Trigger Point Therapy in Cervicogenic Headache

C

César Fernández-de-las-Peñas

Status

Completed

Conditions

Cervicogenic Headache

Treatments

Other: TrP manual control therapy
Other: TrP therapy

Study type

Interventional

Funder types

Other

Identifiers

NCT01790074
HPA 2010

Details and patient eligibility

About

It is a pilot randomized controlled trial comparing real and simulated manual treatment of trigger points (TrPs) in patients with cervicogenic headache (CeH). The purpose of the current randomized clinical pilot trial was to determine the preliminary effects of TrP manual therapy in individuals with CeH with sternocleidomastoid muscle active TrPs as compared to manual contact over the muscle tissues.

Full description

CeH pain has been mostly related to joint, disk and ligament pain from the upper cervical spine; however, clinicians should consider that the upper cervical spine also receives afferent inputs from muscles. In fact, the role of referred pain to the head elicited by muscle TrPs has received particular interest in recent years. No study has investigated the effectiveness of TrP manual therapy in patients with CeH exhibiting active TrPs. Investigators hypothesized that patients receiving a real TrP treatment will exhibit a greater reduction in pain, sensitivity, cervical range of motion and neck endurance than those receiving a manual control non-therapeutic intervention.

Enrollment

20 patients

Sex

All

Ages

18 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • unilateral pain starting in the neck and radiating to the frontal-temporal region
  • pain aggravated by neck movement
  • restricted cervical range of motion
  • joint tenderness in at least one of the joints of the upper cervical spine (C1-C3)
  • headache frequency of at least one per week over a period greater than 3 months
  • active TrPs in the sternocleidomastoid muscle

Exclusion criteria

  • other primary headaches (i.e., migraine, tension type-headache)
  • bilateral headaches
  • had received treatment for neck or head pain in the previous year
  • presented any contraindications to manual therapy
  • had pending legal action regarding their neck and head pain.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

20 participants in 2 patient groups, including a placebo group

TrP therapy
Experimental group
Description:
TrP manual therapy comprises different manual approaches, e.g., compression, stretching, or transverse friction massage applied over active TrPs in the sternocleidomastoid muscle
Treatment:
Other: TrP therapy
TrP manual control therapy
Placebo Comparator group
Description:
The treatment consisted of a simulation of the same TrP therapy treatment applied to the experimental group without the application of any therapeutic pressure.
Treatment:
Other: TrP manual control therapy

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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