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IRCT20160621028567N1 IRCT 2019-02-10 Tarbiat Modares University The comparison of effect of dry needling and ischemic compression for cervicogenic headache A Sonographic Comparison of Effect of Dry Needling and Ischemic Compression on Active Trigger Point of the Sternocleidomastoid Muscle associated with Cervicogenic Headache 2018-08-23 anticipated 30 Complete https://irct.ir/trial/37220 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: By simple randomization method, subjects were assigned to ischemic compression group(n=9), dry needling group (n=10), or control group (n=10). The sealed envelope was used for randomized allocation of subjects to the groups. In this way, subjects selected one of 29 similar sealed envelopes. Inside the envelopes were the name of one of the three groups that led to the assignment of the subjects to that group. N/A Cervicogenic headache. Intervention 1: Intervention group: ischemic compression. Subjects in the ischemic compression group were asked to lie in a supine position with their heads in contralateral rotation, the trigger point taut band was grasped between the clinician’s thumb and index finger and for 30-60 seconds maximal tolerable pressure was applied. This process was repeated three times with 30-second intervals. If the headache pattern was reproduced or the pain disappeared, ischemic compression was discontinued. The intervention was repeated 4 sessions within 8 days with one-day intervals between each treatment session. Intervention 2: Intervention group: dry needling. For the dry needling group, subjects were supine with neutral head, the trigger point was grasped between the clinician’s thumb, index, and middle fingers and a 0.25×40mm needle (DongBang Acuprime) was repeatedly inserted in the anterior-posterior direction as long as local twitch responses were extinct. The intervention was repeated 4 sessions within 8 days with one-day intervals between each treatment session. Intervention 3: Control group: no intervention. Subjects in the control group did not receive any treatments. Yes - There is a plan to make this available What will be shared: part of data When: 6 months after publication To whom: Researchers Conditions: for treatment and research goals Where to obtain: Dr Farid Bahrpeyma bahrpeyf@modares.ac.ir How to obtain: Confirmation of advisor professor Comments:
public Farid Bahrpeyma
Jalal Ale Ahmad, Nasr
Tehran Iran (Islamic Republic of) 1411713116 +98 21 8288 3819 bahrpeyf@modares.ac.ir Tarbiat Modares University scientific Farid Bahrpeyma
Jalal Ale Ahmad, Nasr
Tehran Iran (Islamic Republic of) 1411713116 +98 21 8288 3819 bahrpeyf@modares.ac.ir Tarbiat Modares University Iran (Islamic Republic of) Cervicogenic headache Active trigger point in the sternocleidomastoid muscle inducing headache no limit no limit Female Other types of headache Active trigger points in the other muscles of neck and face Needle phobia Rheumatological diseases Neck and shoulder surgery Any contraindications for interventions Rehabilitation Rehabilitation N/A Intervention group: ischemic compression. Subjects in the ischemic compression group were asked to lie in a supine position with their heads in contralateral rotation, the trigger point taut band was grasped between the clinician’s thumb and index finger and for 30-60 seconds maximal tolerable pressure was applied. This process was repeated three times with 30-second intervals. If the headache pattern was reproduced or the pain disappeared, ischemic compression was discontinued. The intervention was repeated 4 sessions within 8 days with one-day intervals between each treatment session. Intervention group: dry needling. For the dry needling group, subjects were supine with neutral head, the trigger point was grasped between the clinician’s thumb, index, and middle fingers and a 0.25×40mm needle (DongBang Acuprime) was repeatedly inserted in the anterior-posterior direction as long as local twitch responses were extinct. The intervention was repeated 4 sessions within 8 days with one-day intervals between each treatment session. Control group: no intervention. Subjects in the control group did not receive any treatments. Headache intensity. Timepoint: At the beginning of the study, two weeks after end of interventions. Method of measurement: Designed form for recording the clinical characteristics of headache. Headache duration. Timepoint: At the beginning of the study, two weeks after end of interventions. Method of measurement: Designed form for recording the clinical characteristics of headache. Headache frequency. Timepoint: At the beginning of the study, two weeks after end of interventions. Method of measurement: Designed form for recording the clinical characteristics of headache. Elastic modulus. Timepoint: At the beginning of the study, two weeks after end of intervention. Method of measurement: Ultrasound. Trigger point area. Timepoint: At the beginning of the study, two weeks after end of intervention. Method of measurement: Ultrasound. Pressure pain threshold. Timepoint: At the beginning of the study, two weeks after end of intervention. Method of measurement: Force gauge. Tarbiat Modares University Approved 2015-12-22 Committee of Ethics in Biomedical Research, Tarbiat Modares University Jala Ale Ahmad, Nasr Tehran Tehran Iran (Islamic Republic of)