Canadian University

Al Ḩayy Ath Thāmin, Giza Governorate, 3221405, Egypt

RECRUITING

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

• Amal Fawzy, Ph.d

  Faculty of Physical Therapy, Ahram Canadian University

  STUDY CHAIR

Central Study Contacts

Mohamed M ElMeligie, Ph.d

CONTACT

+201064442032; mohamed.elmeligie@acu.edu.eg

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer of Physical Therapy and Director of Electromyography Lab

Study Record Dates

• First Submitted: July 24, 2023
• First Posted: August 2, 2023
• Study Start: July 28, 2023
• Primary Completion: December 15, 2023
• Study Completion: January 15, 2024
• Last Updated: August 2, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)