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IRCT20200101045970N2 IRCT 2020-09-30 Esfahan University of Medical Sciences The effect of Pain Neurophysiology Education in the treatment of Cervicogenic headache The effect of Pain Neurophysiology Education in the treatment of Cervicogenic headache: A randomized clinical trial 2020-09-25 anticipated 30 Complete https://irct.ir/trial/44657 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, due to the small number of samples, in consultation with a statistician, it was decided to use the random blocking method. Blocking is usually used to balance the number of samples assigned to each of the groups studied. Statistics expert using the website https://www.sealedenvelope.com/simple-randomiser/v1/lists 15 blocks of 2 were designed considering that we had 2 groups. Divides patients according to this table is unaware of the study, Blinding description: Assessments are performed by a person who is unaware of the groups. After completing the questionnaires, the subjects were randomly divided into two groups with block method by one person who was unaware of the study. N/A Cervicogenic Headache. Intervention 1: Intervention group: Pain Neurophysiology Education: This method is taught to patients by the student. In the pain neurophysiology group, the training will be such that using simple methods such as presenting with PowerPoint slides, pain transfer methods will be explained in 4 sessions of one hour and one session per week in a simple way. Pain neurophysiology training based on the book Explain pain supercharged by G.L. Mosely and D.S. It will be Butler. This training includes explanations of the origin of acute pain in the nervous system, how to change acute pain to chronic, central sensitivity, the role of the brain in perceiving pain, psychosocial factors affecting pain and cognitive and behavioral reactions related to pain and pain management. There is no reference to the anatomy and mechanics of the neck in these sessions. Intervention 2: Control group: Conventional Physiotherapy: This method is applied by a physiotherapist in the physiotherapy department. In this group, for 10 sessions, use Conventional TENS with a frequency of 100 Hz with a duration of 100 microseconds for 20 minutes. The electrode will be placed so that two electrodes from one channel are placed on the paravertebral muscles of the neck and two electrodes from the other channel are placed on the upper trapezius muscles. The hot pack will also be used at the same time as using TENS on the electrodes. In addition, Continuous ultrasound waves with a frequency of 1 MHz and an intensity of 1 w / cm2 will be used for 5 minutes on the posterior muscles of the upper vertebrae. It also teaches the patient exercise therapy using active exercises. No - There is not a plan to make this available Justification or reason for not sharing IPD is We are not able to publish data ethically and misuse information.
public Dr. Ehsan Ghasemi
Hezar jreeb Ave.
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences scientific Dr. Ehsan Ghasemi
Hezar Jreeb Ave.
Isfahan Iran (Islamic Republic of) 8174673461 +98 31 3669 3089 eghasemi@rehab.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Unilateral headache that spreads to the frontotemporal region. Pain exacerbation associated with movement or inappropriate neck postures. Moderate to severe non-pulsatile pain based on Numeric Rating Pain Scale not lower than grade 2 Enough reading and writing skills are also a requirement for inclusion. 18 years 60 years Both Neck Radiculopathy History of neck injury Any other neck pain agent, including osteoarthritis History of cervical trigger point treatment by manual or dry needle treatment over the past 6 months Cognitive disorders Previous history of primary headache diagnosis (such as migraine and tension headache) Use of painkillers during treatment Previous history of neck or shoulder surgery Failure to co-operate G44.8 Other specified headache syndromes Treatment - Other Rehabilitation Intervention group: Pain Neurophysiology Education: This method is taught to patients by the student. In the pain neurophysiology group, the training will be such that using simple methods such as presenting with PowerPoint slides, pain transfer methods will be explained in 4 sessions of one hour and one session per week in a simple way. Pain neurophysiology training based on the book Explain pain supercharged by G.L. Mosely and D.S. It will be Butler. This training includes explanations of the origin of acute pain in the nervous system, how to change acute pain to chronic, central sensitivity, the role of the brain in perceiving pain, psychosocial factors affecting pain and cognitive and behavioral reactions related to pain and pain management. There is no reference to the anatomy and mechanics of the neck in these sessions. Control group: Conventional Physiotherapy: This method is applied by a physiotherapist in the physiotherapy department. In this group, for 10 sessions, use Conventional TENS with a frequency of 100 Hz with a duration of 100 microseconds for 20 minutes. The electrode will be placed so that two electrodes from one channel are placed on the paravertebral muscles of the neck and two electrodes from the other channel are placed on the upper trapezius muscles. The hot pack will also be used at the same time as using TENS on the electrodes. In addition, Continuous ultrasound waves with a frequency of 1 MHz and an intensity of 1 w / cm2 will be used for 5 minutes on the posterior muscles of the upper vertebrae. It also teaches the patient exercise therapy using active exercises. Pain intensity. Timepoint: Before and after treatment and one month follow up. Method of measurement: Visual Analog Scale. Pain frequency. Timepoint: Before and after treatment and one month follow up. Method of measurement: Questionnaire. Pain Duration. Timepoint: Before and after treatment and one month follow up. Method of measurement: Questionnaire. Headache Disability Inventory. Timepoint: Before and after treatment and one month follow up. Method of measurement: Headache Disability Inventory. Pain Catastrophizing rate. Timepoint: Before and after treatment and one month follow up. Method of measurement: Pain Catastrophizing Scale. Esfahan University of Medical Sciences Approved 2020-08-04 Isfahan Medical University Hezar Jrib Isfahan Isfehan Iran (Islamic Republic of)