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RecruitingNot ApplicableNCT07163208

Therapeutic Efficacy of Different Wavelengths of Low-Level Laser Therapy in the Treatment of Cervicogenic Headache

Sponsor

University of Lahore

Enrollment

150 participants

Start Date

Sep 5, 2024

Study Type

INTERVENTIONAL

Summary

This study tests if low-level laser therapy (LLLT) with different light wavelengths can help people with cervicogenic headache, a type of headache caused by neck problems. Adults aged 18-65 with this headache for at least 3 months will try one of three LLLT treatments (675nm, 820nm, or a mix of wavelengths) along with regular physical therapy like stretching and exercises. The study will check pain levels, how often headaches happen, neck movement, disability, and quality of life over 6 weeks, with follow-ups at 3 and 6 months. the investigators want to find the best LLLT option to reduce headache symptoms safely.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria3

  • Patients aged 18-65 years diagnosed with cervicogenic headache based on the International Classification of Headache Disorders (ICHD-3) criteria.
  • Persistent headaches for at least 3 months.
  • No previous exposure to low-level laser therapy (LLLT).

Exclusion Criteria4

  • Patients with other primary headache disorders (e.g., migraine, tension-type headache).
  • History of cervical spine surgery.
  • Pregnant or lactating women.
  • Patients with a history of photosensitivity or taking photosensitizing medications.

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Interventions

DEVICELow-Level Laser Therapy (LLLT)

Low-level laser therapy using the Omega XP Model with wavelengths of 675nm (30mW), 820nm (200mW), or 46-cluster LED probe (mixed wavelengths: 660nm, 950nm, 870nm, 880nm, 940nm, 820nm), applied three times weekly for 30 minutes over 6 weeks to target cervical lymphatic chain, musculature, and trigger points for pain relief in cervicogenic headache.

OTHERRoutine Physical Therapy (RPT)

Warm-up: Active cervical ROM (5-10 reps, pain-free range). Stretching: Upper trapezius, levator scapulae, SCM; hold 15-30 sec, 3-5 reps, NRS ≤ 3/10. Therapeutic exercises: cervical deep flexors, scapular stabilization (2-3 sets × 10-15 reps, Borg 11-13), progressed weekly. Modalities: Hot pack 15 min at 40-45°C; TENS 80-100 Hz, 50-100 µs pulse width, 20 min. Frequency: 3× weekly for 6 weeks. Safety: contraindications screened; pain/exertion monitored pre/post.

Locations(1)

Department of Physiotherapy, Sir Ganga Ram Hospital

Lahore, Punjab Province, Pakistan

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NCT07163208