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New treatment option for Cervicogenic Headache
Official title Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II
ClinicalTrials.gov ID: NCT06502951
What this study is testing
- What it's testing
- The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches associated with type II whiplash associated disorder: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches.
- Which group you join is decided by chance.
A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.
Who can take part
Ages 18 to 65
You may be able to join if
- Subacute (\> 4 weeks) or chronic type II whiplash associated disorder. Neck pain and headache following motor vehicle accident with reduced range of...
- Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria.
- Headache frequency of at least one per week since the whiplash injury.
- Headache intensity of greater than 2/10 on the NPRS.
- Neck pain intensity of greater than 2/10 on the NPRS.
You likely can't join if
- WAD I (neck pain, but no physical signs), WAD III (neck pain and neurological signs), WAD IV (neck pain + fracture/dislocation).
- Positive screen for cervical radiography (Canadian C-Spine Rules).
- Bilateral headaches (typical of tension type headaches).
- Diagnosis / signs \& symptoms of concussion (confusion, disorientation, or impaired consciousness; loss of memory for events immediately before or...
- Diagnosis of fibromyalgia.
- Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral...
See the full eligibility criteria
- Subacute (\> 4 weeks) or chronic type II whiplash associated disorder. Neck pain and headache following motor vehicle accident with reduced range of motion \& point tenderness.
- Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria.
- Headache frequency of at least one per week since the whiplash injury.
- Headache intensity of greater than 2/10 on the NPRS.
- Neck pain intensity of greater than 2/10 on the NPRS.
- Neck Disability Index score of greater than 10/50 on the NDI.
- WAD I (neck pain, but no physical signs), WAD III (neck pain and neurological signs), WAD IV (neck pain + fracture/dislocation).
- Positive screen for cervical radiography (Canadian C-Spine Rules).
- Bilateral headaches (typical of tension type headaches).
- Diagnosis / signs \& symptoms of concussion (confusion, disorientation, or impaired consciousness; loss of memory for events immediately before or after the MVA; and one or more of the following: nausea, vomiting...
- Diagnosis of fibromyalgia.
- Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia, or hyperlipidemia.
- Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e., tumor, fracture, metabolic diseases, RA, osteoporosis, prolonged history of steroid use, etc.).
- Diagnosis of cervical spinal stenosis.
- Bilateral upper extremity symptoms.
- Evidence of central nervous system involvement, to include hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired...
- Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:
- Muscle weakness involving a major muscle group of the upper extremity.
- Diminished upper extremity deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors
- Diminished or absent sensation to pinprick in any UE dermatome.
- Prior surgery to the head, neck, or thoracic spine.
- Physical therapy or chiropractic treatment for neck pain and/or headache in the past 3 months.
- Any condition that might contraindicate spinal manipulative therapy or dry needling.
The study team makes the final eligibility decision.
Where it's taking place
- Montgomery, Alabama, United States
Questions & answers
Do participants get paid in this trial?
This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.
Is it free to join, and do I need insurance?
Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.
How long does this study last?
The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.
Who can join this trial?
This study is enrolling all sexes, 18 years to 65 years. The study team makes the final eligibility decision.
Where is this trial taking place?
Study sites include Montgomery, Alabama, United States. Enter your location above to see the nearest site and check your eligibility.
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BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.