Actively Recruiting
Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II
Led by Alabama Physical Therapy & Acupuncture · Updated on 2025-05-11
120
Participants Needed
1
Research Sites
92 weeks
Total Duration
On this page
Sponsors
A
Alabama Physical Therapy & Acupuncture
Lead Sponsor
U
Universidad Rey Juan Carlos
Collaborating Sponsor
AI-Summary
What this Trial Is About
The purpose of this research is to compare two different approaches for treating patients with cervicogenic headaches associated with type II whiplash associated disorder: non-thrust mobilization and exercise versus thrust manipulation and dry needling. Physical therapists commonly use all of these techniques to treat cervicogenic headaches. This study is attempting to find out if one treatment strategy is more effective than the other.
CONDITIONS
Official Title
Manipulation and Dry Needling in Patients With Cervicogenic Headache and WAD II
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adults aged 18 to 65 years
- Subacute (> 4 weeks) or chronic type II whiplash associated disorder with neck pain and headache after a motor vehicle accident
- Diagnosis of cervicogenic headache according to Cervicogenic Headache International Study Group criteria
- Headache occurs at least once per week since the whiplash injury
- Headache intensity greater than 2 out of 10 on the Numeric Pain Rating Scale
- Neck pain intensity greater than 2 out of 10 on the Numeric Pain Rating Scale
- Neck Disability Index score greater than 10 out of 50
You will not qualify if you...
- Whiplash associated disorder types I, III, or IV
- Positive cervical radiography screen (Canadian C-Spine Rules)
- Bilateral headaches typical of tension type headaches
- Diagnosis or signs of concussion including confusion, memory loss, nausea, vomiting, visual disturbances, or balance problems
- Diagnosis of fibromyalgia
- Presence of atherosclerotic risk factors such as hypertension, diabetes, heart disease, stroke, smoking, or high cholesterol
- Red flags on Neck Medical Screening Questionnaire including tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis, or prolonged steroid use
- Diagnosis of cervical spinal stenosis
- Bilateral upper extremity symptoms
- Signs of central nervous system involvement such as hyperreflexia, muscle wasting, or abnormal reflexes
- Two or more neurological signs of nerve root compression
- Prior surgery to head, neck, or thoracic spine
- Physical therapy or chiropractic treatment for neck pain or headache within the past 3 months
- Any condition contraindicating spinal manipulation or dry needling
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 1 location
1
Alabama Physical Therapy & Acupuncture
Montgomery, Alabama, United States, 36117
Actively Recruiting
Research Team
J
James Dunning, PhD, DPT
CONTACT
I
Ian Young, DSc, PT
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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