Active and Passive Cervical Flexion-rotation Tests

Study Overview
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Brief Summary
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Motion limitations have been previously reported in people with headaches originating from the neck/cervicogenic headaches. A test involving flexing and rotating the neck has been found useful to diagnose this type of headache. This observational study investigates this neck motion test when performed actively by the patient and passively by the examiner, then compares the results of motion attained.

Official Title
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A Comparison of Range of Motion During the Active and Passive Flexion-rotation Tests in Subjects Patients With Cervicogenic Headache

Conditions
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Cervicogenic Headaches

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: One-sided headaches Headaches caused by neck movement or sustained head positioning Neck, shoulder, or arm pain Intermittent headaches at least one headache per week for greater than 2 months Headaches of moderate intensity Exclusion Criteria: A diagnosis of rheumatoid arthritis Current pregnancy International Headache Society criteria for other headache forms (such as tension or migraine) Cervical radiculopathy Treatment for headaches by a physical therapist, chiropractor, massage therapist, or osteopath in the past month Positive test for vertebral artery insufficiency or cranial-vertebral ligament instability

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cervicogenic Headache Group<br>This group of subjects is considered the symptomatic group. No intervention was provided in this study so there are no intervention groups. | |
| Healthy, Asymptomatic Group<br>Subjects in this group had no headache symptoms. Their neck motion was compared to subjects in the headache group. No intervention was provided to subjects in either group for this study. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical Range of Motion in degrees with the Flexion Rotation Test | Two versions of this test were examined. A motion analysis system was used to measure degrees of motion. The test was done in two ways on each subject. Subjects sat in a chair, looked downward, then rotated their head/neck each direction. Subjects laid on their back while an examiner lifted their head, then rotated it each direction (same motion as described for the active test in the previous sentence). Within session reliability was also examined. | Baseline only | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Northwick park neck disability index | This self-report questionnaire was completed by subjects prior to testing. It was not re-assessed as an outcome but rather used for baseline description of the subjects included in the study. | Baseline only | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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headache diagnosis, flexion rotation test, range of motion, upper cervical