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IRCT20230815059155N1 IRCT 2023-09-15 Iran University of Medical Sciences Effect of mobilization with movement technique in athletes with cervicogenic headache The effect of mobilization with movement technique on pain, disability and range of motion in athletes with chronic cervicogenic headache 2023-09-04 anticipated 32 Complete https://irct.ir/trial/72079 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After entering the study, participants are randomly assigned to two treatment groups, mobilization with movement and control group, using block balanced randomization method. generatorslist.com system is used to determine random numbers (random allocation); This method is done with the help of four-digit blocks including even and odd numbers. For this purpose, 4-digit numbers are chosen, which have 2 even digits and 2 odd digits; Each figure represents each person participating in the study. Even numbers indicate the group of mobilization with movement and odd numbers indicate the treatment group of common exercise therapy, Blinding description: At the end of the random allocation, the numbers will be placed inside the numbered envelopes and after the initial evaluation by the examiner, the numbered envelopes corresponding to the sequential number of each person entered into the study will be given to him. Finally, after each participant enters the treatment sessions, the therapist opens the envelope related to the person in question and applies therapeutic interventions based on the numbers inside the envelope. Also, the evaluator will be unaware of which group each subject is in. N/A Cervicogenic headache. Intervention 1: Intervention group: This group is treated with the Mulligan cervical Sustained Natural Apophyseal Glide technique on the C2 vertebra. This technique is performed for twenty minutes in each session, three times a week for four weeks. Intervention 2: Control group: This group is trained to strengthen deep neck flexors using a pressure biofeedback device in such a way that the exercises are repeated for 3 sets, and 2 mm of mercury is added to the pressure in each set. The pressure increases from 22 to 32 mmHg during 4 weeks of treatment. Each exercise set is held for 10 seconds and repeated 10 times; 5 seconds rest between each repetition and 2 minutes rest between each set. Also, stretching of the suboccipital, scalene, upper trapezius, levator scapula and sternocleidomastoid muscles is also done for these patients. The duration of stretching for each muscle is 10 seconds and 5 seconds of rest with the number of repetitions of 10 repetitions in the form of a training set. Yes - There is a plan to make this available What will be shared: All data collected from participants after de-identification, study protocol, statistical analysis plan, designed forms for informed consent and questionnaires, clinical report of the study, codes used in the analysis and information about data classification after can be published upon request from the researcher after the of the study. When: The period of access to data documentation begins 6 months after the results are published. To whom: These documents will be accessible to researchers related to academic and scientific institutions and physiotherapists working in other centers. Conditions: These data are accessible if they are not used for the purpose of analysis, conclusion and statistical review in another study (except for review and systematic studies). Where to obtain: Nima Mirzaaghatabar: nima.mirzaaghatabar@gmail.com Sanaz Shanbehzadeh: sanazshanbehzadeh@gmail.com How to obtain: By sending a message to the given email addresses, the person must first mention the name, degree and field of study and the related center or institution and present the data he needs and what it will be used for. Then after checking and if the necessary conditions are met, the requested documents will be sent to the person within a week. Comments:
public Sanaz Shanbehzade
School of Rehabilitation Science of Iran University, Madadkaran Alley, Shahnazari Ave, Madar Square, Mirdamad
Tehran Iran (Islamic Republic of) 1545913487 +98 21 2222 8051 sanazshanbehzadeh@gmail.com Iran University of Medical Sciences scientific Sanaz Shanbehzadeh
School of Rehabilitation Science of Iran University, Madadkaran Alley, Shahnazari Ave, Madar Square, Mirdamad
Tehran Iran (Islamic Republic of) 1545913487 +98 21 2222 8051 sanazshanbehzadeh@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) Diagnosis of cervicogenic headache with diagnostic index of World Headache Society Positive flexion-rotation test Have headaches for 3 months or more Recreational athletes Between 20 and 50 years old 20 years 50 years Both Have neurological disorders or neck arthritis History of fracture, injury or surgery in the neck area Congenital malformations Bone infection Cervical disc herniation or upper limb radiculopathy Migraine Performing other therapeutic interventions at the same time Absence in 3 consecutive sessions or more G44.86 Cervicogenic headache is a medical classification as listed by WHO under the range - Diseases of the nervous system Rehabilitation Rehabilitation Intervention group: This group is treated with the Mulligan cervical Sustained Natural Apophyseal Glide technique on the C2 vertebra. This technique is performed for twenty minutes in each session, three times a week for four weeks. Control group: This group is trained to strengthen deep neck flexors using a pressure biofeedback device in such a way that the exercises are repeated for 3 sets, and 2 mm of mercury is added to the pressure in each set. The pressure increases from 22 to 32 mmHg during 4 weeks of treatment. Each exercise set is held for 10 seconds and repeated 10 times; 5 seconds rest between each repetition and 2 minutes rest between each set. Also, stretching of the suboccipital, scalene, upper trapezius, levator scapula and sternocleidomastoid muscles is also done for these patients. The duration of stretching for each muscle is 10 seconds and 5 seconds of rest with the number of repetitions of 10 repetitions in the form of a training set. Headache intensity based on Visual Analog Scale. Timepoint: Before intervention, at the end of intervention & 4 weeks after the end of intervention. Method of measurement: Visual Analog Scale. Disability. Timepoint: Before intervention, at the end of intervention & 4 weeks after the end of intervention. Method of measurement: Henry Ford Hospital Headache Disability Inventory. Upper cervical range of motion. Timepoint: Before intervention, at the end of intervention & 4 weeks after the end of intervention. Method of measurement: Flexion-rotation test & Cervical Range of Motion device. Headache duration. Timepoint: Before intervention, at the end of intervention & 4 weeks after the end of intervention. Method of measurement: Questionnaire. Headache frequency. Timepoint: Before intervention, at the end of intervention & 4 weeks after the end of intervention. Method of measurement: Questionnaire. Iran University of Medical Sciences Approved 2023-08-06 Ethics committee of Iran University of Medical Sciences No. 1, Shahid Asadi Alley, Haftome tir Ave., Danesh-amuz Blvd., Hafte tir Cross road, Karaj Karaj Alborz Iran (Islamic Republic of)