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CTRI Number  CTRI/2019/05/019401 [Registered on: 28/05/2019] Trial Registered Prospectively
Last Modified On: 13/06/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the effects of dry Needling and manual Therapy for the Management of Patients with Cervicogenic Headache. 
Scientific Title of Study   Dry Needling and Manual Therapy for the Management o Cervicogenic Headache. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ramesh Chandra Patra 
Designation  Ph.D Scholar 
Affiliation  Lovely Professional University 
Address  Lovely Professional University.School Of Physiotherapy and paramedical science, Physiotherapy Department, Block no-3A, Room No-105
Same
Kapurthala
PUNJAB
144411
India 
Phone  9653174563  
Fax    
Email  rameshbmc22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ramesh Chandra Patra 
Designation  Ph.D Scholar 
Affiliation  Lovely Professional University 
Address  Lovely Professional University.School Of Physiotherapy and paramedical science, Physiotherapy Department, Block no-3A, Room No-105
Same
Kapurthala
PUNJAB
144001
India 
Phone  9653174563  
Fax    
Email  rameshbmc22@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ramesh Chandra Patra 
Designation  Ph.D Scholar 
Affiliation  Lovely Professional University 
Address  Lovely Professional University.School Of Physiotherapy and paramedical science, Physiotherapy Department, Block no-3A, Room No-105
264, defense colony, Jalandhar, Punjab
Kapurthala
PUNJAB
144411
India 
Phone  9653174563  
Fax    
Email  rameshbmc22@gmail.com  
 
Source of Monetary or Material Support  
Jalandhar Delhi GT road, Out Patient Department (OPD), Department of Physiotherapy, Lovely Professional University, Phagwara, Punjab, India.  
 
Primary Sponsor  
Name  Ramesh Chandra Patra 
Address  264, defense colony, Jalandhar, Punjab 
Type of Sponsor  Other [Self Funding] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Nandini Verma  Lovely Professional University, Punjab, India.   School of Physiotherapy and Paramedical sciences, Department of Physiotherapy, Block-3A, Room no- 105.
Kapurthala
PUNJAB 
7807564403

nandini.24453@lpu.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTUTUTIONAL HUMAN ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G894||Chronic pain syndrome,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dry needling and Manual therapy  Dry needling: Acupuncture needle was used (15 mm for suboccipital muscle and 40 mm was used for trapezious muscle).Two Sessions per week for four weeks Manual therapy: C1-C2 Mulligan SNAGs were performed and maintained the glide for 10 second and repeat the procedure for 6-10 times.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Based on the following conditions the individuals are included in the study:
1. Both male and female with the age group of 20-50 years.
2. Persons fulfilling the diagnostic criteria given by IHS (international
headache society.
3. Positive FRT (flexion-rotation test) and restricted ROM. 
 
ExclusionCriteria 
Details  Following participants were excluded from the study:
1. Cervical spine injury, fracture or surgery.
2. Congenital spinal deformity.
3. The participants not meeting age criteria for inclusion.
4. Cervical radiculopathy or presenting neurological deficit.
5. Participants with history of recent trauma.
6. Participants suffering from dizzy spells.
7. Vertebral malignancy.
8. Vertebral-basilar insufficiency.
9. Bone infections.
10 Any participants who were taking anti-inflammatory or muscle relaxant
medication were excluded.
11. Any participants who failed to comply with the consent form were excluded. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Subjective outcome measures:
 Pain (Numerical Pain Rating scale).
Quality of life (QOL Questionnaire)
Headache disability index (HDI questionnaire)
Objective outcome measures:
Tenderness (PPT Algometer)
Cervical range of motion  
Before and After the treatment( duration is 4 weeks) 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  NA 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/05/2019 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NILL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The cause of CGH is thought to lie in any of the structures that are innervated by the first three cervical nerves. This study examines about the dry needling and manual therapy for the management of patient with Cervicogenic Headache. As previous studies fails to investigate about the dry needling and manual therapy for the management of patient with Cervicogenic Headache, this study intends to discuss in detail about the proposed topic and also proposes the model. This study will help the future researchers to know about how dry needling and manual therapy helps in the management of patient with Cervicogenic Headache as combined modality. Analyzing the existing researches, this research aims to provide a clear overview easy management of cervicogenic headache.
 Effects of dry needling and manual therapy Improvement in headache disability index ,Improved range of motion ,Improved quality of life, reduce pain and tenderness for the management of patient with Cervicogenic Headache. 
 
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