[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100554735":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":33,"centralContacts":38,"locations":48,"responsibleParty":67,"collaborators":70,"id":73,"slug":74,"hasResults":75,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":42,"eligibilityCriteria":79,"healthyVolunteers":75,"sex":80,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":42,"studyType":86,"phases":87,"briefSummary":89,"conditions":90,"keywords":93,"overallStatus":50,"whyStopped":42,"lastUpdateSubmitDate":96,"lastUpdatePostDateStruct":97,"startDateStruct":100,"completionDateStruct":102,"leadSponsor":104,"locationsCount":105},{"fullName":5,"class":6},"Alabama Physical Therapy & Acupuncture","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Dry Needling,Thrust Manipulation","EXPERIMENTAL","Dry needling to the craniofacial, upper cervical, and cervicothoracic regions. High-velocity thrust manipulation to the upper cervical spine, mid\u002Flower cervical spine, and cervicothoracic spinal regions.",[13],"Other: Dry Needling,Thrust Manipulation",{"label":15,"type":16,"description":17,"interventionNames":18},"Exercise,Non-thrust Mobilization","ACTIVE_COMPARATOR","Nonthrust joint mobilization to the upper cervical spine, mid\u002Flower cervical spine, and cervicothoracic spinal regions. Cranio-cervical flexion exercises, peri-scapular progressive resistance exercises, and electrothermal modalities",[19],"Other: Exercise,Non-thrust Mobilization",[21,27],{"type":6,"name":9,"description":22,"armGroupLabels":23,"otherNames":24},"HVLA thrust manipulation to upper cervical and upper thoracic regions. Dry needling to cervicothoracic and craniofacial regions. Up to 8 treatment sessions over 4 weeks.",[9],[25,26],"Spinal Manipulation","Dry Needling",{"type":6,"name":15,"description":28,"armGroupLabels":29,"otherNames":30},"Non-thrust mobilization and exercise to upper cervical and upper thoracic regions. Up to 8 treatment sessions over 4 weeks.",[15],[31,32],"Exercise","Non-thrust Mobilization",[34],{"name":35,"affiliation":36,"role":37},"James Dunning, PhD, DPT","American Academy of Manipulative Therapy","PRINCIPAL_INVESTIGATOR",[39,44],{"name":35,"role":40,"phone":41,"phoneExt":42,"email":43},"CONTACT","801-707-9056",null,"drjamesdunning@gmail.com",{"name":45,"role":40,"phone":46,"phoneExt":42,"email":47},"Ian Young, DSc, PT","912-433-3531","tybeewellness@gmail.com",[49],{"facility":5,"status":50,"city":51,"state":52,"zip":53,"country":54,"countryCode":55,"cosmosGeoPoint":56,"geoPoint":61,"contacts":62},"RECRUITING","Montgomery","Alabama","36117","United States","US",{"type":57,"coordinates":58},"Point",[59,60],-86.29997,32.36681,{"lat":60,"lon":59},[63,65],{"name":35,"role":40,"phone":41,"phoneExt":42,"email":64},"jamesdunning@hotmail.com",{"name":66,"role":40,"phone":46,"phoneExt":42,"email":47},"Ian Young, DSc PT",{"type":37,"investigatorFullName":68,"investigatorTitle":69,"investigatorAffiliation":5,"oldNameTitle":42,"oldOrganization":42},"James Dunning, DPT, MSc, FAAOMPT","PhD, DPT, FAAOMPT",[71],{"name":72,"class":6},"Universidad Rey Juan Carlos","100554735","manipulation-and-dry-needling-in-patients-with-cervicogenic-headache-and-wad-ii-100554735",false,"NCT06502951","Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II","Upper Cervical Spine Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Cervicogenic Headache and Type II Whiplash Associated Disorder: a Multi-center Randomized Clinical Trial","Inclusion Criteria:\n\n1. 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.\n2. Diagnosis of cervicogenic headache as defined by Cervicogenic Headache International Study Group criteria.\n3. Headache frequency of at least one per week since the whiplash injury.\n4. Headache intensity of greater than 2\u002F10 on the NPRS.\n5. Neck pain intensity of greater than 2\u002F10 on the NPRS.\n6. Neck Disability Index score of greater than 10\u002F50 on the NDI.\n\nExclusion Criteria:\n\n1. WAD I (neck pain, but no physical signs), WAD III (neck pain and neurological signs), WAD IV (neck pain + fracture\u002Fdislocation).\n2. Positive screen for cervical radiography (Canadian C-Spine Rules).\n3. Bilateral headaches (typical of tension type headaches).\n4. Diagnosis \u002F 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\u002For postural imbalance, and impaired memory and\u002For concentration).\n5. Diagnosis of fibromyalgia.\n6. Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia, or hyperlipidemia.\n7. 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.).\n8. Diagnosis of cervical spinal stenosis.\n9. Bilateral upper extremity symptoms.\n10. 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 sensation of the face, altered taste, the presence of pathological reflexes (i.e. positive Hoffman's and\u002For Babinski reflexes).\n11. Two or more positive neurologic signs consistent with nerve root compression, including any two of the following:\n\n    1. Muscle weakness involving a major muscle group of the upper extremity.\n    2. Diminished upper extremity deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors\n    3. Diminished or absent sensation to pinprick in any UE dermatome.\n12. Prior surgery to the head, neck, or thoracic spine.\n13. Physical therapy or chiropractic treatment for neck pain and\u002For headache in the past 3 months.\n14. Any condition that might contraindicate spinal manipulative therapy or dry needling.","ALL","18 Years","65 Years",{"count":84,"type":85},120,"ESTIMATED","INTERVENTIONAL",[88],"NA","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.",[91,92],"Cervicogenic Headache","Whiplash Injuries",[94,95],"Headache","Whiplash","2025-05-07",{"date":98,"type":99},"2025-05-11","ACTUAL",{"date":101,"type":99},"2024-07-20",{"date":103,"type":85},"2026-05-01",{"name":5,"class":6},1]