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CTRI Number  CTRI/2026/01/102545 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 29/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study Comparing Bowen Therapy and Myokinetic Stretching in people with headache  
Scientific Title of Study   Effect of Bowen Therapy versus Myokinetic Stretching on Pericranial Muscle Dysfunction in Individuals with Tension-Type Headache: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sudarshan Shewale 
Designation  Postgraduate student 
Affiliation  Parul Institute of Physiotherapy 
Address  Department of Physiotherapy, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Room No - No applicable Parul University Campus, Limda, Waghodia Road, Vadodara, Gujarat.

Vadodara
GUJARAT
391760
India 
Phone  8421875802  
Fax    
Email  rajsheale@gmail.com  
 
Details of Contact Person
Scientific Query  
Name  Sudarshan Shewale 
Designation  Postgraduate student 
Affiliation  Parul Institute of Physiotherapy 
Address  Department of Physiotherapy, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Room No - Not Applicable, Parul University Campus, Limda, Waghodia Road, Vadodara, Gujarat.

Vadodara
GUJARAT
391760
India 
Phone  8421875802  
Fax    
Email  rajsheale@gmail.com  
 
Details of Contact Person
Public Query  
Name  Sudarshan Shewale 
Designation  Postgraduate student 
Affiliation  Parul Institute of Physiotherapy 
Address  Department of Physiotherapy, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Room No- Not Applicable, Parul University Campus, Limda, Waghodia Road, Vadodara, Gujarat.

Vadodara
GUJARAT
391760
India 
Phone  8421875802  
Fax    
Email  rajsheale@gmail.com  
 
Source of Monetary or Material Support  
Self-funded study with academic support from Department of Physiotherapy, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Parul University Campus, Limda, Waghodia Road, Vadodara – 391760, Gujarat, India. 
 
Primary Sponsor  
Name  Parul university  
Address  Parul University, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Parul University Campus, Limda, Waghodia Road, Vadodara – 391760, Gujarat, India. 
Type of Sponsor  Private medical college 
 
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 Sudarshan Shewale   PARUL SEVASHRAM HOSPITAL   Department of Physiotherapy, Faculty of Physiotherapy, Parul Institute of Physiotherapy, Room No. Not Applicable, Parul University Campus, Limda, Waghodia Road, Vadodara – 391760, Gujarat, India.
Vadodara
GUJARAT 		 8421875802

2407202080025@paruluniversity.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Parul University Institutional Ethics Committee For Human Research (PU-IECHR)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G442||Tension-type headache,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bowen Therapy   Participants allocated to Group A will receive Bowen Therapy targeting pericranial and associated cervical musculature. The intervention will be administered by a trained physiotherapist on alternate days for a duration of 2 weeks. Each treatment session will last approximately 20 minutes. A total of 6 treatment sessions will be delivered during the intervention period.  
Comparator Agent  Myokinetic Stretching Technique   Participants allocated to Group B will receive Myokinetic Stretching Technique focusing on pericranial and associated cervical muscles. The intervention will be administered by a trained physiotherapist on alternate days for a duration of 2 weeks. Each session will consist of 4 sets of 15 stretches with intermittent rest of 3 minutes between sets. A total of 6 treatment sessions will be delivered during the intervention period. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  28.00 Year(s)
Gender  Both 
Details  1) Both male and female students in the age group 18-28 years
2) Bilateral location
3) Recurrent mild to moderately intense headaches
4) Headaches that feel pressing or tightening
5) No episodes of nausea or vomiting during headache
6) No exacerbation with ordinary physical activity
7) Headache Disability Index score ranging from 10-48 (mild to moderate)
 
 
ExclusionCriteria 
Details  1) Subjects with other types of headache like migraine or cervicogenic headache
2) Any co morbid factors like congenital, malignant, autoimmune and neurological conditions involving head and neck
3) Any trauma to head and neck region less than 6 months
4) Any diagnosed systemic illness
5) Individuals on medication for tension type headache
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain intensity measured using Visual Analogue Scale   Baseline and at the end of intervention  
 
Secondary Outcome  
Outcome  TimePoints 
Headache related Disability measured using Headache Disability Index   Baseline and at the end of intervention  
Cervical Range of Motion measured using Goniometer   Baseline and at the end of intervention  
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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)   15/02/2026 
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="6"
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 one of the most common primary headaches and is associated with pericranial muscle tenderness and functional disability. Physiotherapy interventions are commonly used to reduce pain and improve function in individuals with tension type headache. Bowen therapy and myokinetic stretching technique are manual therapy approaches used for musculoskeletal conditions, but evidence comparing their effectiveness in tension type headache is limited.
This randomized parallel group active controlled trial aims to evaluate and compare the effect of Bowen therapy versus myokinetic stretching technique on pain intensity, headache related disability, and cervical range of motion in individuals with tension type headache. A total of 38 participants will be randomly allocated into two groups using envelope method. One group will receive Bowen therapy and the other group will receive myokinetic stretching technique.
Outcome measures will include pain intensity measured using Visual Analog Scale, headache related disability measured using Headache Disability Index, and cervical range of motion measured using goniometer. Assessments will be performed at baseline and at the end of intervention. The findings of this study may help in identifying an effective physiotherapy intervention for the management of tension type headache.
 
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