Clinical Trial: Spinal Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Cervicogenic Headache

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Interventional

Official Title: Spinal Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Cervicogenic Headache: a Multi-center Randomized Clinical Trial

Brief Summary: The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches. This study is attempting to find out if one treatment strategy is more effective than the other.

Detailed Summary: Patients with cervicogenic headaches will be randomized to receive 1-2 treatment sessions per week for 4 weeks (up to 8 sessions total) of either: (1) Dry Needling and HVLA thrust manipulation group, or the (2) Exercise and non-thrust mobilization group
Sponsor: Alabama Physical Therapy & Acupuncture

Current Primary Outcome:

  • Change in Headache Intensity (NPRS) (Rating Score) [ Time Frame: Baseline, 1 week, 4 weeks, 3 months ]
    Rating Score. Baseline score must exceed 2/10 to be included in the study.
  • Change in Headache Frequency (Number of headaches in the last week) [ Time Frame: Baseline, 1 week, 4 weeks, 3 months ]
    Number of headaches in the last week
  • Change in Disability (NDI 0-50 points) [ Time Frame: Baseline, 1 week, 4 weeks, 3 months ]
    10 Questions each worth 0-5 points with maximum score of 50 points possible. Baseline score must exceed 10/50 to be included in study.


Original Primary Outcome: Same as current

Current Secondary Outcome:

  • Change in Global Rating of Change Score [ Time Frame: 1 week, 4 weeks, 3 months ]
  • Change in Medication Intake (Frequency of medication intake in last week) [ Time Frame: Baseline, 3 months ]
  • Change in Headache Duration (Total hours of headaches in the last week) [ Time Frame: Baseline, 1 week, 4 weeks, 3 months ]
    Total hours of headaches in the last week


Original Secondary Outcome: Same as current

Information By: Alabama Physical Therapy & Acupuncture

Dates:
Date Received: February 10, 2015
Date Started: February 2015
Date Completion: February 2017
Last Updated: July 11, 2016
Last Verified: July 2016