Clinical trial NCT05839496: Cervical Stabilization Training on Individuals With Headache
Official title: Effects of Cervical Stabilization Training on Individuals With Headache
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Headache
Keywords: Headache
Neck pain
Exercise
Lead sponsor: Gazi University
Sponsor class: OTHER
First posted: 2023-05-03
Enrollment: 90
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Headache is a common health problem. The most common headaches worldwide are migraine, tension-type headache (TTH), and cervicogenic headache (CGH). Due to the close anatomical relationship between the head and the cervical region, neck pain accompanies these headaches. The effects of cervical stabilization training including all of the cervical regions, thoracic regions, and the upper extremities in individuals with headaches are not yet known.

Detailed description: Headache is a common health problem. The most common headaches worldwide are migraine, tension-type headache (TTH), and cervicogenic headache (CGH). Due to the close anatomical relationship between the head and the cervical region, neck pain accompanies these headaches. Most of the previous studies examined the effects of exercise programs such as Cranio-Cervical Flexion Exercises (CCFE), posture exercises, muscle strengthening, and stretching exercises of the neck and shoulder on headaches. These studies presented the beneficial effects of CCFE which mostly targeted strengthening the superficial neck and shoulder muscles. However, the effects of cervical stabilization training including all of the cervical regions, thoracic regions, and the upper extremities in individuals with headaches are not yet known.

Eligibility criteria: Inclusion Criteria:

1. a clinical diagnosis of migraine, tension-type headache (TTH), and cervicogenic headache (CGH)
2. age between 18 and 55 years
3. being female
4. frequency of headaches at least once a week or more in the last year

Exclusion Criteria:

1. having a neurological and orthopedic disease such as Parkinson's, stroke, cognitive disorders, and temporomandibular joint dysfunction,
2. having any contraindication for exercise,
3. having any serious head and/or neck trauma,
4. being with menopause,
5. being included in a physiotherapy program for head and neck pain in the last 12 months.

Primary outcomes:
measure: Pain intensity assessed by the VAS
timeFrame: Eight weeks
measure: Forward head posture assessed by the craniovertebral angle
timeFrame: Eight weeks
measure: Deep cervical flexor muscles strength assessed by the stabilizer pressure biofeedback
timeFrame: Eight weeks
measure: Endurance of cervical muscles assessed by the chronometer
timeFrame: Eight weeks
measure: Cervical joint range of motion assessed by the cervical range of motion instrument
timeFrame: Eight weeks
Secondary outcomes:
measure: Disability level (headache) assessed by migraine disability rating scale
timeFrame: Eight weeks
measure: Disability level (neck pain) assessed by the neck disability index
timeFrame: Eight weeks
measure: Health-related quality of life assessed by the short form 36 quality of life scale
timeFrame: Eight weeks
measure: Sleep quality assessed by the Pittsburgh sleep quality index
timeFrame: Eight weeks
measure: Mood assessed by the Beck depression inventory
timeFrame: Eight weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Gazi University
Study officials:
affiliation: Gazi University
name: Arzu Guclu-Gunduz, Prof
role: STUDY_DIRECTOR
References:
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citation: Castien R, De Hertogh W. A Neuroscience Perspective of Physical Treatment of Headache and Neck Pain. Front Neurol. 2019 Mar 26;10:276. doi: 10.3389/fneur.2019.00276. eCollection 2019.
citation: Ashina S, Bendtsen L, Lyngberg AC, Lipton RB, Hajiyeva N, Jensen R. Prevalence of neck pain in migraine and tension-type headache: a population study. Cephalalgia. 2015 Mar;35(3):211-9. doi: 10.1177/0333102414535110. Epub 2014 May 22.
citation: Edmondston SJ, Wallumrod ME, Macleid F, Kvamme LS, Joebges S, Brabham GC. Reliability of isometric muscle endurance tests in subjects with postural neck pain. J Manipulative Physiol Ther. 2008 Jun;31(5):348-54. doi: 10.1016/j.jmpt.2008.04.010.
citation: Luedtke K, Basener A, Bedei S, Castien R, Chaibi A, Falla D, Fernandez-de-Las-Penas C, Gustafsson M, Hall T, Jull G, Kropp P, Madsen BK, Schaefer B, Seng E, Steen C, Tuchin P, von Piekartz H, Wollesen B. Outcome measures for assessing the effectiveness of non-pharmacological interventions in frequent episodic or chronic migraine: a Delphi study. BMJ Open. 2020 Feb 12;10(2):e029855. doi: 10.1136/bmjopen-2019-029855.