Ignite Creation Date:
2024-05-06 @ 3:41 PM
Last Modification Date:
2024-10-26 @ 1:54 PM
Study NCT ID:
NCT04722913
Status:
UNKNOWN
Last Update Posted:
2021-02-03
First Post:
2021-01-21
Brief Title:
Relation Between Cervicogenic Headache and Forward Head Posture
Sponsor:
Cairo University
Organization:
Cairo University
Study Overview
Official Title:
Cervicogenic Headache Among Subjects With Forward Head Posture a Correlational Cross-sectional Study
Status:
UNKNOWN
Status Verified Date:
2021-01
Last Known Status:
NOT_YET_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group
Detailed Description:
Headaches have been posed to be a common occurring complaint being as frequent as 66 in general population One the common types of headaches is Cervicogenic Headache which is considered as a secondary headache whereas the symptoms occur due to cervical spine and its bony components disc or soft tissue structures Cervicogenic headache is a syndrome described as pain felt on one side of the head relating same side neck shoulder and arm pain that is aggravated by neck movements or sustained head posture The prevalence of CGH has been reported 41 in general population 175 in patients and 414 in medical students
The most general cause of cervicogenic headache CGH is the alteration of structure in the neck due to bad posture
Proper posture is defined as a musculoskeletal balance which involves a minimal amount of stress and strain on the body Forward head posture FHP is one of the commonly recognized types of poor head postures in the sagittal planeFHP was defined as any alignment in which the external auditory meatus is positioned anterior to the plumbline through the shoulder joint
Sustaining the head in this forward posture for prolonged period of time has been associated with the development of other musculoskeletal disorders such as upper crossed syndrome which leads to reduction of lordosis in lower cervical and kyphosis of upper thoracic vertebra In the long run this may cause shortening of muscular fibers muscles involving the atlanto-occipital articulation overstretching of muscles around joint and leads to chronic neck pain There are many factors that could contribute to the development of forward head posture such as age gender frequency of physical activity occupation usage of computer and smartphones and others
It is noted that CGHs can often be related to forward neck and head posture which is accompanied by a high muscular tone of the supporting extensors to keep the head from gravity Such unstable state causes overstrain of the cervical muscles and induces headache and neck pain
FHP is a common postural defect among university students This high prevalence may be related to the prolonged computer use and faulty posture during lectures
Office workers of being sedentary for prolonged periods are liable to adopt forward head posture and thus generating neck strain sprain and pain Moreover forward head posture is commonly found in people spending long periods on computers mobile phones and game consoles
Cervical dysfunction from abnormal posture has been proposed to aggravate or cause CGH but there are conflicting reports as to whether there is an association between posture and CGH
Statement of the problem
There is lack of literature concerning the presence of cervicogenic headache among subjects with forward head posture
This study will answer the following question Does forward head Posture is associated with cervicogenic headache
Purpose of the study
This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group
Significance of the study
Ideal posture describes a state of maintaining balance in the body using minimal musculoskeletal activity without causing pain or discomfort The tendency to stay seated for long periods of time can cause changes in the alignment of the spine leading to improper posture such as a rounded shoulder or forward head posture FHP This change in posture can lead to a spatial change between the spine and the line of gravity causing an overload on muscles and connective tissues Neck pain or neck dysfunction is a musculoskeletal disorder caused by improper posture with physical impairment or functional limitation The FHP is known as an internal factor that causes dysfunction with shoulder and neck pain FHP results in a posture in which the extended head and upper cervical and the lower cervical vertebrae flex This increases the length of the external moment the arm by moving the gravitational center the head ahead of the load bearing axis The exposure to this constant load on the craniovertebral extension muscles and the noncontractile structures causes a change in the biomechanical movement and this increased stress can cause musculoskeletal damage or pain In addition FHP can also limit the functional movement in the head and neck area These limitations are caused by irregular rotation and gliding movement inside the articular capsule whilst moving the joint Moreover it was reported that extended periods of FHP can result in a decreased number of sarcomere as well as shortening of the muscle fibers which can affect muscular contraction As mentioned above there are frequent occurrences of functional movement limitations or non-specific pain in the head and neck region in patients with FHP Therefore many studies have described the aspects of FHP that lead to functional movement limitations and the pain in the head and neck area
It is known that the quality of life in people suffering from headache is worse than in healthy subjects in addition this high prevalence disorder has negative health consequences in terms of occupational economic and social factors
The proposed association between abnormal cervical posture and headache has been demonstrated in migraine and tension-type headaches but there are conflicting results in CGH Despite this lack of agreement clinicians routinely assess and treat altered posture for CGH therefore it is important to examine possible associations in order to guide treatment
Hypotheses
There will be no significant relationship between cervicogenic headache and forward head posture
The most general cause of cervicogenic headache CGH is the alteration of structure in the neck due to bad posture
Proper posture is defined as a musculoskeletal balance which involves a minimal amount of stress and strain on the body Forward head posture FHP is one of the commonly recognized types of poor head postures in the sagittal planeFHP was defined as any alignment in which the external auditory meatus is positioned anterior to the plumbline through the shoulder joint
Sustaining the head in this forward posture for prolonged period of time has been associated with the development of other musculoskeletal disorders such as upper crossed syndrome which leads to reduction of lordosis in lower cervical and kyphosis of upper thoracic vertebra In the long run this may cause shortening of muscular fibers muscles involving the atlanto-occipital articulation overstretching of muscles around joint and leads to chronic neck pain There are many factors that could contribute to the development of forward head posture such as age gender frequency of physical activity occupation usage of computer and smartphones and others
It is noted that CGHs can often be related to forward neck and head posture which is accompanied by a high muscular tone of the supporting extensors to keep the head from gravity Such unstable state causes overstrain of the cervical muscles and induces headache and neck pain
FHP is a common postural defect among university students This high prevalence may be related to the prolonged computer use and faulty posture during lectures
Office workers of being sedentary for prolonged periods are liable to adopt forward head posture and thus generating neck strain sprain and pain Moreover forward head posture is commonly found in people spending long periods on computers mobile phones and game consoles
Cervical dysfunction from abnormal posture has been proposed to aggravate or cause CGH but there are conflicting reports as to whether there is an association between posture and CGH
Statement of the problem
There is lack of literature concerning the presence of cervicogenic headache among subjects with forward head posture
This study will answer the following question Does forward head Posture is associated with cervicogenic headache
Purpose of the study
This study will be designed to determining whether there is a relationship between CGH and cervical posture which may potentially provide physical therapists with evidence supporting the assessment and treatment of abnormal posture in this patient group
Significance of the study
Ideal posture describes a state of maintaining balance in the body using minimal musculoskeletal activity without causing pain or discomfort The tendency to stay seated for long periods of time can cause changes in the alignment of the spine leading to improper posture such as a rounded shoulder or forward head posture FHP This change in posture can lead to a spatial change between the spine and the line of gravity causing an overload on muscles and connective tissues Neck pain or neck dysfunction is a musculoskeletal disorder caused by improper posture with physical impairment or functional limitation The FHP is known as an internal factor that causes dysfunction with shoulder and neck pain FHP results in a posture in which the extended head and upper cervical and the lower cervical vertebrae flex This increases the length of the external moment the arm by moving the gravitational center the head ahead of the load bearing axis The exposure to this constant load on the craniovertebral extension muscles and the noncontractile structures causes a change in the biomechanical movement and this increased stress can cause musculoskeletal damage or pain In addition FHP can also limit the functional movement in the head and neck area These limitations are caused by irregular rotation and gliding movement inside the articular capsule whilst moving the joint Moreover it was reported that extended periods of FHP can result in a decreased number of sarcomere as well as shortening of the muscle fibers which can affect muscular contraction As mentioned above there are frequent occurrences of functional movement limitations or non-specific pain in the head and neck region in patients with FHP Therefore many studies have described the aspects of FHP that lead to functional movement limitations and the pain in the head and neck area
It is known that the quality of life in people suffering from headache is worse than in healthy subjects in addition this high prevalence disorder has negative health consequences in terms of occupational economic and social factors
The proposed association between abnormal cervical posture and headache has been demonstrated in migraine and tension-type headaches but there are conflicting results in CGH Despite this lack of agreement clinicians routinely assess and treat altered posture for CGH therefore it is important to examine possible associations in order to guide treatment
Hypotheses
There will be no significant relationship between cervicogenic headache and forward head posture
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None