[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"leadSponsorName\":\"Alabama Physical Therapy & Acupuncture\",\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:":99},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,4,0,[8,41,58,75],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":30,"startDateStruct":33,"completionDateStruct":35,"leadSponsor":37,"locationsCount":40},"100409301","hvlat-electric-dn-exercise-vs-mobilization-stm-exercise-tens-for-tension-type-headaches-100409301",false,"NCT04609709","HVLAT, Electric DN, Exercise Vs. Mobilization, STM, Exercise, TENS for Tension Type Headaches","Thrust Manipulation, Electric Dry Needling and Exercise Vs. Non-thrust Mobilization, Soft-Tissue Mobilization, Exercise and TENS for Tension Type Headache Sufferers","Inclusion Criteria:\n\n* Patient must be between 18 and 65 years old and report ALL YES under one of the Tension-type Headaches described below:\n\n2.2 Frequent Episodic Tension-type Headaches: Frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting minutes to days. The pain does not worsen with routine physical activity and is not associated with nausea, but photophobia or phonophobia may be present.\n\n1. At least 10 episodes of headache occurring on 1- 14 days per month on average for \\>3 months (12 and \\\u003C180 days per year)\n2. Headache lasting from 30 minutes to 7 days\n3. Patient has headaches that have at least two of the following four characteristics:\n\n   1. Bilateral location\n   2. Pressing or tightening (non-pulsating) quality\n   3. Mild or moderate intensity\n   4. Not aggravated by routine physical activity such as walking or climbing stairs\n4. Both of the following are true:\n\n   1. No nausea or vomiting\n   2. No more than one of photophobia or phonophobia\n\n2.2.1 Frequent Episodic Tension-type Headache associated with pericranial tenderness\n\n1. Episodes fulfilling criteria for Frequent episodic tension-type headache (See 2.2 above)\n2. Increased pericranial tenderness on manual palpation.\n\n2.3 Chronic Tension-type Headaches: A disorder evolving from frequent episodic tension-type headache, with daily or very frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting hours to days, or unremitting. The pain does not worsen with routine physical activity, but may be associated with mild nausea, photophobia or phonophobia.\n\n1. Headache occurring on 15 days per month on average for \\>3 months (180 days per year)\n2. Headache lasting hours to days, or unremitting\n3. At least two of the following four characteristics\n\n   1. Bilateral location\n   2. Pressing or tightening (non-pulsating) quality\n   3. Mild or moderate intensity\n   4. Not aggravated by routine physical activity such as walking of climbing stairs\n4. Both of the following:\n\n   1. No more than one of the photophobia, phonophonbia, or mild nausea\n   2. Neither moderate or severe nausea nor vomiting\n\n2.3.1 Chronic Tension-type Headache associated with pericranial tenderness\n\n1. Headache fulfilling criteria for 2.3 Chronic tension- type headache\n2. Increased pericranial tenderness on manual palpation.\n\nExclusion Criteria:\n\nExclusion Criteria: Must all be NO to be eligible\n\n1. Patient presents with other primary and\u002For secondary headache\n2. Patient presents with Medication Overuse Headache defined as:\n\n   1. Headache occurring on 15 days per month in a patient with a pre-existing headache disorder\n   2. Regular overuse for \\>3 months of one of more drug that can be taken for acute and\u002For symptomatic treatment of headache\n   3. Not better accounted for by another headache diagnosis\n3. History of head\u002Fneck trauma (to include whiplash)\n4. History of Cervical Stenosis\n5. Presence of any of the following atherosclerotic risk factors: hypertension, diabetes, heart disease, stroke, transient ischemic attack, peripheral vascular disease, smoking, hypercholesterolemia or hyperlipidemia\n6. Red flags noted in the patient's Neck Medical Screening Questionnaire (i.e. tumors, fracture, metabolic diseases, RA, osteoporosis, history of prolonged steroid use, etc.\n7. Bilateral upper extremity symptoms\n8. Evidence of CNS 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, presence of pathological reflexes (i.e. positive Hoffman's and\u002For Babinski reflexes).\n9. Two or more positive neurologic signs consistent with nerve root compression, including any 2 of the following:\n\n   1. Muscle weakness involving a major muscle group of the upper extremity.\n   2. Diminished UE deep tendon reflex of the biceps, brachioradialis, triceps or superficial flexors\n   3. Diminished or absent sensation to pinprick in any UE dermatome.\n10. Prior surgery to neck of thoracic spine\n11. Involvement in litigation or worker's compensation regarding their neck pain and\u002For headaches\n12. Diagnosis of fibromyalgia syndrome\n13. Received anesthetic blocks or botulinum toxin within the previous 6 months\n14. Received physical treatment in the neck and head the previous 6 months\n15. Any condition that might contraindicate spinal manipulative therapy\n16. Pregnancy","ALL","18 Years","65 Years",{"count":20,"type":21},110,"ESTIMATED","INTERVENTIONAL",[24],"NA","The purpose of this research is to compare two different approaches for treating patients with tension-type headaches: thrust Manipulation, electric dry Needling and exercise Vs. non-thrust mobilization, soft-tissue mobilization, exercise and TENS. Physical therapists commonly use all of these techniques to treat tension-type headaches. This study is attempting to find out if one treatment strategy is more effective than the other.",[27],"Tension-Type Headache","RECRUITING","2025-05-14",{"date":31,"type":32},"2025-05-18","ACTUAL",{"date":34,"type":32},"2020-10-31",{"date":36,"type":21},"2026-05-01",{"name":38,"class":39},"Alabama Physical Therapy & Acupuncture","OTHER",1,{"id":42,"slug":43,"hasResults":11,"nctId":44,"briefTitle":45,"officialTitle":46,"acronym":4,"eligibilityCriteria":47,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":48,"enrollmentInfo":49,"targetDuration":4,"studyType":22,"phases":50,"briefSummary":51,"conditions":52,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":54,"startDateStruct":55,"completionDateStruct":56,"leadSponsor":57,"locationsCount":40},"100409303","manual-therapy-exercise-and-us-vs-manual-therapy-exercise-and-us-for-medial-epicondylalgia-100409303","NCT04609735","Manual Therapy, Exercise and US Vs. Manual Therapy, Exercise and US for Medial Epicondylalgia","Manual Therapy, Exercise and Ultrasound Vs. Manual Therapy, Exercise, Ultrasound and Electric Dry Needling for Patients With Medial Epicondylalgia","Inclusion Criteria:\n\n1. Adult between18 and 60 years old that is able to speak English.\n2. Report of at least 6 weeks of elbow (i.e. medial epicondyle) and ventral forearm pain, consistent with medial epicondylalgia.\n3. Patient has not had physical therapy, massage therapy, chiropractic treatment or injections for elbow pain in the last 6 months.\n4. Diagnosis of medial epicondylalgia, defined as the following:(Walz, 2010; Shin, 2019)\n\n   1. Tenderness is elicited by palpation of the insertion of the flexor-pronator mass (5-10 mm distal and anterior to the middle aspect of the medial epicondyle)\n   2. Pain is exacerbated by resisted wrist flexion and forearm pronation at an angle of 90°\n\nExclusion Criteria:\n\n1. Report of red flags to manual physical therapy to include: severe hypertension, infection, uncontrolled diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe varicosities, tumor, metabolic disease, prolonged steroid use, fracture, RA, osteoporosis, severe vascular disease, malignancy, etc.\n2. Report of Previous surgery of the elbow, history of elbow dislocation, elbow fracture and\u002For tendon rupture.\n3. History of or presentation consistent with osteochondritis dissecans, osteoarthrosis, MCL injury (i.e. Pain with valgus stress or positive \"milking test\" - pulling on the thumb with the elbow in flexion and the forearm in supination), flexor-pronator strain, and ulnar neuropathy (i.e. Positive Tinel sign - distal pain and tingling during direct compression of the nerve at the elbow).\n4. Report of systemic neurological disorders and\u002For neurological deficits to include the following: a. Nerve root compression (muscle weakness involving a major muscle group of the upper extremity, diminished upper extremity deep tendon reflex, or diminished or absent sensation to pinprick in any upper extremity dermatome) b. Cervical or thoracic spinal stenosis (exhibited by bilateral upper extremity symptoms) c. Central nervous system involvement (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) d. History of whiplash or T-spine injury injury within the previous 6 weeks 5. History of surgery to the head\u002Fneck\u002FT-spine or affected upper extremity.\n\n6\\. Psychiatric disorders or cognitively impaired 7. Pregnancy","60 Years",{"count":20,"type":21},[24],"The purpose of this research is to compare two different approaches for treating patients with medial epicondylalgia: manual therapy, exercise and ultrasound and manual therapy, exercise, ultrasound and electric dry needling. Physical therapists commonly use all of these techniques to treat medial epicondylalgia. This study is attempting to find out if one treatment strategy is more effective than the other.",[53],"Epicondylalgia",{"date":31,"type":32},{"date":34,"type":32},{"date":36,"type":21},{"name":38,"class":39},{"id":59,"slug":60,"hasResults":11,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":4,"eligibilityCriteria":64,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":65,"targetDuration":4,"studyType":22,"phases":66,"briefSummary":67,"conditions":68,"keywords":4,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":29,"lastUpdatePostDateStruct":70,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":74,"locationsCount":40},"100360092","electrical-dn-as-an-adjunct-to-eccentric-exercise-stretching--mt-for-achilles-tendinopathy-100360092","NCT03968614","Electrical DN as an Adjunct to Eccentric Exercise, Stretching + MT for Achilles Tendinopathy","Electrical Dry Needling as an Adjunct to Eccentric Exercise, Stretching and Manual Therapy for Mid-portion Achilles Tendinopathy: a Multicenter Randomized Clinical Trial","Inclusion Criteria:\n\n1. Adult \\>18 years old that is able to speak English.\n2. Report of at least 3 months of Achilles pain clinically diagnosed as Achilles tendonitis or Achilles tendinopathy\n3. Patient has not had physical therapy, massage therapy, chiropractic treatment or injections for Achilles pain in the last 6 months:\n4. Diagnosis of noninsertional tendinopathy, defined as the following\n\n   * Subjective report of pain located 2-6 cm proximal to the insertion of Achilles tendon to the calcaneus, particularly with running or jumping\n   * Tenderness to palpation of the Achilles tendon while the clinician gently squeezes the tendon between the thumb and index finger in a proximal to distal direction\n   * Positive Arc Sign - Intratendinous swelling moves relative to the malleoli with the tendon during active dorsi\u002Fplantar Flexion\n   * Royal London Test - Tenderness to palpation decreases significantly or disappears with max dorsiflexion\n\nExclusion Criteria:\n\n1. Report of red flags to manual physical therapy to include: hypertension infection, diabetes, peripheral neuropathy, heart disease, stroke, chronic ischemia, edema, severe vascular disease, malignancy, etc.\n2. History of previous Achilles tendon surgery, ankle arthrodesis, hind foot fracture, or leg length discrepancy of more than one half inch.\n3. History of arthrosis or arthritis of the ankle and\u002For foot.\n4. History of significant ankle and\u002For foot instability\n5. 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 lower extremity muscle group\n   2. Diminished lower extremity patella or Achilles tendon reflexes\n   3. Diminished \u002F absent sensation in any lower extremity dermatome\n6. Involvement in litigation or worker's compensation regarding foot pain\n7. Any condition that might contraindicate the use of electro-needling\n8. The patient is pregnant.",{"count":20,"type":21},[24],"The purpose of this research is to compare two different approaches for treating patients with achilles tendinopathy: eccentric exercise, stretching and manual therapy VS Electric dry needling, eccentric exercise, stretching and manual therapy. Physical therapists commonly use all of these techniques to treat achilles tendinopathy. This study is attempting to find out if one treatment strategy is more effective than the other.",[69],"Achilles Tendinopathy",{"date":31,"type":32},{"date":72,"type":32},"2019-06-10",{"date":36,"type":21},{"name":38,"class":39},{"id":76,"slug":77,"hasResults":11,"nctId":78,"briefTitle":79,"officialTitle":80,"acronym":4,"eligibilityCriteria":81,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":82,"targetDuration":4,"studyType":22,"phases":84,"briefSummary":85,"conditions":86,"keywords":89,"overallStatus":28,"whyStopped":4,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":95,"completionDateStruct":97,"leadSponsor":98,"locationsCount":40},"100554735","manipulation-and-dry-needling-in-patients-with-cervicogenic-headache-and-wad-ii-100554735","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.",{"count":83,"type":21},120,[24],"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.",[87,88],"Cervicogenic Headache","Whiplash Injuries",[90,91],"Headache","Whiplash","2025-05-07",{"date":94,"type":32},"2025-05-11",{"date":96,"type":32},"2024-07-20",{"date":36,"type":21},{"name":38,"class":39},""]