Suboccipital Release Versus Instrument- Assisted Soft Tissue Mobilization on Tension Type Headache

NCT06703385 · tracked via the Priya Life Science Egypt tracker

Sponsor

Cairo University

Phase

Not applicable

Started

2024-12-01

Last updated

2024-11-27

Condition(s) studied

Suboccipital ReleaseInstrumental Assisted Soft Tissue MobilizationTension-Type Headache

Investigational drug(s) / intervention(s)

Instrument Assisted soft tissue mobilizationSuboccipital releaseconventional physical therapy program

Instrument Assisted soft tissue mobilization: The blade is a surgical instrument for soft tissue mobilization, made of 100% surgical stainless steel with 8 treatment planes and 2 treatment edges. It is used to locate muscle limitations and apply gentle strokes along the affected muscle, detecting changes in soft tissue consistency. The procedure is repeated three times a week for four weeks.

Suboccipital release: The patient will lie in a relaxed supine position, with a therapist sitting on a chair. The therapist will apply pressure to the C2 area, holding it until a melting sensation is felt. The intervention time is 4 minutes. The patient will close both eyes during the Suboccipital release procedure to prevent eye movements affecting muscle tone. Interventions will be three times a week for four weeks.

conventional physical therapy program: The patient is placed in a sitting position and a hot pack is applied to the back of the neck for 15 minutes. The therapist then performs active range of motion exercises for neck flexion, extension, rotation, and lateral flexion without resistance. They also perform stretching exercises for upper Trapezius muscle and suboccipital muscle. Strengthening exercises for neck muscles are performed through isometric exercises, such as side pending to right, side pending to left, extension, and flexion. The interventions are conducted three times, peer-wise, for four weeks. The treatment aims to improve neck flexibility and overall well-being.

Study summary

The study aims to explore the impact of suboccipital release versus instrument-assisted soft tissue mobilization on pain intensity, pressure pain threshold, headache impact test, and headache frequency in patients with tension headache. The research will also examine the effects of these methods on headache impact tests and frequency.

Eligibility

Sex

ALL

Min age

18 Years

Max age

60 Years

Healthy volunteers

Inclusion Criteria: 1. Participants of both gender will be between the ages of 18 and 60. 2. Episodic tension type headache criteria, according to the International Headache Society's Headache Classification Committee., have at least two of the following characteristics. * Recurrent episodes of headache on less than 15 days per month for at least 3 months * Headache that last for from around 30 min till seven days. * At least 2 of the following features are found in a headache: * A location that is on two sides. * Tightening/pressing quality (non-pulsating). * Intensity is mild to moderate. * Both of the following: Not worsened by routine physical activity, there is no nausea or vomiting. * Only have one photophobia/ phonophobia 3. Patients have active trigger points in suboccipital muscle and upper trapezius muscle 4. The presence of myofascial trigger points was determined by therapist using the diagnostic criteria described by Simons .,(1999) ,The major criteria of active myofascial trigger points were: Regional neck pain, Pain or altered sensation in the expected distribution of referred pain from a myofascial trigger point, Taut band palpable in an accessible muscle. Exclusion Criteria: 1. Patients who have had a history of cancer 2. Patients who have had cervical and cranial surgery 3. Patients with severe psychological disorders (major Depression) 4. Patients with uncontrolled hypertension 5. Dysfunctions in the tempo-mandibular joint 6. Headaches associated with high fever, stiff neck, or rash, problems of vision or profound dizziness 7. Female who are pregnant or lactating

Primary outcome measure(s)

assessment of pain intensity using numeric pain rating scale — at baseline and after 4 weeks
Assessment of pain intensity using Numerical pain Rating Scale An 1l-point numeric scale with 0 representing one pain extreme(e.g., "no pain") and 10 representing the other pain extreme (e.g., "pain as bad as you can imagine" and "worst pain imaginable)

Trial sites (1)

Facility	City	Region	Status
out-patient clinic, national institute of neuromotor system, Egypt	Cairo	Egypt

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06703385 on ClinicalTrials.gov ↗ ← All trials in Egypt