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Physical Profile of Cervicogenic Headache: Comparison With Neck Pain and Healthy Controls

2026년 8월 20일 업데이트: fatih bali, Istanbul Medipol University Hospital

A Multidimensional Physical Profile of Cervicogenic Headache: A Cross-Sectional Comparison With Nonspecific Neck Pain and Healthy Controls

The goal of this observational study is to compare physical findings across three adult groups. Cervicogenic headache (CGH) is a headache linked to a problem in the neck. Neck pain may affect posture, muscle function, grip strength, and sensitivity to pressure. Researchers do not know whether CGH has a distinct pattern of these findings.

The main questions are:

Do posture, grip strength, muscle stiffness, elasticity, and pressure sensitivity differ among the groups?
Are any differences more closely associated with CGH than with neck pain?

Researchers will compare adults ages 25 through 60. One group will include people with CGH lasting at least three months. Another group will include people with neck pain lasting at least six months. People in the neck pain group will have no headaches. Healthy participants will have no neck pain or headaches.

Researchers will not provide treatment or change participants' usual care. Each participant will complete one study visit lasting about 15 minutes. Participants will:

Answer short questions about their health and pain
Stand while researchers measure their head and neck posture
Squeeze a device that measures grip strength
Complete brief tests of neck muscle stiffness and elasticity
Tell researchers when applied pressure first becomes painful

Researchers will compare results across the three groups. The findings may guide future CGH assessment and treatment research.

연구 개요

상태

모병

정황

연구 유형

관찰

등록 (추정된)

135

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

이름: Fatih Bali, PhD.
전화번호: +905323937689
이메일: fatihbali@hotmail.com

연구 장소

터키 (Türkiye)
- Sefaköy
  - Istanbul, Sefaköy, 터키 (Türkiye), 34433
    - 모병
    - Medipol Sefaköy Üniversite Hastanesi
    - 연락하다:
      
      Fatih Bali, PhD.
      
      전화번호: +905323937689
      
      이메일: fatihbali@hotmail.com
    - 연락하다:
      
      이메일: fatihbali@hotmail.com

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

성인

건강한 자원 봉사자를 받아들입니다

예

샘플링 방법

비확률 샘플

연구 인구

The study population consists of adults aged 25-60 years recruited at the study site in Istanbul, Türkiye. Participants are classified into three groups according to predefined clinical criteria. The cervicogenic headache group includes individuals diagnosed by a physician according to the International Classification of Headache Disorders, 3rd edition. The chronic nonspecific neck pain group includes individuals with neck pain lasting at least 6 months and no headache. The healthy control group includes individuals without neck pain or headache. Participants receive no study intervention and complete one questionnaire-based and instrument-based assessment session.

설명

Inclusion Criteria:
Aged 25 to 60 years
Able to provide written informed consent
Meeting the criteria for one of the following groups:
Cervicogenic headache: physician diagnosis according to the International Classification of Headache Disorders, 3rd edition, with symptoms lasting at least 3 months
Chronic nonspecific neck pain: neck pain lasting at least 6 months without headache
Healthy control: no neck pain or headache

Exclusion Criteria:

Receipt of physiotherapy for headache or neck pain during the previous 6 months
Diagnosis of a headache disorder other than cervicogenic headache, including migraine or tension-type headache, or a diagnosis of trigeminal neuralgia
History of cervical spine surgery or significant cervical trauma
Current or previous diagnosis of a tumor or cancer
Serious cardiovascular, cerebrovascular, hematological, metabolic, neurological, or psychiatric disorder
Rheumatoid arthritis
Congenital cervical abnormality
Cervical spondylolisthesis or cervical instability
Active infection
Temporomandibular joint dysfunction
Dizziness or visual disturbance accompanying headache
Any clinical red flag suggesting serious cervical pathology
Pregnancy or breastfeeding
Upper-extremity injury, surgery, or another condition affecting handgrip strength
Serious musculoskeletal disorder affecting cervical posture or muscle measurements
Inability to complete the questionnaire-based or instrument-based assessments

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

그룹/코호트 수

코호트 및 개입

그룹/코호트
Cervicogenic Headache Group Adults aged 25-60 years with cervicogenic headache diagnosed by a physician according to the International Classification of Headache Disorders, 3rd edition (ICHD-3), and symptoms lasting at least 3 months. Participants undergo one questionnaire-based and instrument-based assessment session. No intervention is assigned.
Chronic Nonspescific Neck Pain Group Adults aged 25-60 years with chronic nonspecific neck pain lasting at least 6 months and no headache. Participants undergo one questionnaire-based and instrument-based assessment session. No intervention is assigned.
Healthy Control Group Adults aged 25-60 years with no neck pain or headaches. Participants undergo one questionnaire-based and instrument-based assessment session. No intervention is assigned.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정	측정값 설명	기간
Bilateral Upper Trapezius Muscle Stiffness 기간: During the single assessment session at enrollment	Upper trapezius muscle stiffness will be assessed bilaterally using the MyotonPRO device. Three consecutive measurements will be obtained at the midpoint between the C7 spinous process and the lateral border of the acromion. The mean of the three measurements will be used. Stiffness will be expressed in newtons per meter (N/m), with higher values indicating greater stiffness.	During the single assessment session at enrollment
Bilateral Upper Trapezius Logarithmic Decrement 기간: During the single assessment session at enrollment	Upper trapezius logarithmic decrement will be assessed bilaterally using the MyotonPRO device at the same standardized measurement site. Three consecutive measurements will be obtained on each side, and their mean will be used. Logarithmic decrement is a dimensionless inverse indicator of tissue elasticity, with lower values indicating greater elasticity.	During the single assessment session at enrollment

2차 결과 측정

결과 측정	측정값 설명	기간
Bilateral Handgrip Strength 기간: During the single assessment session at enrollment	Bilateral handgrip strength will be measured using a Jamar Hydraulic Hand Dynamometer set to the second handle position. Participants will perform three maximal contractions with each hand in a standardized seated position. The highest value for each hand will be recorded in kilograms, with higher values indicating greater handgrip strength.	During the single assessment session at enrollment
Bilateral Upper Trapezius Pressure Pain Threshold 기간: During the single assessment session at enrollment	Pressure pain threshold will be measured bilaterally over the upper trapezius using a handheld pressure algometer with a 1-cm² probe. The measurement site will be the midpoint between the C7 spinous process and the lateral border of the acromion. Pressure will gradually increase until the participant first reports pain. Values will be recorded in kg/cm², with higher values indicating a higher pressure pain threshold.	During the single assessment session at enrollment
Bilateral Suboccipital Pressure Pain Threshold 기간: During the single assessment session at enrollment	Pressure pain threshold will be measured bilaterally over the suboccipital region using a handheld pressure algometer with a 1-cm² probe. The measurement site will be located 2 cm lateral to the C2 spinous process. Pressure will gradually increase until the participant first reports pain. Values will be recorded in kg/cm², with higher values indicating a higher pressure pain threshold.	During the single assessment session at enrollment
Tragus-to-Wall Distance 기간: During the single assessment session at enrollment	Tragus-to-wall distance will be measured in millimeters using a tape measure. Participants will stand with their heels, sacrum, and thoracic spine resting comfortably against a wall while maintaining a natural head position. The distance between the wall and the tragus will be recorded. Greater distances indicate greater forward positioning of the head.	During the single assessment session at enrollment
Craniovertebral Angle 기간: During the single assessment session at enrollment	The craniovertebral angle will be measured in degrees using a universal goniometer. The fulcrum will be positioned over the lateral projection of the C7 spinous process. The stationary arm will remain parallel to the floor, and the movable arm will point toward the tragus. Three measurements will be obtained, and their mean will be used. Smaller angles indicate greater forward head posture.	During the single assessment session at enrollment

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Istanbul Medipol University Hospital

협력자

Istanbul Kent University

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2026년 4월 21일

기본 완료 (추정된)

2026년 10월 1일

연구 완료 (추정된)

2026년 10월 1일

연구 등록 날짜

최초 제출

2026년 8월 17일

QC 기준을 충족하는 최초 제출

2026년 8월 17일

처음 게시됨 (실제)

2026년 8월 20일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 8월 21일

QC 기준을 충족하는 마지막 업데이트 제출