Effects of Graston Versus Myofascial Release Technique in Patients With Cervicogenic Headache
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Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Graston technique, Myofascial Release Therapy.
- Кому может быть актуально
- Состояния в реестре: Cervicogenic Headache. Базовые параметры: 18 лет — 40 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
- Список центров уточняется — проверьте первичный протокол.
- 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
Effects of Graston Versus Myofascial Release Technique on Pain, Range of Motion and Functional Disability in Patients With Cervicogenic Headache
Обзор
Cervicogenic Headache (CGH) is a painful condition that has pronounced impacts on quality and activity of daily lives. It is often associated with decreased mobility, muscular tightness, and postural deviations. When neck muscles become tight, weak, or irritated, they change the way the neck moves and put pressure on nearby joints and nerves. This pressure delivers pain signals to the head, causing a Cervicogenic headache.
Подробное описание
The aim of this study is to compare the effects of the Graston Technique and Myofascial Release in reducing pain, improving cervical range of motion, and decreasing functional disability in patients with Cervicogenic headache.
This study will be a randomized control trial and will be take place at Sehat Medical Complex, lake city branch, Lahore. Non-probability convenience sampling will be used to collect data. Sample size of ( ) subjects with age group between 18-40 years will be taken. Data will be collected from the patients having present complaint of Cervicogenic headache. Outcome measures will be assessed using numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI) to measure neck related disability, Headache Disability Index (HDI) to assess the impact of headaches on daily activities and emotional well-being and Goniometer for assessing range of motions. An informed consent will be taken and subjects will be selected on basis of inclusion and exclusion criteria. They will be divided into two groups by random number generator. One group will receive Graston technique and other myofascial release as a treatment while both groups will be receiving conventional treatment alongside. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 21.
Вмешательства
- Другое Graston technique
* Applied to: Sternocleidomastoid, Upper trapezius, Levator scapulae, Suboccipitals and cervical paraspinals. * Duration: 5-7 minutes per session, depending on patient tolerance and therapist assessment. * Frequency: 2-3 sessions per week, for 4 weeks - Другое Myofascial Release Therapy
* Manual release applied to same regions as above using sustained pressure and fascial stretch. * Duration: 7-10 minutes per session. * Frequency: 2-3 sessions per week, for 4 weeks.
Первичные конечные точки
- Neck Disability Index (NDI) [Срок оценки: upto 4 weeks]
- Numeric Pain Rating Scale (NPRS) [Срок оценки: upto 4 weeks]
Вторичные конечные точки (2)
- Universal Goniometer (UG) [Срок оценки: upto 4 weeks]
- Global Rating of Change (GROC) scale [Срок оценки: upto 4 weeks]
Критерии участия
Критерии включения
- Males and females between age 18-40 years \[A30.1\]of age with Cervicogenic Headache
- Diagnosed with Cervicogenic headache according to ICHD-3 criteria (3)
- Presence of active myofascial trigger points in the SCM and upper trapezius and subocvcipital levator scapuli (confirmed \[A31.1\]via palpation and referred pain) simens \[A32.1\]criteria
- Positive Cervical Flexion Rotation Test
Критерии исключения
- Any history of cervical trauma, fracture, or recent surgery.
- Diagnosis of migraine, tension-type headache, or cluster headache (9).
- Any cervical spine pathology e.g. cervical myelopathies and arthropathies.
- Pregnant or lactating women.
- Skin conditions or open wounds that contraindicate use of Graston tools e.g. open wounds, skin infections and burns etc.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Публикации
- Bogduk N, Govind J. Cervicogenic headache: an assessment of the evidence on clinical diagnosis, invasive tests, and treatment. Lancet Neurol. 2009 Oct;8(10):959-68. doi: 10.1016/S1474-4422(09)70209-1. PMID 19747657
- Hall TM, Briffa K, Hopper D, Robinson K. Comparative analysis and diagnostic accuracy of the cervical flexion-rotation test. J Headache Pain. 2010 Oct;11(5):391-7. doi: 10.1007/s10194-010-0222-3. Epub 2010 May 28. PMID 20508964
- Nambi G, Alghadier M, Pakkir Mohamed SH, Vellaiyan A, Ebrahim EE, Sobeh DE, Kashoo FZ, Albarakati AJA, Alshahrani NA, Eswaramoorthi V. 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. Front Public Health. 2024 Nov 28;12:1438591. doi: 10.3389/fpubh.2024.1438 PMID 39697289
- Lerner-Lentz A, O'Halloran B, Donaldson M, Cleland JA. Pragmatic application of manipulation versus mobilization to the upper segments of the cervical spine plus exercise for treatment of cervicogenic headache: a randomized clinical trial. J Man Manip Ther. 2021 Oct;29(5):267-275. doi: 10.1080/10669817.2020.1834322. Epub 2020 Nov 5. PMID 33148134
- Verma S, Tripathi M, Chandra PS. Cervicogenic Headache: Current Perspectives. Neurol India. 2021 Mar-Apr;69(Supplement):S194-S198. doi: 10.4103/0028-3886.315992. PMID 34003165
- Mingels S, Granitzer M, Jull G, Dankaerts W. The occurrence of cervicogenic headache: A mapping review. Musculoskelet Sci Pract. 2025 Jun;77:103290. doi: 10.1016/j.msksp.2025.103290. Epub 2025 Feb 20. PMID 40031141
- Robinson CL, Christensen RH, Al-Khazali HM, Amin FM, Yang A, Lipton RB, Ashina S. Prevalence and relative frequency of cervicogenic headache in population- and clinic-based studies: A systematic review and meta-analysis. Cephalalgia. 2025 Mar;45(3):3331024251322446. doi: 10.1177/03331024251322446. Epub 2025 Mar 17. PMID 40094720
- Olesen J. International Classification of Headache Disorders. Lancet Neurol. 2018 May;17(5):396-397. doi: 10.1016/S1474-4422(18)30085-1. Epub 2018 Mar 14. No abstract available. PMID 29550365
Идентификаторы
NCT: NCT07724639 · REC/RCR & AHS/25/0140- sofia