Clinical trial NCT05827185: Effects of Workstation Ergonomics and Physiotherapy in Cervicogenic Headache.
Official title: Combined and Isolated Effects of Workstation Ergonomics and Physiotherapy in Improving Cervicogenic Headache and Work Ability in Office Workers - A Single-blinded, Randomized Controlled Study.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Cervicogenic Headache
Keywords: Workstation
Ergonomics
Physiotherapy
Randomized control trial
Office workers
Lead sponsor: Prince Sattam Bin Abdulaziz University
Sponsor class: OTHER
First posted: 2023-04-24
Enrollment: 96
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The study includes ergonomic modifications group (EMG; n=24), physiotherapy group (PTG; n=24), and ergonomic modifications combined with physiotherapy group (EPG; n=24) and, control group (CNG; n=24)
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Cervicogenic headache (CgH) is a distinct form of headache and accounts for 17.8% of all headaches and the prevalence rate is between 0.4% and 20%. A guide to health and safety in the office handbook by common wealth of Australia (2008) suggested the ergonomic guidance and interventions for preventing and treating musculoskeletal disorder (MSD) injuries in the office workers. Also, It has been estimated that 34% of US citizens receive some sort of physiotherapy for CgH each year. However, no studies have compared and investigated the combined and individual effects of workstation ergonomics, physiotherapy and patient education for improving cervicogenic headache and work ability in office workers.

Detailed description: Cervicogenic headache (CgH) is a distinct form of headache and accounts for 17.8% of all headaches and the prevalence rate is between 0.4% and 20%. A guide to health and safety in the office handbook by common wealth of Australia (2008) suggested the ergonomic guidance and interventions for preventing and treating musculoskeletal disorder (MSD) injuries in the office workers. Also, It has been estimated that 34% of US citizens receive some sort of physiotherapy for CgH each year. However, no studies have compared and investigated the combined and individual effects of workstation ergonomics, physiotherapy and patient education for improving cervicogenic headache and work ability in office workers.

Therefore, our study objective was intended to compare and investigate the combined and individual effects of workstation ergonomics, physiotherapy and patient education in improving cervicogenic headache and work ability in office workers. This randomized clinical trial hypothesized that there is a difference in primary and secondary outcome measures between workstation ergonomics, physiotherapy and patient education for improving cervicogenic headache and work ability in office workers.

Eligibility criteria: Inclusion Criteria:

Patients aged between 18-60 years Working in the computer ≥ 32 hrs/week Suffering from Cervicogenic Headache (\>3 months) Pain intensity ≥3 on a numerical pain rating scale (NPRS), Cervicogenic Headache resulting from pain in the neck followed by headache, Limited neck movements, Neck muscle spasm, Consent to participate in the study

Exclusion Criteria:

Other primary headaches such as migraine and tension-type headaches (TTH), Whiplash injuries, Participants who show signs of the five 'D's' (dizziness, drop attacks, dysarthria, dysphagia, diplopia) Who have signs of the three 'N's (nystagmus, nausea, other neurological symptoms (cord compression or nerve root involvement), Contraindications to physio therapy (Congenital anomalies, tumor, degenerative and inflammatory arthritis, osteoporosis, dislocation, fractures, and steroid intake), Underwent previous head and neck surgeries, Had physiotherapy or other complementary therapies in the last three months

Primary outcomes:
measure: CgH frequency
timeFrame: Baseline
measure: CgH frequency
timeFrame: 4 weeks
measure: CgH frequency
timeFrame: 8 weeks
measure: CgH frequency
timeFrame: 6 months
Secondary outcomes:
measure: CgH pain intensity
timeFrame: Baseline
measure: CgH pain intensity
timeFrame: 4 weeks
measure: CgH pain intensity
timeFrame: 8 weeks
measure: CgH pain intensity
timeFrame: 6 months
measure: CgH disability
timeFrame: Baseline
measure: CgH disability
timeFrame: 4 weeks
measure: CgH disability
timeFrame: 8 weeks
measure: CgH disability
timeFrame: 6 months
measure: Cervical flexion-rotation test (FRT)
timeFrame: Baseline
measure: Cervical flexion-rotation test (FRT)
timeFrame: 4 weeks
measure: Cervical flexion-rotation test (FRT)
timeFrame: 8 weeks
measure: Cervical flexion-rotation test (FRT)
timeFrame: 6 months
measure: Work ability
timeFrame: Baseline
measure: Work ability
timeFrame: 4 weeks
measure: Work ability
timeFrame: 8 weeks
measure: Work ability
timeFrame: 6 months
Other outcomes:
Locations:
city: Al Kharj
country: Saudi Arabia
facility: Dr. Gopal Nambi
state: Riyadh
Study officials:
affiliation: Prince Sattam bin Abdulaziz University, Al Kharj, Saudi Arabia
name: Gopal Nambi, PhD
role: PRINCIPAL_INVESTIGATOR
References: