Effects of Garston Tool and Neuromuscular Reeducation in Cervical Headache

Study Overview
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Brief Summary
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Patients suffering from Cervicogenic headache have restricted range of motion and pain which in turn causes functional disability and reduced quality of life. The aim of this research was to determine the effects of Graston technique to improve range of motion, function, and reduction of pain and in patients having Cervicogenic headache

Detailed Description
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A randomized controlled trial in which Graston Technique and Neuromuscular Re-education technique would be applied on patients presenting with cervicogenic headaches by using different tools and the changes would be examined pre and post intervention. The participants fulfilling inclusion criteria would be randomly allocated to two groups. Both groups received different protocols and will be assessed on data collection tool on their first and last visit using Goniometer, Headache Disability Index (HDI), Neck pain Disability Index (NDI) and Numeric Pain Rating Scale (NPRS). Participants of both groups will be pre-tested before the application of interventional techniques and post-tested after the application of respective intervention.

Official Title
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Comparing the Effects of the Graston Tool and Neuromuscular Reeducation in Reducing Cervical Headache.

Conditions
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Cervicogenic Headache

Intervention / Treatment
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* Device: Garston tool
* Procedure: Neuromuscular Re-education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age: Minimum 20years- Maximum 50 years (Male/Female) Unilateral pain Neck stiffness and ROM restrictions Pain exacerbated by posture and neck movements Pain effecting QOL Positive flexion-rotation test Exclusion Criteria: Headache not of cervical origin Congenital condition of cervical spine Headache with autonomic involvement, dizziness or visual impairment Inability to tolerate the flexion rotation test Conditions contraindicated for graston technique

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Graston Tool<br>Graston instrument, 20 strokes per minute proximal to distal and 20 strokes per minute distal to proximal for a period of 3 minutes was given over the painful area. GT group protocol included the use application of IASTM along with the application of ice therapy at the end of the session. The assessment of patients was done at the initial and last visit before the completion of the treatment program. Three treatment sessions per week were given to each patient for a total of four weeks. | Device: Garston tool<br>* GT group protocol included the use application of IASTM along with the application of ice therapy at the end of the session. Using the Graston instrument, 20 strokes per minute proximal to distal and 20 strokes per minute distal to proximal for a period of 3 minutes were given over the painful area. Baseline values were recorded for demographics evaluation and episodes of pain onsets. The assessment of patients was done at the initial and last visit before the completion of the treatment program. Three treatment sessions per week were given to each patient for a total of four weeks.<br>* Other names: Neuromuscular Re-education;|
| Active Comparator: Neuromuscular Re-Education<br>General stretching and strengthening exercises for the neck muscles. The protocol of treatment for the NMR group included the use of the Neuromuscular re-education soft tissue mobilization technique (NMR) followed by active movements of the patient. | Procedure: Neuromuscular Re-education<br>* General stretching and strengthening exercises for the neck muscles. The protocol of treatment for the NMR group included the use of the Neuromuscular re-education soft tissue mobilization technique (NMR) followed by active movements of the patient.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline in pain on 10 points on Numeric Pain Rating Scale at 4th week | The Numeric Pain Rating Scale, is a validated, self reported tool assessing average pain intensity over period of last 24 hours. Possible pain ranges from 0( No pain) to 10 (Worst pain). Change= (Week 4 Score - Baseline Score ) | Baseline and 4th week | 
| Change from Baseline in pain on 27 items on Headache Disability Index at 4th week | Headache Disability Index is a 27 items questionnaire that identify the limitations experienced due to headache. It includes questions to identify the frequency ranges from one per month, more than one but less than four per months, more than one per week and intensity of headache ranges from mild to moderate and to severe. | Baseline and 4th week | 
| Change from Baseline in pain on 10 items on Neck Disability Index at 4th week | Neck Pain Disability Index is a 10 items questionnaire that identify the functional status of patients based on their conditions. it includes questions related to pain, personal care, reading, lifting, headaches, driving, sleeping , work, focus and leisure. | Baseline and 4th week |