Clinical trial NCT05952115: Efficacy of Lumbar Motor Control Training in Treatment Of Patients With Cervicogenic Headache
Official title: Efficacy of Lumbar Motor Control Training in Treatment Of Patients With Cervicogenic Headache
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Cervicogenic Headache
Keywords: lumbar motor control
cervicogenic hedache
cervical stabilization exercises
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-07-19
Enrollment: 52
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: lumbar motor control and cervical stabilization exercises
Primary purpose: TREATMENT

Brief summary: this study will be conducted to investigate the effect of lumbar motor control training exercise on headache frequency, duration, intensity and neck functional disability in cervicogenic headache patients

Detailed description: Cervicogenic Headache is a referred pain spreading from cervical structures supplied by the upper cervical spinal nerve roots (C1-C3), this referred pain that starts from the posterior aspect of the head and neck is usually found to be unilateral, and it also can spread to the frontal, temporal and orbital aspects of the head.The patient frequently reports having a terrible headache, having less neck range of motion, performing less well at work, and having trouble focusing, that may linger for hours. The convergence of primary sensory afferents from cervical nerve roots C1 to C3 with the afferents from the occiput and trigeminal nerve causes the underlying pathology. Because of this, the Suboccipital muscles particularly, which cervical roots C1 innervates to C3, are potential risk structures. Treatment options include posture correction, cervical and upper thoracic strengthening exercises, facet joint manipulation, ultrasound therapy, laser therapy, trigger release therapy, and cervical joint mobilization.famous exercise known as "Motor control exercise" attempts to improve the coordination and effectiveness of the muscles that support and govern the spine. It can also improve coordination between the deep neck flexors and superficial neck flexors and between core muscles of the lumbar region. fifty two patients will be randomly assigned to two equal groups; experimental group will receive lumbar motor control and cervical stabilization exercises and control group will receive cervical stabilization exercises only.

Eligibility criteria: Inclusion Criteria:

* The age of the subjects ranged from 20-40 years old, both genders.
* Patients with chronic mechanical neck pain with frequent cervicogenic headaches persisting for more than 3 months.
* Positive flexion rotation test.
* Unilateral head pain without side shift or bilateral head pain with dominant side headache associated with neck pain and aggravated by neck movement and/or sustained awkward head positioning
* Joint tenderness in at least one of the upper three cervical joints or the occipital region as detected by manual palpation.
* Intensity of headache is moderate to severe.
* Abnormal performance in CCFT \< = 26 mmHg
* Body mass index range from 18 to 25 km/m2

Exclusion Criteria:

* Fracture or previous surgery on the vertebral column.
* Spinal stenosis.
* Disc prolapsed.
* TMJ dysfunction.
* Headache with autonomic involvement, dizziness, or visual disturbance.
* Congenital condition of the cervical spine.
* Neck pain of less than three months

Primary outcomes:
measure: Headache frequency:
timeFrame: up to four weeks
measure: Headache duration
timeFrame: up to four weeks
measure: Headache intensity
timeFrame: up to four weeks
Secondary outcomes:
measure: neck disability
timeFrame: up to four weeks
Other outcomes:
Locations:
Study officials:
References: