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Added Value of Diaphragmatic Myofascial Release in the Management of Chronic Tension-Type Headache

Added Value of Diaphragmatic Myofascial Release in the Management of Chronic Tension-Type Headache: A Randomized Controlled Trial

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
IRCT
Registry ID
IRCT20250629066291N3
Enrollment
22
Registered
2026-05-18
Start date
2026-06-06
Completion date
Unknown
Last updated
2026-06-01

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

Conditions

tension-type headache. Tension-type headache

Interventions

Intervention 1: Intervention group: diaphragm release and suboccipital release: To release the diaphragm, the patient is positioned in the supine position. The therapist stands at the head of the pati
each technique lasts for 5 to 7 minutes. All release techniques will be done by the same physiotherapist. For suboccipital release technique, the patient is asked to lie down in a relaxed supine posit

Sponsors

Shiraz University of Medical Sciences
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 40 Years

Inclusion criteria

Inclusion criteria: Age range: 18 to 40 years Headache lasting from 30 min to 7 days. 3. At least two of the following pain characteristics:1. Bilateral location2. Pressing or tightening (non-pulsating) quality 3. Mild or moderate intensity 4. Not aggravated by routine physical activity, such as walking or climbing stairs People with CTTH who had headache for at least 3 days in a week for the past four Consecutive weeks No nausea, vomiting (anorexia can occur) No more than one of photophobia or phonophobia not attributed to another disorder

Exclusion criteria

Exclusion criteria: Visual or hearing impairment Nervous system disorders Balance disorders cervical disk herniation History of surgery in the neck and spine area A history of additional migraine headache or secondary headaches History of any trauma to the cervical spine, such as whiplash injury Cognitive disorders Inflammatory diseases such as rheumatoid arthritis History of any fracture in the neck area Congenital neck abnormalities (torticollis) Respiratory diseases and shingles Professional athletes Cervical spinal canal stenosis Radicular pain related to the neck area Malignancy Fibromyalgia pregnant or breastfeeding Undergoing physiotherapy treatment within the last six months Use of painkillers, anti-inflammatory drugs, or muscle relaxants within the past 72 hours

Design outcomes

Primary

MeasureTime frame
Pain intensity. Timepoint: before intervention, after intervention period. Method of measurement: numerical pain rating scale.;Headache frequency. Timepoint: 4 weeks before intervention, 1 week after intervention period. Method of measurement: interview and headache records.;Quality of life. Timepoint: before intervention, 1 week after intervention. Method of measurement: headache disability index.

Countries

Iran (Islamic Republic of)

Contacts

Public ContactFarzaneh Haghighat

Shiraz University of Medical Sciences

Haghighat_fa@yahoo.com+98 71 3230 5410

Outcome results

None listed

Source: IRCT (via WHO ICTRP) · Data processed: Jun 11, 2026