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CTRI Number  CTRI/2025/02/081048 [Registered on: 21/02/2025] Trial Registered Prospectively
Last Modified On: 19/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   To evaluate the Efficacy of Manual Therapy in Patients with Neck Muscle Tightness.  
Scientific Title of Study   Effect of Instrument-Assisted Soft Tissue Mobilization and Shiatsu on Cervicogenic Headache. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ashita 
Designation  Student 
Affiliation  Guru Jambheshwar University of Science and Technology 
Address  Department of Physiotherapy Guru Jambheshwar University of Science and Technology Hisar

Hisar
HARYANA
125001
India 
Phone  9306472277  
Fax    
Email  ashitabhatia92@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Varun Singh  
Designation  Assistant Professor 
Affiliation  Guru Jambheshwar University of Science and Technology 
Address  Department of Physiotherapy Guru Jambheshwar University of Science and Technology Hisar

Hisar
HARYANA
125001
India 
Phone  9802991664  
Fax    
Email  varunpoonia@gjust.org  
 
Details of Contact Person
Public Query
 
Name  Varun Singh  
Designation  Assistant Professor 
Affiliation  Guru Jambheshwar University of Science and Technology 
Address  Department of Physiotherapy Guru Jambheshwar University of Science and Technology Hisar

Hisar
HARYANA
125001
India 
Phone  9802991664  
Fax    
Email  varunpoonia@gjust.org  
 
Source of Monetary or Material Support  
Department of Physiotherapy Guru Jambheshwar University of Science and Technology Hisar Haryana India 125001 
 
Primary Sponsor  
Name  Ashita 
Address  Department of physiotherapy Guru Jambheshwar University of Science and Technology Hisar Haryana India 125001 
Type of Sponsor  Research institution 
 
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 Varun Singh   Department of Physiotherapy Guru Jambheshwar University of Science and Technology  Room No 05 Department of Physiotherapy OPD Guru Jambheshwar University of Science and Technology Hisar Haryana India 125001
Hisar
HARYANA 
09802991664

varunpoonia@gjust.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee of GJUST  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G448||Other specified headache syndromes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Instrument Assisted Soft Tissue Mobilization  Patient in this group will receive Instrument Assisted Soft Tissue Mobilization 3 sessions per week for 4 weeks 
Comparator Agent  Shiatsu  Patient in this group will receive Shiatsu 3 sessions per week for 4 weeks 
Intervention  Shiatsu with Instrument Assisted Soft Tissue Mobilization  Patient in this group will receive Shiatsu and Instrument Assisted Soft Tissue Mobilization 3 sessions per week for 4 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Subjects with the age group between 18-30 years old.
Both gender.
The participants who are eligible for the criteria of cervicogenic headache (according to The International Headache Society). 
 
ExclusionCriteria 
Details  Orthopaedic problems like fractures, acute neck injury, cervical surgery
Already had participated in a regular exercise program for the previous three months and received some medical treatment.
Uncooperative subject 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain will be assessed using the visual analogue scale (VAS).
Functional status will be assessed using validated neck disability index (NDI).
Headache status will be assessed by “headache quality of life” questionnaire 
The Outcomes will be assessed two times which is at baseline and after the four weeks  
 
Secondary Outcome  
Outcome  TimePoints 
The range of motion will be measured using a goniometer.
Strength of flexor & extensor muscles will be observed by MMT.
Cervical flexion rotation test will be conducted. 
The outcomes will be assessed for two times which is at the baseline & after the 4 weeks 
 
Target Sample Size   Total Sample Size="132"
Sample Size from India="132" 
Final Enrollment numbers achieved (Total)= "132"
Final Enrollment numbers achieved (India)="132" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/03/2025 
Date of Study Completion (India) 21/07/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="28" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
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   It is a randomized control trial with a duration of 4 weeks and involving 132 patients that will be divided into 3 groups based on the lottery method. It’s intervention involves Instrument Assisted Soft Tissue Mobilization and Shiatsu in one group and Shiatsu in second group and Instrument Assisted Soft Tissue Mobilization in third group. 
The patients will be informed about the study and written informed consent will be taken. First, each patient demographic information including age, height, weight will be gathered as a baseline data. Pre-intervention measurement of outcome variables including VAS, NDI, "headache quality of life" questionnaire, ROM, strength, CFRT will be taken. Intervention will be given for 4 weeks and then post-intervention data of all the outcome variables will be taken.
 
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