Clinical trial NCT02422862: Clinical Effects of Upper Cervical Translatoric Mobilization in Patients With Headache
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Headache
Keywords: Physiotherapy
Manual Therapy
Lead sponsor: Universidad de Zaragoza
Sponsor class: OTHER
First posted: 2015-04-21
Enrollment: 162
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Frequently, headache is associated with disorders of the cervical spine, specially on the upper cervical spine. Therefore, restoration of the upper cervical mobility is considered fundamental for the treatment of headache.

Manual therapy interventions seek to restore upper cervical mobility through a wide range of therapeutic procedures, including mobilization or manipulation techniques. Previous systematic reviews reported preliminary evidence for the application of upper cervical manual therapy techniques for the management of headache.

The objective of this study is to study the effects of upper cervical translatoric spinal mobilization (UC-TSM) on headache intensity, cervical mobility and pressure pain threshold in subjects with headache. For this purpose, the investigators will conduct a randomized controlled trial. Volunteers with headache will participate in the study and will be randomly divided into control or treatment group. Treatment group will receive UC-TSM and the control group will receive no treatment.

Headache intensity, cervical mobility, temporomandibular mobility and pressure pain thresholds (PPT) will be measured before and immediately after each treatment session (3 treatment sessions in one week period) and after one month follow-up. At this moment, global perceived effect will be assessed.


Eligibility criteria: Inclusion Criteria:

* Present a history of headache.

Exclusion Criteria:

* Receive cervical treatment in the previous month.
* Present red flags for headache.
* Present any contraindications to manual therapy.
* Current involvement in compensations.

Primary outcomes:
measure: Headache intensity as measured by Visual Analog Scale
timeFrame: From Baseline to one month follow-up
Secondary outcomes:
measure: Cervical mobility as measured by cervical range of motion device (CROM)
timeFrame: 1 minute Pre-Intervention, 1 minute Post-Intervention, One month follow-up
measure: Pressure pain threshold as measured by digital algometer (Somedic Farsta)
timeFrame: 1 minute Pre-Intervention, 1 minute Post-Intervention, One month follow-up
measure: Temporomandibular joint mobility as measured by digital calipher (mouth opening)
timeFrame: 1 minute Pre-Intervention, 1 minute Post-Intervention, One month follow-up
measure: Global Perceived Effect as measured by Global Perceived Effect Scale (-5 to +5 Likert Scale)
timeFrame: One month follow-up
measure: Immediate headache intensity changes as measured by Visual Analog Scale
timeFrame: 1 minute Pre-Intervention, 1 minute Post-Intervention
Other outcomes:
Locations:
city: Zaragoza
country: Spain
facility: Unidad de Investigación en Fisioterapia
state: Aragón
Study officials:
References:
citation: Malo-Urries M, Tricas-Moreno JM, Estebanez-de-Miguel E, Hidalgo-Garcia C, Carrasco-Uribarren A, Cabanillas-Barea S. Immediate Effects of Upper Cervical Translatoric Mobilization on Cervical Mobility and Pressure Pain Threshold in Patients With Cervicogenic Headache: A Randomized Controlled Trial. J Manipulative Physiol Ther. 2017 Nov-Dec;40(9):649-658. doi: 10.1016/j.jmpt.2017.07.007.