Набор по приглашению NCT07168512

Effect of Myofascial Release Technique Alone or Combined With Exercises on Cervical Cobb Angle, Sleep Quality, and Psychological Factors in Patients With Cervicogenic Headache

Без фазы С лечением Effect of Physiotherapy on Cobb Angle in Patients With Cervicogenic Headache

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Exercises (Endurance and strengthening), Myofascial release technique.
Кому может быть актуально: Состояния в реестре: Effect of Physiotherapy on Cobb Angle in Patients With Cervicogenic Headache. Базовые параметры: 20 лет — 55 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Palestinian Territories
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

"Myofascial Release With or Without Exercise for Cervicogenic Headache"

Обзор

This study will investigate whether myofascial release therapy alone or in combination with therapeutic exercises can improve cervical spine alignment, measured by cervical Cobb angle on X-ray, in patients with cervicogenic headache. The research will also examine potential effects on sleep quality and psychological factors."

Вмешательства

Другое Exercises (Endurance and strengthening)
Neck Strengthening and Endurance Exercises with Hot Packs Preparation: A moist hot pack will be applied for 10-15 minutes to the cervical region before exercise to reduce stiffness and enhance tissue extensibility. Exercise program: Deep cervical flexor training: Chin tucks in supine and sitting, progressing to sustained isometric holds. Extensor and scapular stabilizer training: Prone head lifts and shoulder retraction exercises with light resistance. Endurance training: Low-load, high-rep
Другое Myofascial release technique
Myofascial Release Technique Target areas: Suboccipital muscles, upper trapezius, levator scapulae, and deep cervical fascia. Method: A physiotherapist will perform gentle, sustained manual pressure and low-load, long-duration stretching on restricted cervical and upper thoracic fascia to reduce tension and improve soft tissue mobility. Duration and frequency: Each session will include 30'to 50 minutes of myofascial release, delivered 3 times per week for the study period for 6 weeks. Ration

Первичные конечные точки

Cervical cobb angle [Срок оценки: pre and post (6 weeks)]
Cobb angle of cervical spine assessed by X Ray (Lateral) [Срок оценки: pre , and 8 weeks post physiotherapy intervention]
Hospital Anxiety and depression scale [Срок оценки: pre and 8 weeks post physiotherapy interventions]

Вторичные конечные точки (2)

sleep quality [Срок оценки: pre, and 8 weeks post physiotherapy]
neck disability [Срок оценки: pre and 8 weeks post physiotherapy interventions]

Критерии участия

Критерии включения

Age 20-55 years.
Clinical diagnosis of cervicogenic headache according to International Classification of Headache Disorders (ICHD-3) criteria (headache attributed to cervical disorder).

Критерии исключения

History of major cervical spine pathology such as fracture, dislocation, congenital malformation, tumor, infection, or inflammatory arthritis (e.g., rheumatoid arthritis, ankylosing spondylitis).
Previous cervical spine surgery or fusion at any level.
Red flag symptoms indicating serious pathology (e.g., progressive neurological deficit, unexplained weight loss, fever, history of cancer).
Systemic or neurological disorders that may affect neck function or headache (e.g., multiple sclerosis, Parkinson's disease).
Severe osteoporosis or metabolic bone disease that contraindicates cervical X-ray imaging.
Vascular disorders such as vertebrobasilar insufficiency or carotid artery disease.
Pregnancy or breastfeeding (due to radiation exposure during cervical radiography).
Unstable psychiatric conditions (e.g., severe depression, psychosis) that may interfere with participation or adherence.
Recent physiotherapy or manual therapy targeting the cervical region within the past 6 weeks, or planned during the study outside the protocol.
Use of botulinum toxin or steroid injections to the neck or head region in the past 6 months.
Contraindications to manual therapy or exercise (e.g., acute cervical disc herniation, severe myelopathy, unstable cardiovascular disease).
Inability to understand study procedures, comply with treatment sessions, or provide informed consent.
Symptoms of migraine, tension-type headache (TTH), or any other headache apart from cervicogenic headache.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да