Comparison of Maitland Oscillatory Mobilizations With Kaltenborn Sustained Stretch Mobilizations in Cervicogenic Headache Patients

Foundation University Islamabad

Status: Active, not recruiting

Conditions: Cervicogenic Headache

Treatments: Procedure: Conventional therapy; Procedure: Kaltenborn Sustained Stretch Mobilization; Procedure: Maitland Oscillatory Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT05777395

FUI/CTR/2023/1

Details and patient eligibility

About

Cervicogenic headache is a common headache that causes disability and affects everyday activities. Headache related disorders are the second most common reason for years lived with disability all over the world. According to the latest International Headache Society model, cervicogenicheadache (CGH) is a secondary headache having C1-C2 dysfunction. There is marked limitation in cervical ROM specially rotation. Treatment indicated involves use of electrotherapy and thermal modalities. In addition, use of different manual therapy techniques are advocated to eliminate the root cause i.e. C1-C2 dysfunction. Maitland mobilizations for cervical spine have been found to be effective in treating CGH patients. Maitland mobilizations uses oscillatory mobilizations and has four grades. Kaltenborn, on the other hand, applies sustained stretches and has 3 grades.So, the study will be focusing on comparing the effectiveness of these two mobilizations on cervicogenic headache patients.

Enrollment: 26 estimated patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 18-45 years
• Both males and females
• Unilateral headache with no shift of side
• C1-C2 dysfunction
• Headache with neck stiffness
• Headache at least once a month in the last 3 months
• Positive flexion rotation test (Rotation restriction is greater than 10 degrees)
• Headache with a score of at least 4 in the Numeric pain rating scale

Exclusion criteria

• Cervical spondylosis
• Headache of non-cervical origin
• Dizziness or visual disturbance
• Cervical radiculopathy/ nerve root involvement/ disc herniation
• Cervical instability/ fracture
• Vertebrobasilar insufficiency
• Thoracic outlet syndrome
• Cervical spine surgery
• Cervical spondylolisthesis
• Spinal infection or tumors
• Osteoporosis
• History of trauma
• Metabolic disorders
• Rheumatoid Arthritis
• Inflammatory Arthritis

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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26 participants in 2 patient groups

Maitland + Conventional PT Group

Experimental group

Description:

Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Maitland oscillatory mobilizations. 3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given in 2 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3. * Techniques used are postero-anterior unilateral vertebral pressure and Maitland rotation.

Treatment:

Procedure: Maitland Oscillatory Mobilization

Procedure: Conventional therapy

Kaltenborn + Conventional PT Group

Experimental group

Description:

Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Kaltenborn sustained stretch mobilizations. 3 sets of 15 repetitions for 3 seconds. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 and then progressed to 2 and 3. * Kaltenborn technique used will be atlas-axis rotation.

Treatment:

Procedure: Conventional therapy

Procedure: Kaltenborn Sustained Stretch Mobilization