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Completed

NCT Number: NCT06377787

Effects of ELDOA in Patients With Cervicogenic Headache

The aim of our study is to determine the effect of ELDOA in relieving pain, improving ROM and functional disability in patients with cervicogenic headache. This study will add to the growing body of knowledge that if this technique yields comparable outcomes, it would be the alternative therapy. Moreover, it would add to the society as no literature is available on the effect of ELDOA technique in the management of Cervicogenic headache.

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Key information

Conditions

Cervicogenic Headache Brain Diseases Central Nervous System Diseases Headache Disorders Headache Disorders, Secondary Nervous System Diseases Post-Traumatic Headache

Age range

30 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Alkhidmat Raazi Hospital CBR Town

Islamabad, Punjab Province, 46000, Pakistan

About this study

Cervicogenic Headache (CEH) is mainly caused by neck or paravertebral soft tissue lesions. It is chronic headache that arises from the Atlanto-occipital and upper cervical joints and is perceived in one or more regions of the head or face. One of the known treatment options that create decompression at spinal segment level is called ELDOA it is described as a conditioning method involving a series of movements and body stretches to help correct body posture, rehabilitate people with injuries and prevent injuries

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age: 30-45 years
  • Both male and female.
  • Onset of pain > 4 weeks.
  • Flexion rotation test positive with estimated rotation range reduced by more than 10 degrees from the anticipated normal range (44 degrees)
  • Tenderness of upper three cervical joints.
  • Presence of active trigger points in upper trapezius and sub occipital extensors.

Exclusion criteria

  • Hypertension.
  • Recent (<6 months) whiplash injury and other cervical soft tissue injuries.
  • History of cervical spinal vertebrae fracture.
  • Positive sharp purser test
  • Acute disc protrusion • History of cancer.
  • Previous surgical intervention of head, neck and thoracic spine

Treatment and study plan

ELDOA and conventional therapy

Other

hot pack and TENS for10 min, cervical PIR (MET) in flexion, extension, side bending and rotation (single set of 4rep with 6 sec hold once a day) and ELDOA method C0-C1-C2, C2 & C3 positions for cervical spine (2 sets of five repetitions with 45 sec hold and 15sec rest between each set once a day).

Conventional Therapy

Other

include hot pack and TENS for 10 minutes, cervical PIR (MET) in flexion, extension, side bending and rotation (single set of 4 reps with 6 seconds hold once a day).

Primary outcomes

  1. (Numeric Pain Rating Scale).

    Time frame: four weeks

    The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale from 0 to 10. "0" = no pain and "10" = the most intense pain imaginable while the NPRS exhibited moderate reliability (ICC = 0.27-0.84)

  2. NDI (U) (Neck Disability Index)

    Time frame: four weeks

    The neck disability index is a ten-item self-reported questionnaire that assesses pain and associated disability, with a total max score of 50 points . An Urdu version of neck disability index will use in this study. An intra-class correlation coefficient (ICC) revealed excellent test-retest reliability for all items (ICC = 0.86-0.98) and total scores (ICC = 0.99) of the NDI-U.

  3. Inclinometer

    Time frame: four weeks

    Cervical range of motion will be measured using inclinometer. It is a common instrument used to measure joint range of motion.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Apr 22, 2024
Registry last updated
Jul 23, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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