| CTRI Number |
CTRI/2026/03/106215 [Registered on: 13/03/2026] Trial Registered Prospectively |
| Last Modified On: |
13/03/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Immediate effects of a gentle neck muscle release technique alone and combined with a specific neck mobilization technique, on headache intensity, neck-related disability and neck movement in people with cervicogenic headache |
|
Scientific Title of Study
|
Immediate effects of Sub-occipital Myofascial release and sub- occipital myofascial release along with Sustained Natural Apophyseal Gilde on Headache, Neck disability and Cervical Range of Motion in subjects with Cervicogenic headache |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| drjassisaggu@gmail.com |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Hari om Singh Chauhan (PT) |
| Designation |
Pg student |
| Affiliation |
DAV institute of physiotherapy and rehabilitation |
| Address |
DAV institute of physiotherapy and rehabilitation Mahatma Hans Raj Marg, Opposite Burlton Park Gurdev Nagar Ram Nagar
, Neurology department
Jalandhar
PUNJAB
144008
India |
| Phone |
7011028350 |
| Fax |
|
| Email |
hariomchauhan038@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Hari om Singh Chauhan |
| Designation |
Pg student |
| Affiliation |
DAV institute of physiotherapy and rehabilitation |
| Address |
DAV institute of physiotherapy and rehabilitation Mahatma Hans Raj Marg, Opposite Burlton Park Gurdev Nagar Ram Nagar, Neurology department
Jalandhar
PUNJAB
144008
India |
| Phone |
7011028350 |
| Fax |
|
| Email |
hariomchauhan038@gmail.com |
|
Details of Contact Person
Public Query
|
| Name |
Hari om Singh Chauhan |
| Designation |
Pg student |
| Affiliation |
DAV institute of physiotherapy and rehabilitation |
| Address |
DAV institute of physiotherapy and rehabilitation Mahatma Hans Raj Marg, Opposite Burlton Park Gurdev Nagar Ram Nagar, Neurology Department
Jalandhar
PUNJAB
144008
India |
| Phone |
7011028350 |
| Fax |
|
| Email |
hariomchauhan038@gmail.com |
|
|
Source of Monetary or Material Support
|
| DAV Institute of Physiotherapy and Rehabilitation, 144008, Jalandhar, Punjab, India. |
|
|
Primary Sponsor
|
| Name |
NIL |
| Address |
NIL |
| Type of Sponsor |
Other [NIL] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DR HARI OM SINGH CHAUHAN |
DAV institute of Physiotherapy and Rehabilitation |
Ground floor, Neuro department.
Jalandhar
PUNJAB |
7011028350
hariomchauhan038@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: M959||Acquired deformity of musculoskeletal system, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Sub-occipital Myofascial release |
Patient will be in supine lying in a relaxed position with the hands resting at the sides of the couch. The therapist will be sitting on the stool at the head side of the patient with the forearm resting on treatment couch.
After palpating the condyles of the occiput with the fingers, the therapist will position fingers in the slight depression between the occiput and the spinous process of the second cervical vertebra. By flexing their metacarpophalangeal joints, the therapist will gently lift the participant’s head. With the base of the participant’s skull resting in the therapist’s palm, the therapist will apply pressure using their second, third, and fourth fingers to the rectus capitis posterior and obliquus capitis superior muscles.
The pressure will be equivalent to the weight of the participant’s head and will be maintained for five minutes. To minimize the influence of eye movements on suboccipital muscle tone, patient will be instructed to keep their eyes closed during the procedure
|
| Comparator Agent |
HEADACHE, NECK DISABILITY AND CERVICAL RANGE OF MOTION |
Headache will be measured by Numerical Pain Rating Scale (NPRS), Neck Disability will be measured by Neck Disability Index (NDI), Cervical Range of Motion will be measured by Universal Goniometer. |
| Intervention |
SUB- OCCIPITAL MYOFASCIAL RELEASE ALONG WITH SUSTAINED NATURAL APOPHYSEAL GLIDE |
Sub-occipital myofascial release is given along with SNAGS.
SNAGS is sustained natural apophyseal glide given
It will be applied on the dorsal side of the neck.
Treatment technique will include patient in sitting position in erect posture.
Therapist will place his one hand’s thumb on the C1 spinous process and with other hand pressure applied on C2 spinous process for 3 repetitions as maintained the sustained accessory zygapophyseal joint glide.
For rotation on the restricted site; therapist will place thumb over the thumb of the C1 transverse process and applied unilateral glide ventrally with active rotation on the affected side of 3 repetitions
|
|
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Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
55.00 Year(s) |
| Gender |
Both |
| Details |
Both male and females will be enrolled.
Individual of age group between 18 – 55 years.
Individual having cervicogenic headache with NPRS more than 2.
Duration of symptoms of more than 6 months.
Patient should be cooperative and mentally fit.
|
|
| ExclusionCriteria |
| Details |
Cervical radiculopathy
Subjects with whiplash injury within 6 weeks
Subjects pre diagnosed with tumours or malignancy of cervical region
Subjects with pre – diagnosed history of skin infections such as psoriasis, ulcers, eczema
Subjects pre – diagnosed with inflammatory disorders of spine such as rheumatoid arthritis, ankylosing spondylitis
|
|
|
Method of Generating Random Sequence
|
Other |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
To evaluate the immediate effects of sub occipital myofascial release on headache in subjects with cervicogenic headache.
To evaluate the immediate effects of sub occipital myofascial release on neck disability in subjects with cervicogenic headache
To evaluate the immediate effects of sub occipital myofascial release on cervical range of motion in subjects with cervicogenic headache
|
Immediate
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
To evaluate the immediate effect of sub occipital myofascial release along with SNAGS on headache in subjects with cervicogenic headache.
To evaluate the immediate effect of sub occipital myofascial release along with SNAGS on neck disability in subjects with cervicogenic headache
To evaluate the immediate effect of sub occipital myofascial along with SNAGS on cervical range motion in subjects with cervicogenic headache
To compare the immediate effect of suboccipital Myofascial release & sub occipital myofascial release along with SNAGS in subjects with cervicogenic headache.
|
Immediate |
|
|
Target Sample Size
|
Total Sample Size="50"
Sample Size from India="50"
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)
|
01/05/2026 |
| 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="1"
Months="6"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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
|
The total duration for study will be one and a half year. A minimum of 50 participants of cervicogenic headache (male and female) between the age of 18-55 years will be included in the study on the basis of inclusion and exclusion criteria using random sampling. The subjects will be divided into 2 groups (25 subjects in each group). Group A will be the control group and will receive sub-occipital myofascial release along with conventional therapy. Group B will be the experimental group and will receive suboccipital myofascial release combined with SNAGs along with conventional physiotherapy. The treatment will be given for 30 minutes per session. The patients will be assessed using Neck Disability Index for neck disability, Universal Full Circle Goniometer for cervical range of motion and Numeric Pain Rating Scale for pain. The data will be collected immediately after the intervention. |