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CTRI Number  CTRI/2024/03/063995 [Registered on: 12/03/2024] Trial Registered Prospectively
Last Modified On: 11/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Other 
Public Title of Study   Effectiveness of Mckenzie and Mulligan on Cervicogenic headache. 
Scientific Title of Study   Effectiveness of Mckenzie and Mulligan snags on Cervicogenic headache - A Randomized clinical 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  Trupti Raghunath Mule 
Designation  Physiotherapist  
Affiliation  Rajiv Gandhi University of Health and Science 
Address  City college of Physiotherapy, Ground floor, Physiotherapy Out Patient Department Room No A to D, Mangalore, City Enclave, Shakthinagar, Mangalore.

Dakshina Kannada
KARNATAKA
575016
India 
Phone  9987520820  
Fax    
Email  truptimule93@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Amar Prakash 
Designation  Principal 
Affiliation  City college of Physiotherapy 
Address  City college of Physiotherapy, Ground floor, Physiotherapy Out Patient Department Room No A to D, Mangalore, City Enclave, Shakthinagar, Mangalore.

Dakshina Kannada
KARNATAKA
575016
India 
Phone  8971455313  
Fax    
Email  amarprakash150@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Trupti Raghunath Mule 
Designation  Physiotherapist 
Affiliation  City college of Physiotherapy 
Address  City college of Physiotherapy, Ground floor, Physiotherapy Out Patient Department Room No A to D Mangalore, City Enclave, Shakthinagar, Mangalore.

Dakshina Kannada
KARNATAKA
575016
India 
Phone  9987520820  
Fax    
Email  truptimule93@gmail.com  
 
Source of Monetary or Material Support  
City college of Physiotherapy Mangalore, Ground Floor, Physiotherapy Out Patient Department Room A to D, City Enclave, Shaktinagar, Mangalore- 575016 
 
Primary Sponsor  
Name  Trupti Raghunath Mule  
Address  City college of Physiotherapy, City Enclave, Shakthinagar, Mangalore. 575016 
Type of Sponsor  Other [Self] 
 
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 Trupti Raghunath Mule  City College Physiotherapy  Out patient department, Ground Floor, Room A- D, City Enclave, Shakthinagar, Mangalore. 575016
Dakshina Kannada
KARNATAKA 
9987520820

truptimule93@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
City College of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M00-M99||Diseases of the musculoskeletal system and connective tissue,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  McKenzie retraction principle  McKenzie retraction principle followed with Force Progression (Patient overpressure, Clinical overpressure, Mobilization) along with posture correction, Retraction with extension. With the respective exercise advice at home everyday with 10 rep every 1-2 hour in a day total of 8-10 times. Total no of sessions will be depending upon the patients recovery. But minimum of 12 sessions will be incorporated and further follow up will be done. 
Comparator Agent  Mulligan SNAG  Mulligan C1- C2 ROTATION SNAG along with deep neck flexors strengthening. Total no of sessions will be depending upon the patients recovery. But minimum of 12 sessions will be incorporated and further follow up will be done. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Pain localized to neck and occipital region, pain is aggravated by neck movements or sustained neck postures, positive flexion rotation test, weakness in neck muscles 
 
ExclusionCriteria 
Details  Headache not of cervical origin, Headache with autonomic involvement, congenital conditions of cervical spine, contraindication to manipulative therapy, inability to tolerate flexion rotation test 
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Headache Disability Index (HDI)  Headache disability index (HDI) time points are in 1st day of the treatment, on 5th day of the treatment, on 12th day of the treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Neck disability index (NDI)  NDI time points are on 1st day of the treatment , on 5th day of the treatment, on 12th day of the treatment  
Flexion rotation test (FRT)  FRT time points are in 1st day of the treatment, on 5th day of the treatment, on 12th day of the treatment 
Numeric Pain Rating System (NPRS)  NPRS time points are in 1st day of the treatment, on 5th day of the treatment, on 12th day of the treatment 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/04/2024 
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="0"
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   This study is a Randomized clinical trial where effectiveness of McKenzie and Mulligan SNAGS will be compared for the patients suffering from Cervicogenic Headache (CGH). Total of 40 patients will be randomized in two experimental groups by fulfilling the inclusion criteria. Group A with 20 patients in which McKenzie treatment will be incorporated and group B with 20 patients in which Mulligan treatment will be given. Objective of the study is to determine which treatment procedure is more effective in CGH. The results of both groups will be compared in relation with Headache Disability Index (HDI), Neck Disability Index (NDI), Flexion Rotation Test (FRT), Numeric Pain Rating Scale (NPRS) on 1st, 5th, and 12th day. 
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