For people with headaches caused by neck problems does adding fascia therapy to neck Mulligan mobilization reduce pain and improve neck strength and daily activities better than neck Mulligan mobilization alone?

Effectiveness Of Fascial Manipulation With Mulligan s Mobilization On Pain, Disability And Endurance Of Deep Cervical Flexors In Cervicogenic Headache:A Randomized Clinical Trial - Nil

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/01/102064

Enrollment

Registered

2026-01-27

Start date

Unknown

Completion date

Unknown

Last updated

2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: M708- Other soft tissue disorders related to use, overuse and pressure Health Condition 2: M708- Other soft tissue disorders related to use, overuse and pressure

Interventions

Intervention1: Fascial Manipulation: Fascial Manipulation consists of applying a deep friction with elbows or knuckles over each small area for 3 to 4 in order to create localised hyperaemia in order

Eligibility

Inclusion criteria

Inclusion criteria: Participants with age group of 18-60 years Both men and women included. Subjects who experience frequent headaches. Subjects who experience unilateral, often on one side of the head and can radiates from the neck to the head. On a 11-point pain scale, the intensity of CGH pain should be between 0 to 10 CGH due to cervical spine dysfunction; Neck pain followed by headache; Patients who is able to understand English language Patients with headaches, restricted to perform the daily activities will be included

Exclusion criteria

Exclusion criteria: Participants with other types of headache (migraine) Headaches attributed to other underlying causes, such as: (Sinus issues, Tumors, Neurological disorders, Temporomandibular joint (TMJ) dysfunction) and received any type of physical therapy within the past three months Conditions contraindicating manual or manipulative therapy, including: (Bone fractures, Joint instability, Osteoporosis, Arthritic disorders, Presence of neurological symptoms) Diagnosis of vertebrobasilar artery insufficiency. Current use of pain medications or corticosteroids Evidence of cancer metastasis. Cardiovascular issues, including: History of stroke, High blood pressure, Episodes of fainting or syncope) Neurological disorders, such as: Nerve root compression (radiculopathy),Spinal cord dysfunction (myelopathy),Disc-related conditions). Previous surgical procedures involving the brain or spinal cord. Fractures occurring recently. Underwent recent surgical operations. Congenital deformities or abnormalities of the cervical spine. Lack of willingness to participate in the study. Subjects without dizziness

Design outcomes

Primary

Measure	Time frame
Numerical Pain Rating ScaleTimepoint: Participants will be evaluated at baseline, post-intervention after 4 weeks, and at follow-up visits scheduled at 1 month and 3 month	—

Secondary

Measure	Time frame
Headache Disability Inventory Craniocervical Flexion TestTimepoint: Participants will be evaluated at baseline, post-intervention after 4 weeks, and at follow-up visits scheduled at 1 month and 3 month	—

Countries

India

Contacts

Public ContactClifa Vas

Institute of physiotherapy Srinivas University

kamalakannan.pt@gmail.com919500931424

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 7, 2026