Comparison of Myofascial Release and Mulligan Concept Techniques in Patients With Cervicogenic He… (NCT06690411) | Clinical Trial Compass
CompletedNot Applicable
Comparison of Myofascial Release and Mulligan Concept Techniques in Patients With Cervicogenic Headache
Turkey (Türkiye)40 participantsStarted 2024-11-13
Plain-language summary
The International Headache Society classifies cervicogenic headache as a secondary headache caused by a disorder of the cervical spine and its components. Mulligan Concept (SNAG) is a gentle manual therapy that can be applied to the neck area. The myofascial release technique is also a massage-type manual therapy technique that is widely used in physiotherapy to relieve pain and tension in the relevant muscle group.
This clinical trial aims to investigate the effectiveness of the Mulligan Concept and myofascial release technique in patients with cervicogenic headaches. The main questions it aims to answer are:
1. Does the Mulligan Concept improve hand grip strength, pressure pain threshold, range of motion, pain frequency, pain intensity, pain duration, number of medications used, daily living activities, and disability in patients with cervicogenic headache?
2. Does myofascial release technique improve hand grip strength, pressure pain threshold, range of motion, pain frequency, pain intensity, pain duration, number of medications used, daily living activities, and disability in patients with cervicogenic headache?
Researchers will compare the Mulligan Concept to a myofascial release technique to see which physiotherapy method has more significant results in treating cervicogenic headaches.
Participants will:
* Undergo the evaluations mentioned above before and after interventions
* Undergo Mulligan Concept applications or the myofascial release technique 3 times a week for 4 weeks
* Keep a diary of their symptoms and the number of times they use a drug
Who can participate
Age range
25 Years – 60 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Having been diagnosed with cervicogenic headache according to the International Classification of Headache Disorder-III diagnostic criteria
* Having been diagnosed with cervicogenic headache for more than 3 months
* Having a headache accompanying neck pain
* Having restricted neck joint movement according to the Flexion-Rotation Test
* Having pain between 3 and 8 according to the Visual Analog Scale
* Being between 25-60 years of age
* Agreeing to participate in the study voluntarily
Exclusion Criteria:
* Previous cervical surgery
* Previous cervical trauma
* Having received diagnosis-related physiotherapy in the last 6 months
* Diagnosis of tumor or cancer
* Having other types of headache
* Serious cardiovascular, cerebrovascular, hematological, metabolic, neurological or mental disease
* Being pregnant or breastfeeding
* Having red flags for manual therapy
* Dizziness with headache, visual disturbance
* Congenital cervical disorder
* Rheumatoid arthritis, cervical spondylolisthesis, cervical instability, infection
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1This trial compared myofascial release and Mulligan Concept techniques for cervicogenic headache — based on what the results showed, which of those two approaches do you think would be more appropriate for my specific situation?
2The trial measured headache impact using the Headache Impact Test-6, which looks at how headaches affect daily life — how do my current HIT-6 scores compare to the kinds of patients who were enrolled in this study?
3I noticed this trial also measured hand grip strength as an outcome — can you explain why grip strength matters in cervicogenic headache treatment, and what that might mean for my own care plan?
4Since this trial is already completed, are the results published or available anywhere, and would they change your recommendation between manual therapy options like these versus other standard treatments for my headaches?
5Before considering either of the hands-on techniques studied in this trial, are there other first-line treatments I should try, or would you feel the evidence from this study is strong enough to guide my treatment now?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.