Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorAlabama Physical Therapy & Acupuncture
About this trial
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. This study is attempting to find out if one treatment strategy is more effective than the other.
Eligibility criteria
Qualifiers
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.
Disqualifiers
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, visual disturbances, vertigo, gait and/or postural imbalance, and impaired memory and/or concentration).
Trial design
Treatments tested in this trial
- Dry Needling,Thrust Manipulation
- Exercise,Non-thrust Mobilization
Treatment groups
120 Participants
are divided into 2 treatment groupsSponsors and collaborators
Alabama Physical Therapy & Acupuncture
Lead sponsor
Universidad Rey Juan Carlos
Collaborator
Source ClinicalTrials.gov