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"Effectiveness of Kaltenborn Mobilization Techniques Versus Maitland Mobilization on Management of Cervicogenic Headache: A Randomized Controlled Trial." (Effectiveness)

9. september 2026 oppdatert av: Marium Khalid, Ibadat International University, Islamabad
EFFECTIVENESS OF KALTENBORN MOBILIZATION TECHNIQUES VERSUS MAITLAND MOBILIZATION ON MANAGEMENT OF CERVICOGENIC HEADACHE

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This randomized controlled trial aims to compare the effectiveness of Kaltenborn and Maitland mobilization techniques in individuals with cervicogenic headache. The study will assess the effects of both interventions on pain intensity, cervical range of motion, neck disability, and headache-related disability. A total of 44 participants aged 18-40 years with clinically confirmed cervicogenic headache will be randomly allocated into two groups. Both groups will receive baseline physiotherapy treatment, while Group A will receive Kaltenborn mobilization and Group B will receive Maitland mobilization for 8 weeks, with three sessions per week. The findings will help determine which mobilization technique is more effective and provide evidence to guide physiotherapists in the management of cervicogenic headache.

Studietype

Intervensjonell

Registrering (Antatt)

44

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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Studiekontakt

Studer Kontakt Backup

Studiesteder

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • 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

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Enkelt

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Maitland mobilization
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.
Annen: Maitland mobilization
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.
Aktiv komparator: Kaltenborn 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.
Annen: Kaltenborn
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.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Numeric Pain Rating Scale (NPRS)
Tidsramme: baseline and after 8 weeks
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)
Tidsramme: baseline and after 8 weeks
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
Tidsramme: baseline and after 8 weeks
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)
Tidsramme: baseline and after 8 weeks
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

Samarbeidspartnere og etterforskere

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Sponsor

Ibadat International University, Islamabad

Etterforskere

  • Hovedetterforsker: Marium Khalid, Ms-OMPT, Ibadat International University, Islamabad

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

20. mars 2026

Primær fullføring (Antatt)

28. september 2026

Studiet fullført (Antatt)

30. september 2026

Datoer for studieregistrering

Først innsendt

9. september 2026

Først innsendt som oppfylte QC-kriteriene

9. september 2026

Først lagt ut (Faktiske)

15. september 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

15. september 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

9. september 2026

Sist bekreftet

1. september 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • IIUI/RERC/ADT/2026/02//242

Plan for individuelle deltakerdata (IPD)

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NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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