Impact of Adding Instrument-assisted Soft Tissue Mobilization to Mulligan Therapy in Patients With Cervicogenic Headache

NCT07373912 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006193
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the impact of adding Instrument assisted soft tissue mobilization technique to mulligan therapy in patients with cervicogenic headache

Conditions

Cervicogenic Headache

Keywords

Instrument Assisted Soft Tissue Mobilization; mulligan therapy

Outcome Measures

Primary Outcomes (1)

• neck disability

  Assessment of neck function was performed by Arabic neck disability index. It is a valid and reliable tool in the assessment of neck function. It contains ten category/classes. Each category contains six choices (zero-five).Score from zero to four no disability, from five to 15 this is mild, From 15 to 24 this is moderate, from 25 to 34 this is severe, more than 34 this is a complete disability

  up to 6 weeks

Secondary Outcomes (6)

• pain intensity

  up to 6 weeks

• cervical range of motion

  up to six weeks

• muscle stiffness

  up to six weeks

• headache frequency

  up to six weeks

• headache duration

  up to six weeks

Study Arms (3)

instrumeted assissted soft tissue mobilization and mulligan therapy

EXPERIMENTAL

twenty patients will receive IASTM, mulligan therapy and postural correction exercises three times per week for 6 weeks.

Other: instrumeted assissted soft tissue mobilization and mulligan therapy; Other: mulligan therapy; Other: postural correction exercises

mulligan therapy

EXPERIMENTAL

Twenty patients will receive Mulligan therapy and postural correction exercises three times per week for 6 weeks.

Other: mulligan therapy; Other: postural correction exercises

postural correction exercises

ACTIVE COMPARATOR

Twenty patients will receive postural correction exercises three times per week for 6 weeks.

Other: postural correction exercises

Interventions

postural correction exercises OTHER

the exercises will incluse, Stretching exercises for the sternocleidomastoids,the Scalenes,upper fibers of trapezius and strengthening exercises for cervical muscles

instrumeted assissted soft tissue mobilization and mulligan therapy; mulligan therapy; postural correction exercises

instrumeted assissted soft tissue mobilization and mulligan therapy OTHER

the patients will receive IASTM tools over the length of targeted muscles (descending fiber of trapezius, suboccipitalis muscles ) for 5 minutes. also, SNAG technique; Each patient will be asked to sit comfortably, and the treating therapist will stand beside the patient. The patient's head will be free and cradled between the therapist's right forearm and body, and the therapist stand at the patient's right side. The therapist then will place his right index, middle, and ring fingers at the base of the occiput and kept his right little finger over the spinous process of C2. Next, with the lateral border of his left thenar eminence, gentle pressure will be applied in a ventral and upward direction(45 degrees) over the right little finger. finally postural correction execises

instrumeted assissted soft tissue mobilization and mulligan therapy

mulligan therapy OTHER

SNAG technique; Each patient will be asked to sit comfortably, and the treating therapist will stand beside the patient. The patient's head will be free and cradled between the therapist's right forearm and body, and the therapist stand at the patient's right side. The therapist then will place his right index, middle, and ring fingers at the base of the occiput and kept his right little finger over the spinous process of C2. Next, with the lateral border of his left thenar eminence, gentle pressure will be applied in a ventral and upward direction(45 degrees) over the right little finger. Finally, postural correction exercises will be addedd

instrumeted assissted soft tissue mobilization and mulligan therapy; mulligan therapy

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Unilateral CGH presentation
• Age group above 18 years' old
• History of chronic CGH (\>3 months)
• CGH owing to cervical spine (neck) dysfunction
• Reduced cervical motion
• Neck stiffness and movement restriction

You may not qualify if:

• Participants with other types of headache (migraine headache)
• Headache owing to other causes (sinus, tumor, neural, and tempero-mandibular joint issues)
• Any contraindications to manual and manipulative therapy (fracture, instability, osteoporosis and neural symptoms)
• Taking analgesics or corticosteroids and migraine-specific medications, such as triptans
• Metastasis
• Cardiac conditions (stroke and syncope)
• Neurological conditions (radiculopathy, myelopathy)

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

doaa youssef, master

CONTACT

01113279369; Doaa10997youssef@gmail.com

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 : doaa youssef ahmed mahmoud

Model Details: instrument-assisted soft tissue mobilization, Mulligan therapy, and postural correction exercises

Study Record Dates

• First Submitted: January 21, 2026
• First Posted: January 28, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): July 1, 2026
• Study Completion (Estimated): July 1, 2026
• Last Updated: January 28, 2026

Record last verified: 2026-01