Impact of Adding Integrated Neuromuscular Inhibition Technique to Postural Correction Exercises in Patients With Cervicogenic Headache

NCT07086898 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/005850
• Study Type: interventional
• Target: 90
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the impact of adding integrated neuromuscular inhibition technique to postural correction exercises in patients with cervicogenic headache

Conditions

Cervicogenic Headache

Keywords

integrated neuromuscular inhibition technique; postural correction exercises; cervicogenic headache

Outcome Measures

Primary Outcomes (2)

• pain intensity

  visual analogue scale will be used to asses pain intensity which patient will be instructed to put point on line from no pain to tolerable pain. The scale consists of a line, usually 100 mm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel .

  up to six weeks

• headache disability

  The Headache spesific Disability Questionnaire was used to assess headcahe disability. it is a self-administered scale with 9 items that assesses pain intensity, work or school disruptions, and the effect on recreational activities in individuals with headache complaints. Higher scores reflect greater impairment.

  up to 6 weeks

Secondary Outcomes (5)

• pressure pain threshold

  up to 6 weeks

• cervical range of motion

  up to 6 weeks

• headache frequency

  up to six weeks

• medication intake

  up to six weeks

• headache duration

  up to six weeks

Study Arms (2)

Integrated Neuromuscular Inhibition Technique

EXPERIMENTAL

Forty-five patients will receive integrated neuromuscular inhibition technique plus postural correction exercises three times a week for six weeks

Other: Integrated Neuromuscular Inhibition Technique; Other: Postural Correction Exercise

Postural Correction Exercise

ACTIVE COMPARATOR

Forty-five patients will receive postural correction exercises three times a week for six weeks

Other: Postural Correction Exercise

Interventions

Integrated Neuromuscular Inhibition Technique OTHER

Patients will receive integrated neuromuscular inhibition technique in the form of intermittent ischemic compression, strain counterstrain, and muscle energy technique plus postural correction exercises

Integrated Neuromuscular Inhibition Technique

Postural Correction Exercise OTHER

The exercise program will be in the form of stretching exercises for the sternocleidomastoids (SCM), the scalenes, and upper fibers of trapezius; strengthening isometric exercises for the neck flexors, extensors, lateral flexors, and neck rotators; and postural correction exercises.

Integrated Neuromuscular Inhibition Technique; Postural Correction Exercise

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• to 60 years old patient with unilaterally of the head pain
• pain triggered by external pressure over the upper cervical joints (c1-c3)
• pain elicited by the neck movements, and/or sustained awkward positions with reduced neck ROM
• headache intensity pain score of at least 20mm on the Visual analogue scale (VAS)
• headache frequency of at least once a week for at least 3 months
• minimum neck disability index score of 10 points or greater

You may not qualify if:

• Migraine, tension- type headache, tumor, osteoporosis, fracture, rheumatoid arthritis and metabolic diseases.
• Prolonged history of steroid use.
• Resting blood pressure greater than 140/90 mmhg.
• cervical spinal stenosis, diminished sensation and central nervous system involvement,
• previous

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, Secondary; Headache Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Central Study Contacts

alshaymaa abd elazeim, phd

CONTACT

01033771553; alshaymaa.shaaban@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : alshaymaa shaaban abd el azeim

Model Details: integrated neuromuscular inhibition technique and postural correction exercises

Study Record Dates

• First Submitted: July 18, 2025
• First Posted: July 25, 2025
• Study Start: July 30, 2025
• Primary Completion: February 25, 2026
• Study Completion: February 25, 2026
• Last Updated: July 25, 2025

Record last verified: 2025-07