Effects of Garston Tool and Neuromuscular Reeducation in Cervical Headache

Health Education Research Foundation (HERF)

Status: Completed

Conditions: Cervicogenic Headache

Treatments: Procedure: Neuromuscular Re-education; Device: Garston tool

Study type: Interventional

Funder types: Other

Identifiers

NCT05849545

Jaweria Syed

Details and patient eligibility

About

Patients suffering from Cervicogenic headache have restricted range of motion and pain which in turn causes functional disability and reduced quality of life. The aim of this research was to determine the effects of Graston technique to improve range of motion, function, and reduction of pain and in patients having Cervicogenic headache

Full description

A randomized controlled trial in which Graston Technique and Neuromuscular Re-education technique would be applied on patients presenting with cervicogenic headaches by using different tools and the changes would be examined pre and post intervention. The participants fulfilling inclusion criteria would be randomly allocated to two groups. Both groups received different protocols and will be assessed on data collection tool on their first and last visit using Goniometer, Headache Disability Index (HDI), Neck pain Disability Index (NDI) and Numeric Pain Rating Scale (NPRS). Participants of both groups will be pre-tested before the application of interventional techniques and post-tested after the application of respective intervention.

Enrollment: 30 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: Minimum 20years- Maximum 50 years (Male/Female)
• Unilateral pain
• Neck stiffness and ROM restrictions
• Pain exacerbated by posture and neck movements
• Pain effecting QOL
• Positive flexion-rotation test

Exclusion criteria

• Headache not of cervical origin
• Congenital condition of cervical spine
• Headache with autonomic involvement, dizziness or visual impairment
• Inability to tolerate the flexion rotation test
• Conditions contraindicated for graston technique

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Graston Tool

Experimental group

Description:

Graston instrument, 20 strokes per minute proximal to distal and 20 strokes per minute distal to proximal for a period of 3 minutes was given over the painful area. GT group protocol included the use application of IASTM along with the application of ice therapy at the end of the session. The assessment of patients was done at the initial and last visit before the completion of the treatment program. Three treatment sessions per week were given to each patient for a total of four weeks.

Treatment:

Device: Garston tool

Neuromuscular Re-Education

Active Comparator group

Description:

General stretching and strengthening exercises for the neck muscles. The protocol of treatment for the NMR group included the use of the Neuromuscular re-education soft tissue mobilization technique (NMR) followed by active movements of the patient.

Treatment:

Procedure: Neuromuscular Re-education