000130591 001__ 130591 000130591 005__ 20240731103309.0 000130591 0247_ $$2doi$$a10.1016/j.msksp.2023.102900 000130591 0248_ $$2sideral$$a136610 000130591 037__ $$aART-2023-136610 000130591 041__ $$aeng 000130591 100__ $$0(orcid)0000-0001-7732-3914$$aPardos-Aguilella, Pilar$$uUniversidad de Zaragoza 000130591 245__ $$aIs device guided training targeted to the craniocervical flexor and extensor muscles efficacious? A preliminary randomized controlled trial in a cervicogenic headache population 000130591 260__ $$c2023 000130591 5203_ $$aBackground: Specific neck exercise is effective in the management of cervicogenic headache (CH). The Spinertial device was designed to facilitate craniocervical flexion and extension training, but its efficacy, judged on change in headache impact, has not been tested. Objective: To compare guided and progressive resisted specific neck exercise targeted to the craniocervical flexors and extensors (SNE-fe) performed with Spinertial device to progressive SNE-fe without the device in a cohort with CH. Design: Randomised controlled trial. Methods: Twenty-eight participants with CH were randomly allocated to the Spinertial group (SG) or SNE-fe exercise group without the device (EG). Both groups performed 12 sessions of SNE-fe over six-weeks. The primary outcome was headache impact (HIT-6). Secondary outcomes were the craniocervical flexion test (CCFT), upper cervical (UCS) and lower cervical range of movement, flexion rotation test (FRT) analysed as more or less restricted side (MRS, LRS), the self-reported global rating of change (GROC-scale) and satisfaction with the exercise program (PACES). Outcomes were measured at baseline, post-intervention (T1) and after 1-month (T2). Results: Significant between-groups differences were found favouring the SG for HIT-6 (T1 p =0.010, d =0.5; T2 p <0.004, d =0.4), CCFT, UCS ROM, FRT MRS, FRT LRS, PACES and GROC-scale (T1: all p <0.01; T2: all p < 0.01). Effects sizes were large (>0.8) at T1 and T2. No between-groups differences were found for lower cervical ROM. Conclusion: Training with the Spinertial was more effective than SNE without the device for improving the impact of headache, the endurance of deep neck flexors and UCS ROM in participants with CH. 000130591 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/ 000130591 590__ $$a2.2$$b2023 000130591 592__ $$a0.755$$b2023 000130591 591__ $$aREHABILITATION$$b29 / 169 = 0.172$$c2023$$dQ1$$eT1 000130591 593__ $$aPhysical Therapy, Sports Therapy and Rehabilitation$$c2023$$dQ1 000130591 594__ $$a4.1$$b2023 000130591 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000130591 700__ $$aCeballos-Laita, Luis$$uUniversidad de Zaragoza 000130591 700__ $$0(orcid)0000-0002-3755-5646$$aCabanillas-Barea, Sara 000130591 700__ $$aPérez-Guillén, Silvia 000130591 700__ $$aCiuffreda, Gianluca$$uUniversidad de Zaragoza 000130591 700__ $$0(orcid)0000-0002-0906-9114$$aCarrasco-Uribarren, Andoni 000130591 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia 000130591 773__ $$g69, 102900 (2023), [8 pp.]$$pMusculoeskelet. sci. pract.$$tMUSCULOSKELETAL SCIENCE AND PRACTICE$$x2468-8630 000130591 8564_ $$s2370380$$uhttps://zaguan.unizar.es/record/130591/files/texto_completo.pdf$$yPostprint 000130591 8564_ $$s2294503$$uhttps://zaguan.unizar.es/record/130591/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000130591 909CO $$ooai:zaguan.unizar.es:130591$$particulos$$pdriver 000130591 951__ $$a2024-07-31-09:39:00 000130591 980__ $$aARTICLE