An interventional study of manuel therapy and exercises in Headache, Cervicogenic, Exercise and Therapeutics, sponsored by Meltem Uzun. Completed at 1 site in Turkey. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2024-03-27.
Sponsored by Meltem Uzun · Not applicable, Interventional, and Treatment
Cervicogenic headache (CH) arises from cervical region problems. Various physiotherapy methods such as manual therapy approaches and exercise training are used in the treatment of CH. The aim of our study is to investigate cervical mobilization and clinical Pilates exercises on pain, muscle stiffness, head and neck blood flow in CH. Including individuals diagnosed with CH in the study. Those to be included in the study will be divided into 3 groups by a simple method. Demographic information of the individuals, age, height, weight, Body Mass Index (BMI), gender, educational status, occupation, marital status, smoking, alcohol use will be recorded. In evaluations about pain before treatment; pain intensity, pain frequency, duration and characteristics will be evaluated with Visual Analog Scale (VAS). In addition, analgesic use (frequency, amount) in headache situations will be recorded. Migraine Disability Assessment Scale (MIDAS) will be used to determine the effect of headache on quality of life. Disability Index will be used in the assessment of functional desire, and Postur Screen mobile application will be used in the assessment of posture. Range of motion(ROM) of all neck joint movements will be evaluated by CROM goniometer, deep neck flexor muscle strength by Pressure Biofeedback Unit (PBU), sternocleidomastoid(SKM), suboccipital and upper trapezius muscle stiffness myotonometer, and head-neck artery flow volume will be evaluated by Doppler ultrasound. Cervical mobilization methods will be applied to the 1st group, clinical pilates applications to the 2nd group, clinical pilates with cervical mobilization will be applied to the 3rd group for 3 days / week for 6 weeks. All evaluations were completed again after the 3rd week and after the treatment. After the obtained results are obtained, the literature will be discussed.
The scope of the study, including patients over 18 years of age who applied to the Neurology outpatient clinic of Sani Konukoğlu Application and Research Hospital and presented with cervicogenic headache by a specialist. The sometimes headache frequency variable in the reference result was 5% Power analysis calculated 9 patients per group. It was decided to recruit 15 patients for the group. Inclusion criteria: CH was diagnosed, aged 18-65, had not received medical (except analgesic) treatment or physiotherapy for CH in the previous few months. Exclusion criteria: Individuals who have undergone CH surgery, history of serious heart or surgery, history of ongoing malignancy, diagnosed with epilepsy. Individuals for whom the Voluntary Consent form will be obtained will be randomly divided into groups using the minimalization method given age, gender and duration of illness.Patients will be asked not to use analgesics as much as possible during the treatment period. In the case of analgesic use, the amount and frequency will be recorded. The change in the frequency of analgesic use will also be used to evaluate the effectiveness of the applications.
188 studies on the registry are indexed under Post-Traumatic Headache; 50 are open to participants now.
This study's enrollment of 45 is close to the median of 44 across 166 interventional studies indexed under Post-Traumatic Headache.
Browse Post-Traumatic Headache studies →Meltem Uzun is the lead sponsor of 2 studies on the registry; none are open to participants now.
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Exclusion Criteria:
Cervical mobilization methods will be applied to 1st group for 3 days / week for 6 weeks.
Other: manuel therapy
clinical pilates exercises will be applied to 2nd group,for 3 days / week for 6 weeks.
Other: exercises
cervical mobilization and clinical pilates exercises will be applied to 3rd group,for 3 days / week for 6 weeks.
Other: manuel therapy · Other: exercises
approaches will be applied for 3 days / week for 6 weeks.
Also known as: cervical mobilization
approaches will be applied for 3 days / week for 6 weeks.
Also known as: clinical pilates exercises
Change of headache
headache intensity by Visual Analogue Scale , headache frequency and analgesic intake
Time frame: 6 week
Change of muscle stiffness degree
SKM,suboccipital and upper trapezoidal muscle stiffness with Myoton Pro
Time frame: 6 week
Change of blood flow degree
head-neck artery flow Doppler Ultrasound (US)
Time frame: 6 week
change of posture
The PostureScreen Mobile® application
Time frame: 6 week
neck range of motion
range of motion by Cervical Range of Motion device
Time frame: 6 week
deep neck flexor muscle endurance
muscle endurance by Pressure Biofeedback Unit
Time frame: 6 week
headache life quality
Migraine Disability Assessment Scale for headache on quality of life.
Time frame: 6 week
neck functional status
Neck Disability Index for functional status
Time frame: 6 week
Plan to share: No
No publications or documents are linked to this record.
This study is completed, as verified in Mar 2024. You cannot join it, but the record below documents what was studied.
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Meltem Uzun