- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02887638
Headache Analysis and Intervention (PRA)
Posture-related Headache: Profile Analysis and Intervention
Diagnosing and treating posture-related headache (PRH), such as tension-type and cervicogenic headache, is seriously hampered because of common features and complex interaction of the neurological and musculoskeletal system. Current therapies are therefore not as effective and the population of patients with PRH keeps on increasing. The diagnostic as well as the therapeutic process need more structure in order to select the most effective treatment; thereby contributing to preventive measures. This goal can be achieved through fundamental research with a clinically oriented background. Our study starts from a clinical problem, with a growing incidence, and is therefore highly relevant. Because sitting-posture seems to play an important role in PRH, the first step in the diagnostic process is to analyse postural differences between a PRH- and a control-group. In addition, the role of the dura mater in the headache-process will be examined. Patients with PRH will be classified in homogeneous groups based on these results. In a second phase individual-specific treatment programs will be composed. The general treatment-approach of postural abnormalities in the past failed because of the heterogeneous patient-populations. Sub-classifying musculoskeletal problems has been proven to be successful in the past (O'Sullivan & Dankaerts, non-specific low back pain).
Our study is divided in 2 phases:
- phase 1: profile analysis (no intervention, experimental headache-group vs. asymptomatic controls)
- phase 2: interventional phase (clustered headache-groups, based on the results of phase 1
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Genk, Belgium, 3600
- Ziekenhuis Oost-Limburg
-
Hasselt, Belgium, 3500
- Jessa Ziekenhuis
-
Leuven, Belgium, 3000
- Leuven University
-
-
-
-
-
Heerlen, Netherlands, 6419
- Zuyd University
-
Sittard, Netherlands, 6130 MB
- Orbis Medisch Centrum
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria Headache-group:
- Males and females between 20 and 50 years
- Confirmed medical diagnosis of tension-type headache, cervicogenic headache or a mixture
- Headache can be provoked by awkward cervical and/or head postures
Exclusion Criteria Headache-group:
- Pregnancy
- History of pericranial surgery
- Serious pathology (neurological/cardiovascular/endocrine/musculoskeletal)
- Red flags
- Physical or manual therapy treatment for headache < 4 weeks prior the study
- Excessive (> 10 days/month for > 3 months) use of: ergotamine, NSAID's, opioids, triptans, acetylsalicylic acid and simple analgesics
- Psychiatric comorbidity
- Visual or temporo-mandibular dysfunction
Inclusion Criteria Control-group:
- Males and females between 20 and 50 years
- Asymptomatic, no headache-history
Exclusion Criteria Control-group:
- Pregnancy
- History of pericranial surgery
- Excessive (> 10 days/month for > 3 months) use of: ergotamine, NSAID's, opioids, triptans, acetylsalicylic acid and simple analgesics
- Visual or temporo-mandibular dysfunction
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: headache
Patients diagnosed (neurologist - anesthesiologist - manual therapist) with tension-type and/or cervicogenic headache.
During a first phase the sitting-posture, dura mater profile and pain-profile of the Headache-group will be analyzed.
In a second phase, the patients will be sub-classified according to the data-analysis and receive intervention (Individual Profile Analysis +Physical therapy Intervention)
|
The Individual Profile Analysis consists of the following components:
|
No Intervention: asymptomatic controls
Asymptomatic controls, matched for gender and age.
During a first phase the sitting-posture, dura mater profile and pain-profile of the control-group will be analyzed.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Sitting-posture-profile
Time Frame: day 1
|
Sitting-posture will be measured with a 3D-video analysis (Bonita, ©Vicon Motion Systems Ltd.
UK).
Markers are placed on specific anatomical reference points on the participant.
Afterwards angles (°) will be automatically calculated (Nexus, ©Vicon Motion Systems Ltd.
UK)
|
day 1
|
Pain-Profile
Time Frame: day 1
|
'Pain Pressure Threshold' will be measured.
Through pressure- algometry (a) 'Pressure Pain Detection Threshold' (kPa/cm²) and (b) 'Pressure Pain Tolerance' (sec) will be determined (Somedic Sales AB, Stockholm Sweden).
|
day 1
|
Sitting-posture-profile
Time Frame: week 1 up to week 8
|
Sitting-posture will be measured with a 3D-video analysis (Bonita, ©Vicon Motion Systems Ltd.
UK).
Markers are placed on specific anatomical reference points on the participant.
Afterwards angles (°) will be automatically calculated (Nexus, ©Vicon Motion Systems Ltd.
UK)
|
week 1 up to week 8
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Headache-related medication-use, headache intensity, duration and frequency.
Time Frame: week -4 up to week 8
|
Through the use of a specific diary the secondary outcomes will be evaluated.
|
week -4 up to week 8
|
Impact of headache on the quality of life.
Time Frame: week -4 up to week 8
|
The 'Headache Impact Test (HIT-6)' will be used.
|
week -4 up to week 8
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- PHA-2016
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Headache
-
Canadian Memorial Chiropractic CollegeDr. Zaxx Co.UnknownMigraine Headache | Cervicogenic Headache | Tension-type HeadacheCanada
-
University GhentRecruitingTension-Type Headache | Cervicogenic Headache | Myofascial HeadacheBelgium
-
Real Centro Universitario Maria CristinaRecruiting
-
Brooke Army Medical CenterThe University of Queensland; The Defense and Veterans Brain Injury CenterRecruitingHeadache, Migraine | Persistent Post Traumatic Headache | Cervicogenic HeadacheUnited States
-
Uniformed Services University of the Health SciencesNational Institutes of Health (NIH); University of North Carolina, Chapel Hill and other collaboratorsRecruitingPost-Traumatic Headache Chronic Without Intractable HeadacheUnited States
-
University of WashingtonTerminatedChronic Post Traumatic HeadacheUnited States
-
University of AlbertaCompletedChronic Headache | Chronic Daily Headache | Analgesic Rebound Headache | Headache, IntractableCanada
-
University Hospital, GhentRecruitingMigraine Disorders | Headache Disorders | Tension-Type Headache | Cluster Headache | TACS | Secondary Headache DisorderBelgium
-
Meltem UzunCompletedExercise | Therapeutics | Headache, CervicogenicTurkey
-
Hospital of South West JutlandCompletedMedication-overuse Headache | Secondary Headache Disorders
Clinical Trials on Individual Profile Analysis (Physical therapy Intervention)
-
Iuliu Hatieganu University of Medicine and PharmacyCompletedParkinson DiseaseRomania
-
US Department of Veterans AffairsCompleted
-
Boston Medical CenterNational Center for Complementary and Integrative Health (NCCIH)CompletedBack Pain Lower Back ChronicUnited States
-
Zürcher RehaZentrum WaldUnknown
-
City of Hope Medical CenterNational Cancer Institute (NCI)Active, not recruitingMalignant Solid Neoplasm | Breast Carcinoma | Lung Carcinoma | Colorectal Carcinoma | Ovarian Carcinoma | Pancreatic Carcinoma | Prostate CarcinomaUnited States
-
Shirley Ryan AbilityLabNorthwestern University; University of Illinois at Chicago; Ann & Robert H Lurie... and other collaboratorsRecruitingPremature Birth | Intraventricular Hemorrhage | Bronchopulmonary Dysplasia | Hypoxic-Ischemic Encephalopathy | Motor DelayUnited States
-
Mayo ClinicCompletedShoulder Weakness Following Neck Dissection SurgeryUnited States
-
Sahmyook UniversityCompletedPain, Postoperative | Rotator Cuff Injuries | KinesiophobiaKorea, Republic of
-
Texas Tech University Health Sciences CenterCompleted
-
Örebro University, SwedenUppsala University; State University of New York - Downstate Medical Center; Dalarna... and other collaboratorsCompletedNeurodevelopmental Disorders | Mental DisorderSweden