Comparing headache characteristics in patients with different flexion-rotation test results

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to evaluate the differences in headache characteristics between cervicogenic headache patients who have a positive versus a negative flexion-rotation test at the C1-C2 level. By analyzing these differences, the study seeks to inform future treatment strategies and promote more individualized care for patients suffering from headaches. The flexion-rotation test is a clinical assessment that may reveal important insights into the relationship between cervical spine function and headache intensity. The findings could potentially enhance the understanding of cervicogenic headaches and guide therapeutic interventions.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Diagnosis of cervicogenic headache according to the ICHD-3 criteria:

A. Any headache fulfilling criterion C B. Clinical and/or imaging evidence1 of a disorder or lesion within the cervical spine or soft tissues of the neck, known to be able to cause headache2

C. Evidence of causation demonstrated by at least two of the following:

* headache has developed in temporal relation to the onset of the cervical disorder or appearance of the lesion
* headache has significantly improved or resolved in parallel with improvement in or resolution of the cervical disorder or lesion
* cervical range of motion is reduced, and headache is made significantly worse by provocative manœuvres
* headache is abolished following diagnostic blockade of a cervical structure or its nerve supply D. Not better accounted for by another ICHD-3 diagnosis

Age: 18+ years Headache for at least 1 day/week for at least 3 months Limited mobility of the neck NPRS \> 3/10

Exclusion Criteria:

* Primary headache forms: migraine, TTH
* Other secondary headaches that do not comply with the ICDH-3 criteria for CH
* Whiplash or other traumatic incident in the past
* Pregnancy or given birth in the last year
* Previous head, neck or shoulder surgery
* Cervical radiculopathy complaints
* Receiving other treatments for headache or neck pain (physical therapy/ostheopathy/chiropraxie...) in the previous month

Where it's running

• University Ghent - campus UZ Ghent - Rehabilitation Sciences B3
  Ghent, Oost-Vlaanderen, Belgium Recruiting

Study contacts

• Principal investigator: Barbara Cagnie, Prof. dr. — University Ghent
• Study coordinator: Barbara Cagnie, Prof. dr.
• Email: Barbara.Cagnie@Ugent.be
• Phone: +32 9 332 52 6

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.