- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07240532
Effektiviteten af et multimodal fysioterapiprogram og mobilapp-guidet meditation hos voksne med hyppig eller kronisk spændingshovedpine: Et randomiseret kontrolleret forsøg (JBE-CEF)
Effektiviteten af et multimodal fysioterapiprogram og mobil-app-vejledt meditation hos voksne med hyppig eller kronisk spændingshovedpine: En randomiseret klinisk undersøgelse
Formålet med denne kliniske undersøgelse er at evaluere, om et multimodal fysioterapiprogram og styret meditation ved hjælp af en mobilapp kan hjælpe med at reducere hovedpine og forbedre livskvaliteten hos voksne med hyppig eller kronisk spændingshovedpine. Studiet analyserer effekterne af fysiske og psykologiske interventioner anvendt både separat og i kombination, så den kombinerede behandling adresserer spændingshovedpine som en multifaktoriell tilstand påvirket af biopsykofysiologiske faktorer, og integrerer fysiske og psykologiske strategier for at forbedre deltagernes generelle velvære.<\/p>
De vigtigste spørgsmål, den sigter mod at besvare, er:<\/p>
- Reducerer multimodal fysioterapi intensiteten og hyppigheden af hovedpine?<\/li>
- Hjælper styret meditation gennem en mobilapp med at reducere stress og forbedre den følelsesmæssige velvære?<\/li>
- Er de kombinerede effekter af fysioterapi og meditation større end hver intervention alene?<\/li><\/ul>
Studiet vil sammenligne:<\/p>
- En gruppe, der modtager multimodal fysioterapi sessioner en gang om ugen i fire uger,<\/li>
- En gruppe, der praktiserer styret meditation med en mobilapp i ca. 5 til 7 minutter dagligt,<\/li>
- En gruppe, der kombinerer både fysioterapi og meditation.<\/li><\/ul>
Deltagerne vil:<\/p>
- Deltage i kliniske sessioner eller bruge meditationsappen afhængigt af gruppetildeling,<\/li>
- Udfylde korte spørgeskemaer om smerter, stress, søvn og daglig funktion,<\/li>
- Registrere hovedpineepisoder i en struktureret dagbog i undersøgelsesperioden.<\/li><\/ul>
Studieoversigt
Status
Detaljeret beskrivelse
Spændingshovedpine (TTH) er en af de mest udbredte primære hovedpineforstyrrelser og en vigtig årsag til smerterelateret funktionsnedsættelse på verdensplan. Dens multifaktorielle natur involverer muskuloskeletale, psykologiske og neurofysiologiske mekanismer, der fører til tilbagevendende episoder af smerter og funktionel nedsættelse. Konventionel behandling giver ofte begrænset lindring, hvilket understreger behovet for integrerede, ikke-farmakologiske tilgange.
Denne randomiserede kontrollerede kliniske undersøgelse er designet til at evaluere effektiviteten af multimodal fysioterapi og vejledt meditation leveret gennem en mobilapplikation, både separat og i kombination, hos voksne med hyppig eller kronisk TTH. Den kombinerede intervention er beregnet til at adressere TTH som en multifaktoriel tilstand påvirket af biopsykofysiologiske faktorer, ved at integrere fysiske og psykologiske strategier for at forbedre den generelle trivsel.
Deltagerne vil blive tilfældigt tildelt en af tre grupper: (1) multimodal fysioterapi, (2) vejledt meditation via en mobilapp, eller (3) kombineret behandling. Fysioterapiprogrammet inkluderer manuel terapi, tør akupunktur, blødvævsteknikker og cervical mobilisering, leveret en gang om ugen i fire uger. Meditationsprogrammet består af daglige vejledte sessioner på cirka 5-7 minutter ved hjælp af det gratis spansk-sprogede indhold i Insight Timer-appen.
Resultatmål vil omfatte smerteintensitet, hovedpinerelateret funktionsnedsættelse, følelsesmæssig tilstand, søvnkvalitet, opmærksomhed og patientens globale indtryk af forbedring, vurderet ved baseline, efter behandling og ved 3-måneders opfølgning (og ved 6 måneder, hvis undersøgelsestidslinjen tillader det).
Denne undersøgelse har til formål at give evidens for en tilgængelig, ikke-invasiv og omkostningseffektiv terapeutisk tilgang, der kunne forbedre den kliniske behandling og livskvaliteten hos mennesker med spændingshovedpine.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Jihane Boudount El Kadaoui, PT, DO, PhD(c)
- Telefonnummer: 0034 671767926
- E-mail: e.jihaneb@go.ugr.es
Undersøgelse Kontakt Backup
- Navn: Antonio Manuel Fernandez Perez, PhD
- Telefonnummer: 0034958248030
- E-mail: fernandez@ugr.es
Studiesteder
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Granada, Spanien, 18002
- J&R Global Medical Clinic S.L. (NICA 45193)
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Kontakt:
- Antonio Manuel Fernandez Perez, PhD
- Telefonnummer: 0034958248030
- E-mail: fernandez@ugr.es
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Kontakt:
- Jihane Boudount El Kadaoui, PT, DO, PhD(c)
- Telefonnummer: 0034671767926
- E-mail: e.jihaneb@go.ugr.es
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Ledende efterforsker:
- Jihane Boudount El Kadaoui, PT, DO, PhD(c)
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Diagnose af hyppig eller kronisk spændingshovedpine (TTH) i henhold til International Classification of Headache Disorders, 3. udgave (ICHD-3) kriterierne.
- Evne til at forstå og kommunikere på spansk tilstrækkeligt til at følge instruktioner og udfylde spørgeskemaer.
- Villighed til at give skriftlig informeret samtykke og overholde studieprocedurerne.
Eksklusionskriterier:
- Diagnose af migræne eller andre primære eller sekundære hovedpindelidelser.
- Tilstedeværelse af røde flag for manuel terapi, herunder knoglepatologi, inflammatorisk sygdom, malignitet, neurologiske lidelser, vestibular dysfunktion eller hudinfektion i den cervikale region.
- Fibromyalgi, graviditet eller amning.
- Brug af pacemakere eller implanterbare defibrillatorer.
- Nylige lægemiddeljusteringer, især involverende psykotrope eller kroniske smertepræparater.
- Alvorlige psykiske lidelser (svær depressiv episode, bipolar lidelse, skizofreni eller andre psykotiske tilstande).
- Tidligere fysisk behandling rettet mod den kranio-cervikale region (manuel terapi, tør nålning, anæstetiske blokader) inden for de sidste seks måneder.
- Regelmæssig udøvelse af meditation eller mindfulness i løbet af de sidste seks måneder.
- Deltagelse i et andet klinisk forsøg i løbet af studieperioden.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Multimodal Fysioterapi
Deltagere i denne gruppe vil modtage et multimodal fysioterapiprogram en gang om ugen i fire uger.
Hver session inkluderer thorakal (T4-T7) og cervikothorakal (C7-T1) manipulation, suboccipital inhibition, dyb tør akupunktur af de øvre trapezius- og sternocleidomastoideus muskler, specifik massage (temporale, paracervikale og SCM muskler) og passiv cervical mobilisering i rotation og lateral fleksion inden for en smertefri rækkevidde.
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Participants in this group will receive a multimodal physiotherapy program once a week for four weeks.
Each session includes thoracic (T4-T7) and cervicothoracic (C7-T1) manipulation, suboccipital inhibition, deep dry needling of the upper trapezius and sternocleidomastoid muscles, specific massage (temporal, paracervical, and SCM muscles), and passive cervical mobilization in rotation and lateral flexion within a pain-free range.
All procedures will be performed by an experienced physiotherapist.
Andre navne:
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Eksperimentel: Guidet Meditation Gruppe
Deltagerne i denne gruppe vil bruge Insight Timer mobilapplikationen til at udføre daglige guidede meditationer på cirka 5-7 minutter, som fokuserer på mindfulness, stressreduktion og søvnforbedring.
Kun gratis, spansk-sproget indhold fra appen vil blive brugt.
Programmet vil vare fire uger.
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Deltagere i denne gruppe vil bruge Insight Timer mobilapplikationen til at udføre daglige vejledte meditation sessioner på cirka 5-7 minutter i fire uger.
Alle sessioner vil bruge gratis spansk sprogindhold fokuseret på mindfulness, stressreduktion og søvnforbedring.
Deltagere vil modtage skriftlige instruktioner for at sikre overholdelse.
Andre navne:
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Eksperimentel: Kombineret multimodal fysioterapi og vejledt meditation
Deltagere i denne gruppe vil modtage begge interventioner: én ugentlig session med multimodal fysioterapi i fire uger og daglig vejledt meditation ved hjælp af Insight Timer-appen (cirka 5-7 minutter om dagen).
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Deltagere i denne gruppe vil bruge Insight Timer mobilapplikationen til at udføre daglige vejledte meditation sessioner på cirka 5-7 minutter i fire uger.
Alle sessioner vil bruge gratis spansk sprogindhold fokuseret på mindfulness, stressreduktion og søvnforbedring.
Deltagere vil modtage skriftlige instruktioner for at sikre overholdelse.
Andre navne:
Participants in this group will receive a multimodal physiotherapy program once a week for four weeks.
Each session includes thoracic (T4-T7) and cervicothoracic (C7-T1) manipulation, suboccipital inhibition, deep dry needling of the upper trapezius and sternocleidomastoid muscles, specific massage (temporal, paracervical, and SCM muscles), and passive cervical mobilization in rotation and lateral flexion within a pain-free range.
All procedures will be performed by an experienced physiotherapist.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change in headache pain intensity
Tidsramme: Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache pain intensity will be assessed using the Numerical Pain Rating Scale (NPRS, 0-10), where 0 indicates no pain and 10 indicates the worst imaginable pain.
Participants will record NPRS scores for each headache episode in a structured headache diary throughout the study period (baseline, intervention, and follow-up).
Weekly mean NPRS values will be calculated for statistical analysis.
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Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Change in headache frequency
Tidsramme: Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache frequency will be assessed as the number of days per week with headache, derived from the structured headache diary completed by participants throughout the study period.
A headache day will be defined as any day in which the participant reports the presence of headache, regardless of intensity or duration.
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Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Change in mean headache duration per episode
Tidsramme: Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache duration will be assessed as the average number of hours per headache episode, derived from the structured headache diary completed by participants throughout the study period.
A headache episode will be defined as a continuous period of headache separated by at least 24 hours without pain.
The mean duration per episode will be calculated for analysis.
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Pre-allocation assessment, Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache Disability Inventory (HDI)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache-related disability will be assessed using the Headache Disability Inventory (HDI), which includes total and subscale scores (emotional and functional).
Higher scores indicate greater headache-related disability.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache Impact Test (HIT-6)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Headache impact will be assessed using the Headache Impact Test (HIT-6), a validated questionnaire that measures the impact of headache on daily functioning and quality of life.
Scores range from 36 to 78, with higher scores indicating greater impact.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Beck Depression Inventory-II (BDI-II)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Depressive symptoms will be assessed using the Beck Depression Inventory-II (BDI-II), a validated self-report questionnaire with scores ranging from 0 to 63.
Higher scores indicate greater severity of depressive symptoms.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Perceived Stress Scale-10 (PSS-10)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Perceived stress will be assessed using the Perceived Stress Scale-10 (PSS-10), a validated self-report questionnaire with scores ranging from 0 to 40.
Higher scores indicate greater perceived stress.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Five Facet Mindfulness Questionnaire (FFMQ-39)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Mindfulness will be assessed using the Five Facet Mindfulness Questionnaire (FFMQ-39), a validated self-report instrument that evaluates five dimensions of mindfulness.
Total and subscale scores will be analyzed, with higher scores indicating greater levels of mindfulness.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Quality of Life (SF-36)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Health-related quality of life will be assessed using the Short Form-36 Health Survey (SF-36), a validated questionnaire that evaluates eight domains of perceived health.
Scores range from 0 to 100, with higher values indicating better perceived health status.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Pittsburgh Sleep Quality Index (PSQI)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Sleep quality will be assessed using the Pittsburgh Sleep Quality Index (PSQI), a validated self-report questionnaire that evaluates sleep quality over the past month.
The global score ranges from 0 to 21, with higher values indicating poorer sleep quality.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Insomnia Severity Index (ISI)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Insomnia severity will be assessed using the Insomnia Severity Index (ISI), a validated self-report questionnaire that evaluates the nature, severity, and impact of insomnia.
The total score ranges from 0 to 28, with higher values indicating greater insomnia severity.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of active and latent myofascial trigger points (TrPs)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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The number of active and latent myofascial trigger points will be assessed bilaterally in the upper trapezius, sternocleidomastoid, temporalis, masseter, suboccipital, and splenius capitis muscles, following established diagnostic criteria.
Trigger points will be classified as active if they reproduce the participant's usual pain pattern or latent if not recognized as familiar.
The total number of trigger points will be recorded for analysis.
Assessments will be performed by the principal investigator following standardized and predefined procedures.
Blinding is not feasible due to the study design.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Pressure Pain Thresholds (PPT) using algometry
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Pressure pain thresholds (PPT) will be measured bilaterally at one trigeminal point (temporal muscle), one extratrigeminal point (C5-C6 zygapophyseal joint), and two remote points (second metacarpal and tibialis anterior) using a calibrated electronic algometer.
The pressure at which the sensation changes from pressure to pain will be recorded.
Three measurements will be taken at each point, and the mean value will be used for analysis.
Assessments will be performed by the principal investigator following standardized and predefined procedures.
Blinding is not feasible due to the study design.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Cervical Range of Motion (CROM device)
Tidsramme: Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Active cervical range of motion (CROM) will be assessed using the CROM device (Performance Attainment Associates, MN, USA), which measures flexion, extension, lateral flexion, and rotation in both the global and upper cervical spine.
Two measurements will be taken for each movement, and the mean value will be used for analysis.
Assessments will be performed by the principal investigator following standardized and predefined procedures.
Blinding is not feasible due to the study design.
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Baseline (Week 0), Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Patient Global Impression of Improvement (PGI-I)
Tidsramme: Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Global perceived improvement will be assessed using the Patient Global Impression of Improvement (PGI-I), a 7-point Likert scale that evaluates the participant's perception of overall change after the intervention.
Scores range from 1 (very much improved) to 7 (very much worse).
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Week 4 (post-treatment), Week 12 (3-month follow-up), Week 24 (6-month follow-up)
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Expectation of improvement (Likert 1-10)
Tidsramme: Baseline (Week 0)
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Expectation of improvement will be assessed before treatment using a single 10-point Likert scale.
Participants will rate the question: "How much do you think this treatment will help your headache?",
where 1 indicates "not at all" and 10 indicates "very much".
This variable will be analyzed as a potential covariate or predictor of treatment response.
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Baseline (Week 0)
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Studiestol: Antonio Manuel Fernández Pérez, Pt, phD, Department of Physiotherapy, Faculty of Health Sciences, University of Granada
- Studiestol: Dulce María Romero Ayuso, PhD, Department of Physiotherapy, Faculty of Health Sciences, University of Granada
- Studieleder: JIHANE Boudount El Kadaoui, PT, DO, PhD(c), Doctoral Program in Clinical Medicine and Public Health, University of Granada, Spain
Publikationer og nyttige links
Generelle publikationer
- Gildir S, Tuzun EH, Eroglu G, Eker L. A randomized trial of trigger point dry needling versus sham needling for chronic tension-type headache. Medicine (Baltimore). 2019 Feb;98(8):e14520. doi: 10.1097/MD.0000000000014520.
- Pourahmadi M, Dommerholt J, Fernandez-de-Las-Penas C, Koes BW, Mohseni-Bandpei MA, Mansournia MA, Delavari S, Keshtkar A, Bahramian M. Dry Needling for the Treatment of Tension-Type, Cervicogenic, or Migraine Headaches: A Systematic Review and Meta-Analysis. Phys Ther. 2021 May 4;101(5):pzab068. doi: 10.1093/ptj/pzab068.
- Fernandez-de-Las-Penas C, Palacios-Cena M, Valera-Calero JA, Cuadrado ML, Guerrero-Peral A, Pareja JA, Arendt-Nielsen L, Varol U. Understanding the interaction between clinical, emotional and psychophysical outcomes underlying tension-type headache: a network analysis approach. J Neurol. 2022 Aug;269(8):4525-4534. doi: 10.1007/s00415-022-11039-5. Epub 2022 Mar 1.
- Espi-Lopez GV, Gomez-Conesa A. Efficacy of manual and manipulative therapy in the perception of pain and cervical motion in patients with tension-type headache: a randomized, controlled clinical trial. J Chiropr Med. 2014 Mar;13(1):4-13. doi: 10.1016/j.jcm.2014.01.004.
- Anheyer D, Leach MJ, Klose P, Dobos G, Cramer H. Mindfulness-based stress reduction for treating chronic headache: A systematic review and meta-analysis. Cephalalgia. 2019 Apr;39(4):544-555. doi: 10.1177/0333102418781795. Epub 2018 Jun 4.
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Neurologiske manifestationer
- Hjernesygdomme
- Sygdomme i centralnervesystemet
- Sygdomme i nervesystemet
- Neuroadfærdsmæssige manifestationer
- Hovedpinelidelser, Primær
- Hovedpine lidelser
- Perceptuelle forstyrrelser
- Patologiske tilstande, tegn og symptomer
- Tegn og symptomer
- Agnosia
- Spændingshovedpine
- Terapeutik
- Komplementære terapier
- Fysioterapimodaliteter
- Rehabilitering
- Tør nåle
- Muskuloskeletale manipulationer
Andre undersøgelses-id-numre
- JBE-CEF-2025
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Data for den enkelte deltager (IPD) vil ikke deles med andre forskere. Alle data vil blive anonymiseret og håndteret i overensstemmelse med Den Generelle Databeskyttelsesforordning (EU 2016/679) og den spanske organiske lov 3/2018 om databeskyttelse.
Kun aggregerede og de-identificerede resultater vil blive offentliggjort i fagfællebedømte tidsskrifter eller præsenteret på videnskabelige konferencer.
Ingen overførsel af rådata til tredjeparter er planlagt, og dataadgang vil forblive begrænset til forskningsteamet på University of Granada under tilsyn af det lokale Biomedicinske Forskningsetiske Udvalg i Andalusien.
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Spændingshovedpine
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Medical University of WarsawUkendtTension PneumothoraxPolen
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Johns Hopkins UniversityMedline Industries, IncAfsluttetPneumothorax | Tension PneumothoraxForenede Stater
Kliniske forsøg med Guidet Meditation Ved Hjælp Af Insight Timer App
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Medstar Health Research InstituteAfsluttetSmerter og hysteroskopiForenede Stater