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CTRI Number  CTRI/2025/05/086133 [Registered on: 01/05/2025] Trial Registered Prospectively
Last Modified On: 21/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effect of Muscle Tension Inhibition technique plus Muscular Relaxation method on Tension Type Headache 
Scientific Title of Study   EFFECT OF SUB-OCCIPITAL TIOSSUE INHIBITION AND PROGRESSIVE MUSCULE RELAXATION ON TENSION TYPE HEADACHE 
Trial Acronym  nill 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sandeep Singh 
Designation  Assistant Professor  
Affiliation  Punjabi University 
Address  Chinar Bagh, Near Punjabi University, (Deptt. of Physiotherapy) Patiala

Patiala
PUNJAB
147001
India 
Phone  9417802490  
Fax  0175  
Email  sandyraina248@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ishika Garg 
Designation  Post graduate student 
Affiliation  From Punjabi University 
Address  House no. 1034, near shyam hospital, Prem nagar, Kotkapura , Dist. Faridkot

Faridkot
PUNJAB
151204
India 
Phone  8054266631  
Fax    
Email  gargishika918@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sandeep Singh 
Designation  Assistant Professor  
Affiliation  Punjabi University 
Address  Chinar Bagh, Near Punjabi University, (Deptt. of Physiotherapy) Patiala


PUNJAB
147001
India 
Phone  9417802490  
Fax  0175  
Email  sandyraina248@gmail.com  
 
Source of Monetary or Material Support  
Dr. Sandeep Singh, Assistant professor, Punjabi University, Patiala (147002), INDIA 
 
Primary Sponsor  
Name  Dr Sandeep Singh 
Address  (Assisstant Professor in Punjabi University), Chinar Bagh, Patiala 147001, PUNJAB 
Type of Sponsor  Other [research guide] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sandeep Singh  Punjabi University, Out patient department,   dept. of physiotherapy, Punjabi University, 147001
Patiala
PUNJAB 
09417802490

sandyraina248@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Punjabi University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Tension type Headache 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Progressive Muscle Relaxation (APMR)  APMR relieves full body muscle tension and induces relaxation 20 min/day, on alternate days twice a week for 4 weeks 
Intervention  Sub Occipital Tissue Inhibition (SOTI) and Abbreviated Progressive Muscle Relaxation (APMR)  SOTI is a manual release technique for the suboccipital area, APMR is general body relaxation- 15 min /day on alternate days for twice a week 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  38.00 Year(s)
Gender  Both 
Details  1. Suffering from mild to moderate intensity pain
2. The pain located bilaterally over the temporal region.
3. pressing, non-pulsating type of pain
4. Headache not aggravated by normal physical activity
5. Only one out of photophobia or phonophobia should be present and not both.
6. At least 10 episodes of headache occurring for 1-14days/month on average for >3 months.
 
 
ExclusionCriteria 
Details  1. Patients with infrequent TTH
2. Headache that is aggravated by head movements
3. Previous neck trauma
4. Individuals with history of metabolic or systemic disorders like vertigo, dizziness, hypertension /hypotension.
5. Patients with cardiac devices
6. Neurological alterations or pre diagnosed neurological disease
7. Pregnancy
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Headache Disability Index (HDI)
Visual Analogue Scale (VAS) 
DAY 0 and DAY 28, at baseline and at end of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of life  Baseline
week 4 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Tension type headache is very prevalent in young adults, mainly caused due to muscular factors or pyschomyogenic factors thus physiotherapy treatment would aim at reducing the tension in the sub occipital musculature and progressive muscle relaxation would help in full body relaxation. The study is aimed to review the effect of sub-occipital tissue musculature and progressive muscle relaxation on individuals with frequent tension type headache  
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