Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients
March 9, 2023 updated by: Foundation University Islamabad
Cervicogenic headache is a common headache that causes disability and affects everyday activities.
Headache related disorders are the second most common reason for years lived with disability all over the world.
According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction.
There is marked limitation in cervical ROM specially rotation.
Treatment indicated involves use of electrotherapy and thermal modalities.
In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e.
C1-C2 dysfunction.
Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients.
Maitland mobilizations uses oscillatory mobilizations and has four grades.
Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.
Study Overview
Status
Active, not recruiting
Conditions
Study Type
Interventional
Enrollment (Anticipated)
26
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Punjab
-
Rawalpindi, Punjab, Pakistan, 4600
- Fauji Foundation Hospital
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 45 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 18-45 years
- Both males and females
- Unilateral headache with no shift of side
- C1-C2 dysfunction
- Headache with neck stiffness
- Headache at least once a month in the last 3 months
- Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
- Headache with a score of at least 4 in the Numeric pain rating scale
Exclusion Criteria:
- Cervical spondylosis
- Headache of non-cervical origin
- Dizziness or visual disturbance
- Cervical radiculopathy/ nerve root involvement/ disc herniation
- Cervical instability/ fracture
- Vertebrobasilar insufficiency
- Thoracic outlet syndrome
- Cervical spine surgery
- Cervical spondylolisthesis
- Spinal infection or tumors
- Osteoporosis
- History of trauma
- Metabolic disorders
- Rheumatoid Arthritis
- Inflammatory Arthritis
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Maitland + Conventional PT Group
Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Maitland oscillatory mobilizations. 3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given in 2 seconds.
|
Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3
sets of 15 repetitions.
Each set is of 30 seconds and each repetition is given for 2 seconds.
Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics
|
|
Experimental: Kaltenborn + Conventional PT Group
Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.
|
Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics
Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pain intensity
Time Frame: 2 weeks
|
Pain will be measured on the basis of Numeric Pain Rating Scale score.
|
2 weeks
|
|
Cervical range of motion
Time Frame: 2 weeks
|
Cervical rotation will be measured through CROM device
|
2 weeks
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2023
Primary Completion (Anticipated)
June 15, 2023
Study Completion (Anticipated)
July 1, 2023
Study Registration Dates
First Submitted
March 9, 2023
First Submitted That Met QC Criteria
March 9, 2023
First Posted (Actual)
March 21, 2023
Study Record Updates
Last Update Posted (Actual)
March 21, 2023
Last Update Submitted That Met QC Criteria
March 9, 2023
Last Verified
March 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- FUI/CTR/2023/1
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.