Effects of Cervical Manual Therapy on Cervicogenic Headache
Unilateral Headache, Musculoskeletal Neck Pain
About this trial
This is an interventional treatment trial for Unilateral Headache focused on measuring Cervicogenic Headache, Manual Therapy, Joint Position Sense, Balance
Eligibility Criteria
Inclusion Criteria:
- Over the age of 18
- Signs and symptoms consistent with cervicogenic headache (including unilateral headache, headache that improves or resolves as cervical disorder or lesion improves or resolves, headache that is made worse with cervical movement or sustained painful neck positions, reduced cervical range of motion
- Headache frequency of at least once a week for 3 months
Exclusion Criteria:
- Bilateral headaches
- Non-musculoskeletal red flags
- Two or more positive neurologic signs indicative of nerve root compression
- Diagnosed with cervical spinal stenosis
- Bilateral upper extremity symptoms
- Symptoms indicative of central nervous system lesion
- History of whiplash injury within the previous 6 weeks
- Prior head or neck surgery
- Has received treatment for head or neck pain from any practitioner within the previous month
- Has received physical therapy or chiropractic treatment for head or neck pain within the previous 3 months
- Having a known vestibular or balance dysfunction (BPPV, unilateral vestibular loss, etc.)
- Other headaches that do not originate from the cervical spine, primarily migraine, vascular (cervical artery dysfunction), and tension-type headache.
Sites / Locations
- Shenandoah University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
No Intervention
Cervical Spine Mobilization Group
Cervical Spine Manipulation Group
Control Group
Subjects with cervicogenic headache who will be assigned to cervical spine mobilization group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
Subjects with cervicogenic headache who will be assigned to cervical spine manipulation group and receive intervention directed to C1/2 of ipsilateral side of unilateral dominant headache.
No intervention. Subjects in this groups will wait for 5 minutes between pre- and post-testing of dependent variables.