NCT07820280

Brief Summary

EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
44

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Mar 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 20, 2026

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

September 9, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 15, 2026

Completed
13 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 28, 2026

Completed
2 days until next milestone

Study Completion

Last participant's last visit for all outcomes

September 30, 2026

Completed
Last Updated

September 21, 2026

Status Verified

September 1, 2026

Enrollment Period

6 months

First QC Date

September 9, 2026

Last Update Submit

September 16, 2026

Conditions

Keywords

CERVICOGENIC HEADACHEmaitland mobilizationKaltenbornNPRSNDI

Outcome Measures

Primary Outcomes (4)

  • Numeric Pain Rating Scale (NPRS)

    The \*\*Numeric Pain Rating Scale (NPRS)\*\* is an 11-point scale used to assess pain intensity, ranging from \*\*0 (no pain) to 10 (worst possible pain)\*\*. Participants will be asked to rate their current neck/headache pain by selecting the number that best represents their pain intensity.

    baseline and after 8 weeks

  • Neck Disability Index (NDI)

    The \*\*Neck Disability Index (NDI)\*\* is a standardized questionnaire used to assess neck pain-related disability and its impact on daily activities. It consists of \*\*10 items\*\*, with higher scores indicating greater levels of disability.

    baseline and after 8 weeks

  • Inclinometer to asses ROM

    An \*\*inclinometer\*\* is a reliable measuring device used to assess cervical spine range of motion (ROM). It measures cervical flexion, extension, lateral flexion, and rotation in degrees, allowing objective evaluation of changes in cervical mobility before and after treatment.

    baseline and after 8 weeks

  • Headache Disability Index (HDI)

    The \*\*Headache Disability Index (HDI)\*\* is a standardized questionnaire used to assess the impact of headache on a participant's daily activities and emotional well-being. It evaluates functional and emotional limitations associated with headache, with higher scores indicating greater headache-related disability.

    baseline and after 8 weeks

Study Arms (2)

Maitland mobilization

EXPERIMENTAL

Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.

Other: Maitland mobilization

Kaltenborn Mobilization

ACTIVE COMPARATOR

Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.

Other: Kaltenborn

Interventions

Maitland mobilization will consist of passive oscillatory mobilization techniques applied to the symptomatic cervical segments. Mobilization grades I-IV will be selected according to the participant's pain severity, irritability, and limitation of cervical movement. Each mobilization will be performed for 30-60 seconds and repeated for 2-3 sets per affected segment, with the aim of reducing pain and improving cervical joint mobility and range of motion.

Maitland mobilization

Kaltenborn mobilization will consist of sustained passive joint mobilization techniques applied to hypomobile cervical segments. Grades I-III mobilizations will be selected according to the participant's pain level, joint mobility, and clinical findings. Each mobilization will be performed for 2-3 sets per affected cervical segment, with the aim of reducing pain, improving joint play, and increasing cervical range of motion.

Kaltenborn Mobilization

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Age: 18-40 yrs
  • Gender: male/female
  • Unilateral neck pain and stiffness
  • Cervicogenic headache confirmed with Cervical Flexion Rotation Test
  • Cervical spine ROM\>10°
  • Unilateral headache
  • Headache triggered on neck extension

You may not qualify if:

  • Congenital conditions of cervical spine
  • Disc herniation
  • Cervical radiculopathy
  • Myelopathy
  • Cervical fracture/ trauma past 3 months
  • Vestibular dysfunction/ VBI
  • TMJ dysfunction related headache
  • Whiplash injury
  • Other types of headache i-e tension type, migraine or cluster type

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ibadat International University

Islamabad, 47000, Pakistan

RECRUITING

MeSH Terms

Conditions

Post-Traumatic Headache

Condition Hierarchy (Ancestors)

Headache Disorders, SecondaryHeadache DisordersBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Marium Khalid, Ms-OMPT

    Ibadat International University, Islamabad

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Marium Khalid, MS-OMPT

CONTACT

Shafaq Abbasi, MS-MSK

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Participant will be blinded
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: This study will use a parallel-group randomized controlled trial design. Eligible participants with cervicogenic headache will be randomly allocated in a 1:1 ratio into two treatment groups.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

September 9, 2026

First Posted

September 15, 2026

Study Start

March 20, 2026

Primary Completion

September 28, 2026

Study Completion

September 30, 2026

Last Updated

September 21, 2026

Record last verified: 2026-09

Data Sharing

IPD Sharing
Will not share

Locations