Can Hands-On therapy or targeted exercise ease headaches from the neck?
NCT ID NCT07776093
First seen Aug 20, 2026 · Last updated Aug 25, 2026 · Updated 3 times
Summary
This trial compares two physiotherapy approaches for cervicogenic headache, a type of headache originating from the upper neck. Participants will receive either manual therapy (joint mobilization, myofascial release, and trigger point therapy) or a multicomponent exercise program (deep neck flexor strengthening, proprioception, and balance training) over 4 weeks. The study measures changes in pain, neck muscle thickness, joint position sense, central sensitization, disability, and fear of movement. The goal is to see which approach better improves these outcomes in adults aged 18-45 with this condition.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Manual therapy (joint mobilization, myofascial release, trigger point therapy, suboccipital distraction) and a multicomponent exercise program (deep cervical flexor strengthening, proprioception, gaze stability, balance training)
- What this could lead to
- If successful, this could identify which therapy better improves neck muscle function, pain, and fear of movement in people with cervicogenic headache, potentially guiding more effective physiotherapy.
- What could go wrong
- This is a small, early-stage trial with only 32 participants, so results may not apply broadly. Both therapies are generally low-risk, but individual responses can vary.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 32 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnosis of cervicogenic headache by a specialist physician, * Aged between 18 and 45 years, * Ability to read and write (literate), * Provision of signed informed consent to participate in the study. Exclusion Criteria: * History of head or neck surgery, * History of spinal surgery, * History of severe cardiac conditions or cardiac surgery that contraindicates exercise, * History of ongoing or past malignancy, * Diagnosis of psychiatric disorders, * Diagnosis of migraine, * Diagnosis of fibromyalgia, * Having received medical (except analgesics), physical therapy, or other interventions (e.g., alternative medicine, massage therapy) for cervicogenic headache within the last 6 months, * Engaging in regular exercise or attending an exercise facility within the last 6 months, * Experiencing headaches strictly associated with the menstrual period, * Investigator decision for exclusion based on ethical or clinical grounds, * Communication problems interfering with evaluation and treatment.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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Other studies related to the condition(s) this trial covers.
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