Clinical Trial Details
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NCT02708953 : Thoracic Spine Thrust Manipulation for Cervicogenic Headaches: A Randomized Clinical Trial
AgesMin: 18 Years Max: 60 Years
Inclusion Criteria:

- Between 18 and 60 years old Sjaastad et al for CeH, which included

- unilateral or unilateral dominant side-consistent headache associated with neck pain
and aggravated by neck postures or movement (Sjaastad et al., 1998)

- joint tenderness in at least one of the three upper cervical joints (C0-C3) as
assessed by manual palpation

- headache frequency of at least one per week over the past 2 months

Exclusion Criteria:

- red flags noted in the patient's Neck Medical Screening Questionnaire (e.g. tumor,

- metabolic diseases RA, osteoporosis, prolonged history of steroid use, symptoms of
vertebrobasilary insufficiency, pregnancy, cervical spinal stenosis, bilateral upper
extremity symptoms etc.)

- history of whiplash injury within the past six weeks

- evidence of central nervous system involvement, to include hyperreflexia, sensory
disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during
walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered
taste, the presence of pathological reflexes (i.e. positive Hoffman's and/or Babinski

- two or more positive neurologic signs consistent with nerve root compression,
including any two of the following: muscle weakness involving a major muscle group of
the upper extremity, diminished upper extremity muscle stretch reflex (biceps
brachii, brachioradialis, or triceps reflex), diminished or absent sensation to
pinprick in any upper extremity dermatome

- prior surgery to the neck or thoracic spine

- chiropractic or physical therapy treatment for their headaches over the past 6-months

- bilateral headache description

- migraine headaches with or without aura

- workers compensation or pending legal action regarding their headaches

- inability to comply with treatment and follow-up schedule

- we will not recruit individuals whom the researcher is in a position to punish or
reward, whether through grades, evaluations, or promotions
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