Mobilization Versus Manipulation for the Treatment of Cervicogenic Headaches

Completed · Not applicable

Conditions studied: Cervicogenic Headache

In brief

There is currently a gap within the literature as to the effects of a thrust versus non-thrust mobilizations techniques specifically to the upper cervical spine C0-C3 along with home exercise program to help reduce frequency and intensity of cervicogenic headaches. Therefore, the purpose of this study is to examine the effectiveness of in treating headaches using non-thrust or thrust mobilizations in addition to postural corrective exercises on patient outcomes measures.

Key facts

Study ID

NCT03919630

Run by

Franklin Pierce University

People needed

48

Starts

2019-05-01

Expected to finish

2020-04-14

Last updated by the study team

2020-04-28

Who can join

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

You may qualify if…

• Patient must be English-speaking and have appropriate medical literacy to participate in the study
• The physical examination must yield a reproducible familiar/concordant neck, head, jaw symptom or dysfunction
• Pain reports of at least 2/10 for a headache or neck pain intensity
• Neck Disability reports of at least a 20% or greater impact
• Patients that report having at least two headaches within one month

You may not qualify if…

• The presence of any know red flags (i.e., tumor, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.)
• Patients who exhibit any red flag symptoms: positive upper or lower motor neuron testing. Signs or symptoms consistent cervical myelopathy or radiculopathy with nerve root compression (muscle weakness involving a major muscle group of the upper extremity, diminished upper extremity muscle stretch reflex, or diminished or absent sensation to pinprick in any upper extremity dermatome
• Patients who exhibit any red flag symptoms of cervical instability tests, or have a positive VBI or CAD testing, showing signs of the 5 D's (dizziness, drop attacks, dysarthria, dysphagia, diplopia) or patient who have signs of 3 N's (Nystagmus, nausea, other neurological symptoms).
• Prior surgery to the cervical spine or head (including cerebral shunts)
• Women who are pregnant in their third trimester

Where it is running

• Pain Relief and Physical Therapy — Havertown, Pennsylvania, United States

Full record on ClinicalTrials.gov

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