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The aim of the study is to compare Back School Based Intervention with Cranio- Cervical muscle training in participants with Cervicogenic headache. The study wants to investigate that which intervention helps to mange pain, improve posture and reduce disability. The study aims to answer the question:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Back School Based Intervention | Experimental | Back School Based Intervention |
|
| Cranio- Cervical Muscle Training | Active Comparator | Cranio- cervical muscle Training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Back School Based Intervention | Other |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue scale | Visual Analogue Scale is used for the measurement of pain.a hand written mark on 10 cm line helps to differentiate pain in different patients. If Patient reports minimum pain level more than 3 than considered as the patient required for study maximum pain level will be 10 | It will be measured at baselines, 4 weeks and at 8 weeks. |
| Headache Disability Index | Headache Disability Index is used to evaluate the impact of headache on person's daily life activities. It consists of 25 questions. Patient answer the question as yes scored as 4, sometimes as 2 or no as 0. The score interpretation for disability is measured and for mild disability it is 10 to 28, for moderate disability is 30 to 48, for severe disability is 50 to 68 and for complete disability 72 or higher is noticed. | It will be measured at baseline, 4 weeks and at 8 weeks. |
| Plumb Line Assessment of Posture | A plumb line is used as reference to measure the abnormality or deviation from posture. It helps to pinpoint those areas of the body which are away from neutral alignment of the body such as rounded shoulder, forward head posture and abnormal tilt of pelvis. Patient reported as deviated or non deviated from neutral posture. | It will be measured at baseline, 4 weeks and at 8 weeks. |
| Cervical Flexion Rotation Test | Cervical flexion rotation test is used to determine the presence of joint dysfunction at the C 1/2 level. The cervical spine is fully flexed to avoid rotational movements then rotated to right and left to find out any pain or restrictions in the joints. Pain provocation and limited rotation indicate the positive test result. Maximum range of rotation will be 45 which is considered as normal. Range less than 45 will need to be corrected. | It will be measured at baseline, 4 weeks and at 8 weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Laiba Azam | Lahore University of Biological and Applied Sciences | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sir Ganga Ram Hospital Lahore | Lahore | Punjab Province | 54000 | Pakistan |
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|
| Cranio-Cervical muscle Training | Other |
|
|
| ID | Term |
|---|---|
| D051298 | Post-Traumatic Headache |
| D010146 | Pain |
| D006261 | Headache |
| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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