Carotid Sinus Massage in Trendelenburg Position for Headache Relief (C-SMART)

Hospital Municipal Pedro T. Orellana

Status: Not yet enrolling

Conditions: Migraine; Tension-type Headache

Treatments: Procedure: Combination of right carotid sinus massage and modified Trendelenburg position

Study type: Interventional

Funder types: Other

Identifiers

NCT06745648

HMPTOrellana

Details and patient eligibility

About

Headaches significantly impact patients; quality of life, with tension-type headaches and migraines being common. Evidence suggests that blood pressure and baroreceptors play a role in headaches. Carotid sinus massage (CSM) and the modified Trendelenburg position, techniques that stimulate carotid baroreceptors, may modulate autonomic nervous system activity to relieve headaches. The present study will be evaluate the effectiveness and safety of CSM in the modified Trendelenburg position for immediate headache relief.

Patients suffering from headaches or migraines will be subjected to a CSM while in the modified Trendelenburg position. The procedure will be repeated after a one-minute interval, up to three times. Clinical characteristics, hemodynamic parameters, and treatment responses will be recorded. Pain intensity will be assessed using a 10-point visual analog scale (VAS) before and after the intervention.

Enrollment: 14 estimated patients

Sex: All

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient with migraine
• Tension-type
• Mixed headache based on the International Classification of Headache Disorders.

Exclusion criteria

• Contraindications for Carotid sinus massage: - carotid bruits
• recent myocardial infarction
• stroke, carotid stenosis
• Trendelenburg position: - increased intracranial pressure
• respiratory distress
• congestive heart failure
• No history of syncope or arrhythmias

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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14 participants in 1 patient group

Patient con tension headache, migraine and mixed headache

Experimental group

Treatment:

Procedure: Combination of right carotid sinus massage and modified Trendelenburg position