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Headache clinical trials

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NCT ID: NCT02887638 Completed - Headache Clinical Trials

Headache Analysis and Intervention

PRA
Start date: January 8, 2018
Phase: N/A
Study type: Interventional

Diagnosing and treating posture-related headache (PRH), such as tension-type and cervicogenic headache, is seriously hampered because of common features and complex interaction of the neurological and musculoskeletal system. Current therapies are therefore not as effective and the population of patients with PRH keeps on increasing. The diagnostic as well as the therapeutic process need more structure in order to select the most effective treatment; thereby contributing to preventive measures. This goal can be achieved through fundamental research with a clinically oriented background. Our study starts from a clinical problem, with a growing incidence, and is therefore highly relevant. Because sitting-posture seems to play an important role in PRH, the first step in the diagnostic process is to analyse postural differences between a PRH- and a control-group. In addition, the role of the dura mater in the headache-process will be examined. Patients with PRH will be classified in homogeneous groups based on these results. In a second phase individual-specific treatment programs will be composed. The general treatment-approach of postural abnormalities in the past failed because of the heterogeneous patient-populations. Sub-classifying musculoskeletal problems has been proven to be successful in the past (O'Sullivan & Dankaerts, non-specific low back pain). Our study is divided in 2 phases: - phase 1: profile analysis (no intervention, experimental headache-group vs. asymptomatic controls) - phase 2: interventional phase (clustered headache-groups, based on the results of phase 1

NCT ID: NCT02882880 Completed - Migraine Headache Clinical Trials

Treatment Sleep Bruxism With the Luco Hybrid OSA Appliance

LucoHybrid
Start date: July 2015
Phase: N/A
Study type: Interventional

To determine the effectiveness of the Luco Hybrid OSA Appliance in the treatment of sleep bruxism and to aid in the treatment of associated tension/migraine type headaches in adults.

NCT ID: NCT02870725 Completed - Depression Clinical Trials

CBT Depression Intervention for Co-Occurring Chronic Headache

Start date: November 2016
Phase: N/A
Study type: Interventional

Having co-occurring depression and chronic headaches is challenging and can greatly impact one's professional, personal, family, and social life. People living with chronic headaches are often at a greater risk of having comorbid psychiatric disorders (depression, anxiety), reduced quality of life, and impaired functioning because of under-diagnosis, misdiagnosis or under-treatment of both chronic conditions. This study is a pilot clinical trial that will compare the effectiveness of a brief cognitive-behavior therapy (CBT) depression intervention to a care as usual (control) group. The aim of the study is to determine how well the CBT intervention will reduce the frequency, severity and level of disability of both the headaches and depression symptoms.

NCT ID: NCT02866409 Completed - Headache Clinical Trials

Scalp Block Versus Scalp Infiltration With Dexmedetomidine and Local Anesthetic for Post Craniotomy Pain

Start date: November 2013
Phase: Phase 2
Study type: Interventional

This study has been designed to assess the efficacy of dexmedetomidine as an adjuvant to local anaesthetic agent bupivacaine in scalp nerve block and scalp infiltration to control post craniotomy pain.A third group where patients were administered bupivacaine only infiltration has also been created.

NCT ID: NCT02866084 Withdrawn - Headache Clinical Trials

Neuromodulation Treatment of Vestibular Migraines

Start date: September 28, 2016
Phase: N/A
Study type: Interventional

This is a non-randomized pilot study to test the efficacy of neuromodulation via caloric stimulation on vestibular migraines. All subject who meet the study criteria will be in an active treatment group. All subjects will report the frequency of the migraines and undergo periodic testing of symptoms.

NCT ID: NCT02859233 Completed - Clinical trials for Postdural Puncture Headache

Role of Prophylaxis by Oral Fluid Supplementation in Prevention of Postdural Puncture Headache

PROPHYDRA
Start date: November 8, 2016
Phase: N/A
Study type: Interventional

Postdural puncture headache (PDPH) is defined, according to the International Headache Society, as any headache develops within 5 days after a lumbar puncture. It worsens within 15 minutes after sitting or standing and improves within 15 minutes after lying. For preventing PDPH, there are some uncomfortable practices for patients (fluid supplementation and bed rest) and expensive for hospital (time spend for information and management of fluid intake). Patients are usually advised by nurses. If "bed rest" is not effective in prevention of PDPH, "fluid supplementation" is not an advice based on any evidence but only on routine. By this trial, the investigators want to evaluate the scientific value of this advice, in the standard patient care. The primary objective of this study is to compare oral hyperhydration (2 liters during 2 hours after lumbar puncture - the most common routine according to an internal pilot survey) versus no advice about the fluid intake to prevent the PDPH. The second objective is to observe the day of apparition of PDPH, between day 0 and day 5.

NCT ID: NCT02856802 Completed - Migraine Headaches Clinical Trials

An Efficacy and Safety Study of DFN-02 (Sumatriptan Nasal Spray 10 mg)

Start date: July 11, 2016
Phase: Phase 2
Study type: Interventional

A safety and efficacy study of DFN-02 (Sumatriptan Nasal Spray 10 mg), being conducted at multiple centers in the United States.

NCT ID: NCT02853487 Completed - Cluster Headache Clinical Trials

Circadian Rhythm and Attack-timing in Episodic Cluster Headache Patients in- and Outside of Bout: an Actigraphic Study

Start date: July 2016
Phase: N/A
Study type: Observational

The aim is to investigate circadian rhythm in episodic cluster headache using actigraphy.

NCT ID: NCT02827058 Terminated - Clinical trials for Post-Dural Puncture Headache

The Influence of Needle Diameter on Post Dural Puncture Headache

Start date: March 2016
Phase: N/A
Study type: Interventional

The purpose of this study is to determine whether injection needle pen point type 'PP Gauge 25' should be recommended as a primary choice of needle (in stead of 'PP Gauge 27') for healthy pregnant women who at delivery (vaginal or cesarean section) get spinal anesthesia.

NCT ID: NCT02813655 Terminated - Clinical trials for Post-dural Puncture Headache

Evaluation of the Effectiveness and Tolerance of Tetracosactide Synacthen® in the Treatment of Post Dural Puncture Headaches (ESYBRECHE)

ESYBRECHE
Start date: October 2016
Phase: Phase 2
Study type: Interventional

The aim of the study is to assess the efficacy and safety of Synacthène® versus placebo in the treatment of post-dural puncture syndrome in patients receiving epidural analgesia, spinal analgesia, or combined spinal-epidural analgesia for labour.