Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAlabama Physical Therapy & Acupuncture
About this trial
The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches associated with type II whiplash associated disorder: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches. This study is attempting to find out if one treatment strategy is more effective than the other.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subacute (> 4 weeks) or chronic type II whiplash associated disorder. Neck pain and headache following motor vehicle accident with reduced range of motion & point tenderness.
Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria.
Headache frequency of at least one per week since the whiplash injury.
Headache intensity of greater than 2/10 on the NPRS.
Disqualifiers
WAD I (neck pain, but no physical signs), WAD III (neck pain and neurological signs), WAD IV (neck pain + fracture/dislocation).
Positive screen for cervical radiography (Canadian C-Spine Rules).
Bilateral headaches (typical of tension type headaches).
Diagnosis / signs & symptoms of concussion (confusion, disorientation, or impaired consciousness; loss of memory for events immediately before or after the MVA; and one or more of the following: nausea, vomiting, visual disturbances, vertigo, gait and/or postural imbalance, and impaired memory and/or concentration).
Trial design
Design model
Parallel
Treatments tested in this trial
Dry Needling,Thrust Manipulation
Other interventionHVLA thrust manipulation to upper cervical and upper thoracic regions. Dry needling to cervicothoracic and craniofacial regions. Up to 8 treatment sessions over 4 weeks.
Exercise,Non-thrust Mobilization
Other interventionNon-thrust mobilization and exercise to upper cervical and upper thoracic regions. Up to 8 treatment sessions over 4 weeks.
Treatment groups
120 Participants
are divided into 2 treatment groupsGroup A: Dry Needling,Thrust ManipulationExperimental treatment 1 intervention
Group B: Exercise,Non-thrust MobilizationActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Change in Headache Intensity (Numeric Pain Rating Scale, 0-10) (Rating Score)
Rating Score on 0-10 scale. Baseline score must exceed 2/10 to be included. Lower scores indicate less pain intensity. the study.
Time frame
Baseline, 4 weeks, 3 months, 6 monthsSecondary outcomes
1
Change in Global Rating of Change Score for Headaches
Rating score for self perceived change with range of -7 to +7. Higher scores indicate greater improvement.
Time frame
6 months2
Change in Global Rating of Change Score for Neck Pain
Rating score for self perceived change with range of -7 to +7. Higher scores indicate greater improvement.
Time frame
6 months3
Change in Medication Intake (Frequency of medication intake in last week)
Over the counter and prescription medication
Time frame
Baseline, 6 months4
Change in Headache Duration (Total hours of headaches in the last week)
Total hours of headaches in the last week
Time frame
Baseline, 4 weeks, 3 months, 6 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Alabama Physical Therapy & Acupuncture
Lead sponsor
Universidad Rey Juan Carlos
Collaborator
Source ClinicalTrials.gov