Effect of Dry Needling of the M. Obliquus Capitis Inferior on Rotational Mobility and Headache Related Outcome Measures in Patients With Cervicogenic Headache: a Randomized, Controlled Experimental Study
An experimental study will be conducted to evaluate the effect of dry needling on the M. Obliquus capitis inferior on rotational mobility and headache realted outcome measures in patients with cervicogenic headache.
• 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 diagnosis3;4;5.
∙ Age: 18-65 years
‣ Headache for at least 1 day/week for at least 3 months
‣ Limited mobility of the neck
‣ Positive flexion-rotation test (\<32 degrees on the left/right side or a difference of 10 degrees or more between left and right side)
‣ NRS \> 3/10