SCM Muscle Released in Patients with Cervicogenic Headache

NCT06733896 | Completed

• 1 other identifier: Cervicogenic Headache
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

Sternocleidomastoid syndrome is often characterized by referred pain in other areas. Like all muscles, the SCM can develop tight, and non-contracting bands called trigger points that can refer pain elsewhere. For the SCM, the trigger point referral areas are the eye and forehead, the back of the head (occiput), front of the neck, cheek, and side of the head. Trigger points can be treated by direct manual massage, dry needling, or platelet-poor plasma injection.

Conditions

Cervicogenic Headache

Keywords

trigger points; sternocleidomastoid; headaches

Outcome Measures

Primary Outcomes (1)

• cervical neck pain

  visual analogue scale: This pain scale is most commonly used. A person rates their pain on a scale of 0 to 10 or 0 to 5. Zero means "no pain," and 5 or 10 means "the worst possible pain." These pain intensity levels may be assessed upon initial treatment, or periodically after treatment.

  4 weeks

Secondary Outcomes (2)

• biodex balance system

  4 weeks

• neck stability index

  4 weeks

Study Arms (2)

study group

EXPERIMENTAL

Other: trigger point pressure

control group

ACTIVE COMPARATOR

Other: neck exercises

Interventions

trigger point pressure OTHER

The midpoint of the sternocleidomastoid muscle with abundant nerve distribution and the onset and endpoint of the sternocleidomastoid muscle were used as acupoints, which can relieve localised muscle spasms and promote nerve nutrition.

study group

neck exercises OTHER

Manual Cervical Traction Technique and others

control group

Eligibility Criteria

• Age: 25 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• History of CGH ≥ 3 months at Baseline 1, ≥5 days of CGH per month
• CGH intensity ≥3 (0-10 scale)
• Cervical spine dysfunction (cervical joint tenderness and/or restricted segmental motion)
• Clear temporal sequence linking the source of CGH to the neck: headache preceded by neck pain, stiffness, movement and/or awkward postures

You may not qualify if:

• Other headaches within one year of enrollment (e.g. migraine occurring on \>1 day per month in the last year, medication overuse, daily, cluster, temporomandibular joint dysfunction related headaches, sinus, posttraumatic, tumor and glaucoma related, occipital neuralgia, metabolic/toxic/substance abuse related).
• Spinal manipulative therapy, massage or exercise therapy for neck pain or headaches in the previous 3 months. Any other types of care by a licensed provider in the previous month for headaches or neck pain
• Contraindications to study treatments (e.g., inflammatory arthropathies, cervical instability, severe osteoporosis, vertigo, dizziness)
• Daily prescription or nonprescription pain medication; corticosteroid use in previous month
• Cancer in the past five years
• ear problem

Sponsors & Collaborators

• Al-Zaytoonah University of Jordan: lead

Study Sites (1)

Umm Al Qura University

Mecca, Saudi Arabia

Location

Related Links

• Related Info

MeSH Terms

Conditions

Post-Traumatic Headache; Headache

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 Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: associate professor hanan hosny M Battesha

Study Record Dates

• First Submitted: December 5, 2024
• First Posted: December 13, 2024
• Study Start: January 1, 2025
• Primary Completion: February 10, 2025
• Study Completion: February 10, 2025
• Last Updated: February 11, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will not share

Locations

SA (1)