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

Sponsor

Foundation University Islamabad (Other)

Overall Status

Active, not recruiting

CT.gov ID

NCT05777395

Collaborator

(none)

Enrollment

Location

Arms

5.9

Anticipated Duration (Months)

4.4

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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.

Condition or Disease	Intervention/Treatment	Phase
Cervicogenic Headache	Procedure: Maitland Oscillatory Mobilization Procedure: Kaltenborn Sustained Stretch Mobilization Procedure: Conventional therapy	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

26 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Maitland oscillatory mobilizations and the second will receive Kaltenborn sustained stretch mobilizations with conventional physical therapy. Both groups will be recruited concurrently.This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Maitland oscillatory mobilizations and the second will receive Kaltenborn sustained stretch mobilizations with conventional physical therapy. Both groups will be recruited concurrently.

Masking:

Single (Outcomes Assessor)

Masking Description:

The outcome assessor will not be aware of which group the participant belongs to.

Primary Purpose:

Treatment

Official Title:

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

Actual Study Start Date :

Jan 1, 2023

Anticipated Primary Completion Date :

Jun 15, 2023

Anticipated Study Completion Date :

Jul 1, 2023

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Maitland + Conventional PT Group 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.	Procedure: Maitland Oscillatory Mobilization Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds. Procedure: Conventional therapy Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics
Experimental: Kaltenborn + Conventional PT Group 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.	Procedure: Kaltenborn Sustained Stretch Mobilization 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 Procedure: Conventional therapy Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Arm

Intervention/Treatment

Experimental: Maitland + Conventional PT Group

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.

Procedure: Maitland Oscillatory Mobilization

Maitland Posteroanterior unilateral vertebral pressure and Maitland cervical rotation technique will be used.3 sets of 15 repetitions. Each set is of 30 seconds and each repetition is given for 2 seconds.

Procedure: Conventional therapy

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Experimental: Kaltenborn + Conventional PT Group

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.

Procedure: Kaltenborn Sustained Stretch Mobilization

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

Procedure: Conventional therapy

Moist heat, TENS, Neck Muscle Stretching, Neck muscle isometrics

Outcome Measures

Primary Outcome Measures

Pain intensity [2 weeks]
Pain will be measured on the basis of Numeric Pain Rating Scale score.
Cervical range of motion [2 weeks]
Cervical rotation will be measured through CROM device

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 45 Years

Sexes Eligible for Study:

All

Accepts 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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Fauji Foundation Hospital	Rawalpindi	Punjab	Pakistan	4600

Sponsors and Collaborators

Foundation University Islamabad

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Foundation University Islamabad

ClinicalTrials.gov Identifier:

NCT05777395

Other Study ID Numbers:

FUI/CTR/2023/1

First Posted:

Mar 21, 2023

Last Update Posted:

Mar 21, 2023

Last Verified:

Mar 1, 2023

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Post-Traumatic Headache

Headache

Study Results

No Results Posted as of Mar 21, 2023