Effects of Jones Technique and Cross Friction Massage on Cervicogenic Headache.

NCT06452641 | Not Yet Recruiting

• 1 other identifier: REC/ RCR & AHS/23/01108
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Cervicogenic headache is a very incessant issue that is often faced by the general population. Cervicogenic headache is a significant issue in patients with upper cervical dysfunction. However, its physical therapy management is a subject of debate. As the Comparative effects of Jones technique and cross-friction massage have never been investigated in patients with cervicogenic headache and neck pain, this study aims to investigate the effects of these treatments on two study groups (Group A\&B) respectively.

Conditions

Cervicogenic Headache

Keywords

Strain counter strain,; Cervicogenic Headache; neck pain; cross friction massage,

Outcome Measures

Primary Outcomes (4)

• Pain: Visual Analogue Scale(VAS)

  A Visual Analogue Scale (VAS) is one of the pain rating scales used for the first time in 1921 by Hayes and Patterson. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. From the patient's perspective, this spectrum appears continuous; their pain does not take discrete jumps, as a categorization of none, mild, moderate and severe would suggest. It was to capture this idea of an underlying continuum that the VAS was devised.

  4th week

• Function: Headache Impact Test - HIT-6

  The HIT-6 consists of six items: pain, social functioning, role functioning, vitality, cognitive functioning, and psychological distress. The patient answers each of the six related questions using one of the following five responses: "never", "rarely", "sometimes", "very often", or "always".

  4th week

• Active cervical range of motion

  To measure the cervical range of motion, the universal goniometer will use

  4th week

• Disability: Neck Disability Index NDI

  The Neck Disability Index (NDI) is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher NDI score means the greater a patient's perceived disability due to neck pain. The minimally clinically important change by patients has been found to be 5 or 10%.

  4th week

Study Arms (2)

Jones technique

EXPERIMENTAL

Strain counter strain (Jones technique) will be applied to this group

Other: Jones technique

Cross-friction massage

ACTIVE COMPARATOR

Cross-friction massage will be applied to this group.

Other: Cross-friction massage

Interventions

Jones technique OTHER

Strain counter strain technique also known as Jones technique will be performed with the patient lay supine on the treatment table, taking them to a position-of-comfort by extending, side-bending, and rotating the head away (ESARA) from the TP until the TP pain has reduced. Continues to monitor, maintaining the patient's position for 90 seconds. After 90 seconds has elapsed, the patient's head should be slowly and passively returned to a neutral position with 3 sessions/week for 6 weeks. In essence, the TP should be relieved by placing the patient in a position of comfort, holding this position for 90 seconds, and slowly returning the patient to a neutral position.

Jones technique

Cross-friction massage OTHER

Group B will get cross friction massage for 15-20 mins. Participants will be treated 3 times per week for 6 weeks. Pre and Post-treatment readings will be taken in 1st session and 6th week respectively.

Cross-friction massage

Eligibility Criteria

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

You may qualify if:

• Headache with neck stiffness and/or pain.
• Headache for the past 3 months at least once per week
• Aged 20-40 years
• Chronic neck pain for more than 3 months
• Baseline NDI score of at least 20% (10 points).
• Forward head posture

You may not qualify if:

• Headache with neck stiffness and/or pain.
• Headache for the past 3 months at least once per week
• Aged 20-40 years
• Chronic neck pain for more than 3 months
• Baseline NDI score of at least 20% (10 points).
• Forward head posture

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Al-Khidmat foundation Sahiwal.

Sahiwal, Punjab Province, 57000, Pakistan

Location

Related Publications (8)

• Ylinen J, Nikander R, Nykanen M, Kautiainen H, Hakkinen A. Effect of neck exercises on cervicogenic headache: a randomized controlled trial. J Rehabil Med. 2010 Apr;42(4):344-9. doi: 10.2340/16501977-0527.

  PMID: 20461336 BACKGROUND

• Mohamed AA, Shendy WS, Semary M, Mourad HS, Battecha KH, Soliman ES, Sayed SHE, Mohamed GI. Combined use of cervical headache snag and cervical snag half rotation techniques in the treatment of cervicogenic headache. J Phys Ther Sci. 2019 Apr;31(4):376-381. doi: 10.1589/jpts.31.376. Epub 2019 Apr 1.

  PMID: 31037013 BACKGROUND

• Yang DJ, Kang DH. Comparison of muscular fatigue and tone of neck according to craniocervical flexion exercise and suboccipital relaxation in cervicogenic headache patients. J Phys Ther Sci. 2017 May;29(5):869-873. doi: 10.1589/jpts.29.869. Epub 2017 May 16.

  PMID: 28603362 BACKGROUND

• Watson DH, Trott PH. Cervical headache: an investigation of natural head posture and upper cervical flexor muscle performance. Cephalalgia. 1993 Aug;13(4):272-84; discussion 232. doi: 10.1046/j.1468-2982.1993.1304272.x.

  PMID: 8374943 BACKGROUND

• Putra IPM, Nugraha MHS, Tianing NWJPTJoI. Combined Deep Transverse Friction and Muscle Energy Technique on Mechanical Neck Pain: Article Review. 2020;1(1):17-22.

  BACKGROUND

• Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022 Jun 13;23(1):567. doi: 10.1186/s12891-022-05516-1.

  PMID: 35698187 BACKGROUND

• Yasin M, Gondal MJI, Qamar MM, Basharat A, Rasul A, Ahmed WJMJoDDPU. Effects of deep friction massage and static stretching in non-specific neck pain. 2019;12(4):331-4.

  BACKGROUND

• Kong YS, Kim YM, Shim JM. The effect of modified cervical exercise on smartphone users with forward head posture. J Phys Ther Sci. 2017 Feb;29(2):328-331. doi: 10.1589/jpts.29.328. Epub 2017 Feb 24.

  PMID: 28265167 BACKGROUND

MeSH Terms

Conditions

Post-Traumatic Headache; Neck Pain

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Dr Hajra

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Imran Amjad, PhD

CONTACT

051-5481826; imran.amjad@riphah.edu.pk

Study Design

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

Study Record Dates

• First Submitted: June 6, 2024
• First Posted: June 11, 2024
• Study Start: June 1, 2024
• Primary Completion: August 1, 2024
• Study Completion: September 1, 2024
• Last Updated: June 11, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)