Ignite Creation Date:
2024-05-06 @ 7:47 PM
Last Modification Date:
2024-10-26 @ 3:13 PM
Study NCT ID:
NCT06134791
Status:
RECRUITING
Last Update Posted:
2023-11-18
First Post:
2023-07-06
Brief Title:
Differences in Characteristics of Headache Patients With a Positive or Negative FRT a Cross-sectional Comparison
Sponsor:
University Ghent
Organization:
University Ghent
Study Overview
Official Title:
Differences in Headache Characteristics of a Subgroup of Cervicogenic Headache Patients With a Positive or Negative FRT a Cross-sectional Comparison
Status:
RECRUITING
Status Verified Date:
2023-11
Last Known Status:
None
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:
An observational study will be conducted to evaluate the differences in headache characteristics between a subgroup of cervicogenic headache patients with a positive and negative flexion-rotation test at the C1-C2 level Differences may guide future treatment allocation and the use of more individualized treatment options
Detailed Description:
Headache is a common and disabling condition Several primary and secondary headache forms have been described such as migraine tension-type headache and cervicogenic headache CH In patients with CH we can see a referred pain pattern to the head possibly originating from a source in the uppercervical spine It has been described that nociceptive input originating from the C1-C3 nervous system may be responsible for pain referral to head and neck regions Recently the flexion-rotation test FRT has been described as one of the most useful clinical tests in the clinical testing and research of CH Other literature showed that the rotational movement during the FRT was diminished in patients with CH and these results were correlated to headache intensity
To treat this disabling condition manual therapy is already known to be an effective treatment strategy However the additional value of dry needling is still to be discussed Since the M Obliquus capitis inferior M OCI finds its origin on the apex of the spinous processus of C2 and inserts on transverse processus of the atlas C1 this muscle might be anatomically very relevant to influence rotational mobility in the upper cervical spine Additionally this muscle is responsible for proprioception and accurate positioning of the head and neck due to the presence of a large amount of Golgi bodies and muscle spindles in the muscle Considering the myofascial pain referral pattern of the M OCI a referred pain pattern to the temporal region may be present when active triggerpoints are present
Previous research already showed some preliminary evidence for positive treatment effects by dry needling of the M OCI in patients with cervicogenic dizziness and headache
The goal of this study is to evaluate the differences in headache characteristics between a subgroup of cervicogenic headache patients with a positive and negative flexion-rotation test at the C1C2 level Differences may guide future treatment allocation and the use of more individualized treatment options
In this observational study 100 patients with cervicogenic headache will be recruited Participants are required to have complaints for at least 3 months Participants are included based on online questionnaires and a clinical examination of the neck and shoulder region All participants will receive information and have to sign an informed consent form
Participants will be subjected to a single assessment which involves questionnaires and measurements of the cervical spine
To treat this disabling condition manual therapy is already known to be an effective treatment strategy However the additional value of dry needling is still to be discussed Since the M Obliquus capitis inferior M OCI finds its origin on the apex of the spinous processus of C2 and inserts on transverse processus of the atlas C1 this muscle might be anatomically very relevant to influence rotational mobility in the upper cervical spine Additionally this muscle is responsible for proprioception and accurate positioning of the head and neck due to the presence of a large amount of Golgi bodies and muscle spindles in the muscle Considering the myofascial pain referral pattern of the M OCI a referred pain pattern to the temporal region may be present when active triggerpoints are present
Previous research already showed some preliminary evidence for positive treatment effects by dry needling of the M OCI in patients with cervicogenic dizziness and headache
The goal of this study is to evaluate the differences in headache characteristics between a subgroup of cervicogenic headache patients with a positive and negative flexion-rotation test at the C1C2 level Differences may guide future treatment allocation and the use of more individualized treatment options
In this observational study 100 patients with cervicogenic headache will be recruited Participants are required to have complaints for at least 3 months Participants are included based on online questionnaires and a clinical examination of the neck and shoulder region All participants will receive information and have to sign an informed consent form
Participants will be subjected to a single assessment which involves questionnaires and measurements of the cervical spine
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None