Treating Chronic Cervicogenic Head and Neck Pain (CGH)
Cervicogenic Headache, Neck Pain, Posterior
About this trial
This is an interventional treatment trial for Cervicogenic Headache
Eligibility Criteria
Inclusion Criteria: Females diagnosed with chronic cervicogenic headache. Exclusion Criteria: Have you been involved in a rear-end motor vehicle accident within the past 3 years? Have you had spinal surgery performed on your neck? Do you have a pinched nerve in the neck that produces pain radiating down your arm. Have you been diagnosed with diseases such as rheumatoid arthritis, lupus, or ankylosing spondylitis. Do you have ongoing central nervous system pathology such as hemiparesis, cervical radiculopathy, spondylolisthesis grade III or IV, central nervous system causes of balance & coordination deficits, orthostatic hypotension, vestibular disorders, pregnancy, recent spinal fractures, moderate to severe traumatic brain injury.
Sites / Locations
- Michigan State UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Treatment
Control
All subjects in the Treatment group will receive OMT a minimum 4 times and a maximum of 8 times at the physician's (JJR) discretion (Jull et al., 2002). All subjects in the Treatment group will be taught the THE. This voluntary head retraction/protrusion exercise protocol engages the RCPm muscles in eccentric and isometric contractions that should strengthen the muscles and thereby increase CSA.
All subjects assigned to the Control group will be allowed to continue to receive conservative care. It is understood that any care that they receive will be prescribed on an individual basis. A participant could therefore receive any combination of medical, physio therapeutic and psychological care. It would also be expected that some form of pain management will be a priority for participants with moderate to severe symptoms. Subjects assigned to the Control group will not receive OMT and will not be taught the THE protocol.