Manual Therapy and Exercise in Patients With Cervicogenic Headache

Completed · Not applicable

Conditions studied: Cervicogenic Headache

In brief

Hypothesis: The group of cervicogenic headache patients receiving upper cervical and upper thoracic thrust manipulation will demonstrate significant and clinically important changes in outcomes when compared to the mobilization and exercise group.

Key facts

Study ID

NCT01580280

Run by

Alabama Physical Therapy & Acupuncture

People needed

112

Starts

2012-04-01

Expected to finish

2014-08-01

Last updated by the study team

2014-11-14

Who can join

Age: 18 and older, up to 65. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria
• Headache frequency of at least one per week for a minimum of 3 months
• Minimum pain score (NPRS) of 2/10 and minimum disability score (NDI) of 10/50

You may not qualify if…

• Bilateral headaches
• Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia or hyperlipidemia
• Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e. tumor, fracture, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
• History of whiplash injury within the last 6 weeks
• Diagnosis of cervical spinal stenosis
• Bilateral upper extremity symptoms
• Evidence of central nervous system involvement, to include hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, the presence of pathological reflexes (i.e. positive Hoffman's and/or Babinski reflexes)
• Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
• Muscle weakness involving a major muscle group of the upper extremity.
• Diminished upper extremity deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors
• Diminished or absent sensation to pinprick in any upper extremity dermatome
• Prior surgery to the neck or thoracic spine.
• Involvement in litigation or worker's compensation regarding their neck pain and/or headaches.
• Physical therapy or chiropractic treatment for neck pain or headache in the 3 months before baseline examination.
• Any condition that might contraindicate spinal manipulative therapy

Where it is running

• Alabama Physical Therapy & Acupuncture — Montgomery, Alabama, United States

Full record on ClinicalTrials.gov

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