Dry Needling for Cervicogenic Headache
关键词
抽象
描述
This is a single-blinded randomized clinical trial. Eligible participants who agree to enroll in the study will be asked to attend four testing sessions. Participants in both groups will receive dry needling to the involved head and cervical muscles and the other group, in addition to receiving a dry needling intervention, will be instructed in a standard home exercise program consisting of strengthening and stretching exercises for the upper quarter. All dry needling (using standard clean technique) will be performed by licensed physical therapists board certified in orthopaedic physical therapy and having a minimum of 5 years of experience treating patient populations with dry needling.
The aim of this research study is to compare he effectiveness of dry needling alone with dry needling and a home exercise program on pain, pain sensitivity, cervical range of motion, and changes in the severity and frequency among individuals with headache symptoms.
日期
| 最后验证: | 04/30/2020 |
| 首次提交: | 03/09/2020 |
| 提交的预估入学人数: | 03/09/2020 |
| 首次发布: | 03/11/2020 |
| 上次提交的更新: | 05/17/2020 |
| 最近更新发布: | 05/18/2020 |
| 实际学习开始日期: | 02/11/2020 |
| 预计主要完成日期: | 03/31/2020 |
| 预计完成日期: | 03/31/2020 |
状况或疾病
干预/治疗
Procedure: Dry Needling
Other: Dry needling and upper extremity stretching program Arm
相
手臂组
| 臂 | 干预/治疗 |
|---|---|
| Experimental: Dry needling and upper extremity stretching program Arm Participants will receive a combination of dry needling and upper extremity stretching.
Dry needling in regions of the head and cervical spine will be positioned supine, sidelying or prone with the relevant myofascial trigger points treated using a Seirin L- type 30 mm needle (Seirin America, Inc., Weymouth, MA). The needle will be inserted to a depth no greater than three-quarters length of the needle for 30 seconds using a vertical pistoning technique and then statically up to 5 minutes.
A standard home exercise program consisting of strengthening and stretching exercises for the upper quarter. | Other: Dry needling and upper extremity stretching program Arm A standard home exercise program consisting of strengthening and stretching exercises for the upper quarter |
| Active Comparator: Dry Needling Arm Dry needling in regions of the head and cervical spine will be positioned supine, sidelying or prone with the relevant myofascial trigger points treated using a Seirin L- type 30 mm needle (Seirin American, Inc., Weymouth, MA). The needle will be inserted to a depth no greater than three-quarters length of the needle for 30 seconds using a vertical pistoning technique and then statically up to 5 minutes. |
资格标准
| 有资格学习的年龄 | 18 Years 至 18 Years |
| 有资格学习的性别 | All |
| 接受健康志愿者 | 是 |
| 标准 | Inclusion Criteria: - Unilateral headache (HA) without side shift - H/o pain triggered by neck movement - Limitation in cervical range of motion - Ispilateral neck, shoulder or arm pain - Intermittent pain with episodes varying in duration - Head and neck pain is non-throbbing in nature Exclusion Criteria: - Use of anti-coagulation medicine (except low dose aspirin) - Pregnancy - Acute or uncontrolled medical illness - Opioid use within six months - Fibromyalgia or diffuse painful syndromes in the UE or LE - Substance abuse - Presence of fever, vomiting or visual changes |
结果
主要结果指标
1. Change in visual analog score for pain level [Baseline, Weeks 1 to 4 post intervention]
2. Change in pain pressure threshold (PPT) [Baseline, Weeks 1 to 4 post intervention]
3. Change in cervical range of motion [Baseline, Weeks 1 to 4 post intervention]
4. Functional outcome measure: Change in neck disability index [Baseline, Weeks 1 to 4 post intervention]
5. Functional outcome measure: Change in headache disability index [Baseline, Weeks 1 to 4 post intervention]
6. Change in Pain Frequency-Severity-Duration (PFDS) Scale [Baseline, Weeks 1 to 4 post intervention]
