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| ID | Type | Description | Link |
|---|---|---|---|
| OZR-VUB 997 | |||
| OZR-HA G 815 |
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| Name | Class |
|---|---|
| Hogeschool Antwerpen | UNKNOWN |
The management of headache disorders is too often based upon trial and error or on personal beliefs and opinions. Seldom it is based on scientific arguments. Therefore the identification of prognostic patient characteristics is mandatory as this will lead to a more precise referral of headache patients.A prospective cohortstudy is designed to identify these prognostic patient characteristics. After testing, 186 headache patients (migraine, tension type headache and cervicogenic headache) will be randomly allocated to one of two treatment groups. Testing includes the fulfillment of questionnaires (Headache Diagnosis Questionnaire, Headache Inventory Questionnaire and the Headache Impact Test) and physical tests (Thermal Stimuli, Cervical Spine examination and Pressure Algometry). Treatment groups are a usual care group (administered by a medical doctor) and a usual care plus physio-/ manual therapy treatment. After six weeks of treatment subjects will complete the headache inventory list and the Headache Impact Test a second time. The perceived effect will be registered allowing the distinction between responders (positive effect) and non-responders (no effect or worse). Logistic regression-analysis will be used to identify the specific patient characteristics of the responders and the non-responders. Secondly the additional value of the physio-/ manual therapy intervention will be examined. Follow-up measurements up to 52 weeks are provided.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Usual Care provided by a medical doctor (GP or Neurologist) | Procedure | |||
| Usual care plus Physio-/ Manual Therapy | Procedure |
| Measure | Description | Time Frame |
|---|---|---|
| Manual Examination of the Cervical Spine | ||
| Pressure algometry | ||
| Thermal stimulation | ||
| Perceived effect | ||
| HIT-6 |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of headache | ||
| Intensity of headache | ||
| Medication Intake |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Willem De Hertogh, MSc | Vrije Universiteit Brussel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UZA - Neurology Dept. | Antwerp | Antwerp | 2650 | Belgium | ||
| AZ-VUB |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16769236 | Background | De Hertogh WJ, Vaes PH, Vijverman V, De Cordt A, Duquet W. The clinical examination of neck pain patients: the validity of a group of tests. Man Ther. 2007 Feb;12(1):50-5. doi: 10.1016/j.math.2006.02.007. | |
| 17462091 | Background | De Hertogh WJ, Vaes PH, Devroey D, Truijen S, Duquet W, Oostendorp R. Management of headache disorders: design of a randomised clinical trial screening for prognostic patient characteristics. BMC Musculoskelet Disord. 2007 Apr 26;8:38. doi: 10.1186/1471-2474-8-38. |
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| Additional Profession help |
| Absenteism |
| Brussels |
| Brussels Capital |
| 1090 |
| Belgium |
| GP-De Loof | Aalst | Belgium |
| GP-Roelants | Boom | 2850 | Belgium |
| GP-Marmitte | Dilbeek | 1700 | Belgium |
| GP - Sengeleng | Hamme | 9220 | Belgium |
| GP-De Hertogh | Kampenhout | Belgium |
| GP- De Smet, De Leu, Van Watermeulen, Thienpont, Wille | Laarne | Belgium |
| GP - Riffi Abdellatif | Mechelen | 2800 | Belgium |
| GP-Vande Voorde | Merchtem | Belgium |
| GP - Goossens | Reet | 2840 | Belgium |
| GP- Dingemans, Michiels, Declercq | Reet | 2840 | Belgium |
| GP-Van de Heijning | Schoten | Belgium |
| GP-Roelands | Zemst | 1980 | Belgium |
| 19775434 | Result | De Hertogh W, Vaes P, Devroey D, Louis P, Carpay H, Truijen S, Duquet W, Oostendorp R. Preliminary results, methodological considerations and recruitment difficulties of a randomised clinical trial comparing two treatment regimens for patients with headache and neck pain. BMC Musculoskelet Disord. 2009 Sep 23;10:115. doi: 10.1186/1471-2474-10-115. |
| ID | Term |
|---|---|
| D006261 | Headache |
| D051298 | Post-Traumatic Headache |
| D008881 | Migraine Disorders |
| D018781 | Tension-Type Headache |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D051270 | Headache Disorders, Primary |
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| ID | Term |
|---|---|
| D000072141 | Neurologists |
| D026201 | Musculoskeletal Manipulations |
| ID | Term |
|---|---|
| D010820 | Physicians |
| D006282 | Health Personnel |
| D005159 | Health Care Facilities Workforce and Services |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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