Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients

Cervicogenic Headache Clinical Trial

Official title:

Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05777395
• Other study ID #: FUI/CTR/2023/1
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 1, 2023
• Est. completion date: July 1, 2023

Study information

• Verified date: March 2023
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 26
• Est. completion date: July 1, 2023
• Est. primary completion date: June 15, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• Age 18-45 years
• Both males and females
• Unilateral headache with no shift of side
• C1-C2 dysfunction
• Headache with neck stiffness
• Headache at least once a month in the last 3 months
• Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
• Headache with a score of at least 4 in the Numeric pain rating scale

Exclusion Criteria:

• Cervical spondylosis
• Headache of non-cervical origin
• Dizziness or visual disturbance
• Cervical radiculopathy/ nerve root involvement/ disc herniation
• Cervical instability/ fracture
• Vertebrobasilar insufficiency
• Thoracic outlet syndrome
• Cervical spine surgery
• Cervical spondylolisthesis
• Spinal infection or tumors
• Osteoporosis
• History of trauma
• Metabolic disorders
• Rheumatoid Arthritis
• Inflammatory Arthritis

Related Conditions & MeSH terms

• Cervicogenic Headache
• Headache
• Post-Traumatic Headache

Intervention

Procedure:
• Maitland Oscillatory Mobilization
Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.
• Kaltenborn Sustained Stretch Mobilization
Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds. Frequency: 3 times a week for 2 weeks. 6 sessions in total. Mobilizations will be performed in Grade 1 and then progressed to 2 and 3. Kaltenborn technique used will be atlas-axis rotation
• Conventional therapy
Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Locations

Country	Name	City	State
Pakistan	Fauji Foundation Hospital	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain intensity	Pain will be measured on the basis of Numeric Pain Rating Scale score.	2 weeks
Primary	Cervical range of motion	Cervical rotation will be measured through CROM device	2 weeks