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Cervicogenic HeadacheNCT07794319

Osteopathic Care Combined With Physiotherapy and Pain Education for Cervicogenic Headache

A study testing Osteopathic Care and Physiotherapy in people with Cervicogenic Headache, run by Centro Universitário Augusto Motta at 1 site in Brazil.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Introduction: Cervicogenic headache (CH) is a secondary headache associated with non-traumatic dysfunctions of the cervical region. Osteopathic Care (OC) has shown promising results in reducing pain and disability in patients with migraine, tension-type headaches and CH, but the effectiveness of OC remains scarce, and… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Cervicogenic Headache
What is being tested?
Osteopathic Care and Physiotherapy
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
1 siteBrazil
Study dates
1 Nov 2026to 1 Nov 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • males and females from Rio de Janeiro - RJ - BR
  • over 18 years old
  • diagnostic criteria for cervicogenic headache established by the International Classification of Headache Disorders (ICHD-III)
  • must report episodic headache for at least 3 months, occurring at least once per week
  • present cervical mobility less than 44° on the cervical flexion-rotation test (CFRT)
  • exhibit headache during provocative tests at C0, C1, C2, and/or C3

Who cannot join

  • undergoing other physiotherapy, osteopathic, orthodontic, or medical treatment
  • present neurological disorders
  • have signs of trauma or fracture
  • report symptoms of vertigo or tinnitus
  • have another condition that may be the origin of the headache

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

ARTHUR S FERREIRA, DSc contact

+5521999151800

arthurde@souunisuam.com.br

Brazil1 site
  • Centro Universitário Augusto Motta

    Rio de Janeiro, Rio de Janeiro, 21041-020

Other trials in Brazil

About this study

Official title: Osteopathic Care Combined With Physiotherapy and Pain Education for Cervicogenic Headache: Study Protocol for a Three-arm Pragmatic Randomized Controlled Trial

Introduction: Cervicogenic headache (CH) is a secondary headache associated with non-traumatic dysfunctions of the cervical region. Osteopathic Care (OC) has shown promising results in reducing pain and disability in patients with migraine, tension-type headaches and CH, but the effectiveness of OC remains scarce, and the studies has low certainty of evidence. Objective: To investigate the effectiveness of the OC in the management of headache-related disability in patients with CH 6 weeks and 24 weeks after the intervention compared with sham and control group. Methods: This is a three-arm, pragmatic, randomized controlled trial. A total of 120 adult participants with chronic CH will be recruited. Participants must report episodic headache for at least 3 months, occurring at least once per week, present cervical mobility less than 44° on the cervical flexion-rotation test, and exhibit headache during provocative tests at C0, C1, C2, and/or C3. After randomization, the experimental group will receive OC plus Physiotherapy (specific exercises for the cervical spine and Mulligan´s manual therapy) and a pain education booklet. The control group will receive the same Physiotherapy and pain education intervention. The sham group will receive the OC sham combined with Physiotherapy and pain education. Primary outcome will be headache-related disability, assessed by Headache Impact Test (HIT-6). Secondary outcomes will be pain intensity (VAS) and the Perceived Changes Questionnaire (PCQ). Outcome assessment will be carried out at baseline, 6 weeks after the intervention and 24 weeks follow up with an intention-to-treat framework. Expected Results: OC combined with Physiotherapy and pain education would be effectiveness in reducing headache-related disability compared to the sham and control groups, 6 weeks after the intervention.

Being tested
Osteopathic Care, Physiotherapy, Sham (No Treatment)
Keywords
Cervicogenic Headache, Secondary Headache Disorders, Musculoskeletal Manipulations, Osteopathic Manipulation, Osteopathic Medicine
Medical subject headings
Post-Traumatic Headache, Headache Disorders, Secondary

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Osteopathic CareOther

    Participants will receive OC targeting segments affected by somatic dysfunctions to restore function. All individual treatments will be documented in a table detailing the osteopathic technique applied for each identified somatic dysfunction, including musculoskeletal, visceral, and cranial approaches. Each intervention session will last between 30 and 45 minutes. In addition to OC, participants will also receive the same physiotherapy program and pain education booklet as the control group. In the present study, we will not use drugs or devices.

  • PhysiotherapyOther

    Participants will be managed by a licensed physiotherapist with over 10 years of experience. They will undergo a physiotherapy program and receive a pain education booklet. The physiotherapy program consists of specific motor control exercises for the neck and Mulligan Concept manual therapy techniques. In the present study, we will not use drugs or devices.

  • Sham (No Treatment)Other

    Participants will receive sham OC, consisting of light touch, movement arc maneuvers, and simulated osteopathic manipulation, in which the patient is positioned but the final manipulative thrust is not performed. In addition to sham OC, participants will also receive the same physiotherapy program and pain education booklet as the control group. In the present study, we will not use drugs or devices.

Study groups in NCT07794319
Study groupRoleWhat they receive
Osteopathic CareExperimentalThe participants in the Experimental Group will receive Osteopathic Care (OC) targeting segments affected by somatic dysfunctions to restore function. All individual treatments will be documented in a table detailing the osteopathic technique applied for each identified somatic dysfunction, including musculoskeletal, visceral, and cranial approaches. Each intervention session will last between 30 and 45 minutes. In addition to OC, participants will also receive the same physiotherapy program and pain education booklet as the control group. In the present study, we will not use drugs or devices.
Receives: Other: Osteopathic Care
Sham Osteopathic CareSham comparatorThe participants in the Sham Osteopathic Care (OC) Group will receive sham OC, consisting of light touch, movement arc maneuvers, and simulated osteopathic manipulation, in which the patient is positioned but the final manipulative thrust is not performed. In addition to sham OC, participants will also receive the same physiotherapy program and pain education booklet as the control group. In the present study, we will not use drugs or devices.
Receives: Other: Sham (No Treatment)
PhysiotherapyActive comparatorThe participants in the Control Group will be managed by a licensed physiotherapist with over 10 years of experience. They will undergo a physiotherapy program and receive a pain education booklet. The physiotherapy program consists of specific motor control exercises for the neck and Mulligan Concept manual therapy techniques. In the present study, we will not use drugs or devices.
Receives: Other: Physiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Headache-related Disability

    The primary outcome will be headache-related disability, measured by Headache Impact Test (HIT-6; score range: 36-78). The HIT-6 consists of six questions assessing the impact of headache on daily, physical, social, and work-related activities. Higher scores represent a greater impact. Scores above 60 indicate a very severe impact; scores between 56 and 59 indicate substantial impact; scores between 50 and 55 indicate some impact; and scores below 49 indicate little to no impact.

    Measured: at baseline and at 6 weeks post-intervention

Secondary outcomes (2)
  1. Pain Intensity

    The Pain Intensity will be measured using the visual analog scale (VAS). The visual analog scale (VAS) for pain ranges from 0 to 10, where higher scores represent a greater Pain Intensity. Scores between 0-2 indicates mild pain, 3-7 moderate pain, and 8-10 severe pain. Participants will be asked to mark a point on the scale corresponding to their Pain Intensity.

    Measured: at baseline, at 6 weeks post-intervention and 24 weeks post-intervention.

  2. Perceived Change

    Secondary outcomes will include Scores on the Perceived Change Scale. The Perceived Change Scale consists of 19 items assessing the patient's qualitative perception of changes in their life because of the treatment received. Each item has three response options: 1: worse than before; 2: no change; and 3: better than before. Higher scores indicate a better and more positive perception of improvement from the intervention.

    Measured: at 6 weeks post-intervention and 24 weeks post-intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted31 Aug 2026
  2. Study start1 Nov 2026 (estimated)
  3. Primary completion1 Nov 2028 (estimated)
  4. Study completion1 Nov 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a pragmatic, three-arm, parallel-group, randomized controlled trial with blinded statistical analysis. The study will consist of 6 weeks of intervention followed by 24 weeks of follow-up, totaling 30 weeks
Masking
None (open label)
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07794319
Sponsor's protocol ID
96290426.2.0000.5235
Status last verified
Aug 2026
First submitted
20 Aug 2026
Last updated
31 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Researchers involved in the study will have access to the final clinical trial dataset and may share it for verification and publication purposes upon reasonable request. The principal investigator will be responsible for data management and will ensure that all study data are stored in both physical and digital formats for 5 years after study completion. The data entry spreadsheet will be updated by the investigator based on collected assessment forms. Study data will be entered into a password-protected database, with access restricted to authorized study personnel. Data quality will be ensured through double-checking of entries and periodic audits. All participant data will be de-identified prior to analysis to ensure confidentiality.

Publications

  • Olesen J. International Classification of Headache Disorders. Lancet Neurol. 2018 May;17(5):396-397. doi: 10.1016/S1474-4422(18)30085-1. Epub 2018 Mar 14. No abstract available.

    PubMed 29550365
  • Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983 Sep;17(1):45-56. doi: 10.1016/0304-3959(83)90126-4.

    PubMed 6226917
  • Reis F, Palermo TM, Acalantis L, Nogueira LC, Meziat-Filho N, Louw A, Ickmans K. "A journey to learn about pain": the development and validation of a comic book about pain neuroscience education for children. Braz J Phys Ther. 2022 Jan-Feb;26(1):100348. doi: 10.1016/j.bjpt.2021.04.009. Epub 2021 May 2.

    PubMed 34001422
  • Hage R, Demoulin C, J Puentedura E, Brismee JM. Sham treatment? Should it be redefined for its use in manual therapy clinical studies? J Man Manip Ther. 2025 Feb;33(1):1-3. doi: 10.1080/10669817.2025.2448921. Epub 2025 Jan 9. No abstract available.

    PubMed 39785123
  • Hohenschurz-Schmidt D, Draper-Rodi J, Vase L, Scott W, McGregor A, Soliman N, MacMillan A, Olivier A, Cherian CA, Corcoran D, Abbey H, Freigang S, Chan J, Phalip J, Norgaard Sorensen L, Delafin M, Baptista M, Medforth NR, Ruffini N, Skott Andresen S, Ytier S, Ali D, Hobday H, Santosa AANAA, Vollert J, Rice ASC. Blinding and sham control methods in trials of physical, psychological, and self-management interventions for pain (article I): a systematic review and description of methods. Pain. 2023 Mar 1;164(3):469-484. doi: 10.1097/j.pain.0000000000002723. Epub 2022 Jul 11.

    PubMed 36265391
  • Hohenschurz-Schmidt D, Vase L, Draper-Rodi J. From placebos and shams to high-quality control interventions in manual therapy trials to study efficacy and mechanisms. J Man Manip Ther. 2025 Oct;33(5):376-377. doi: 10.1080/10669817.2025.2471477. Epub 2025 Feb 22. No abstract available.

    PubMed 39986688
  • Pradela J, Bevilaqua-Grossi D, Chaves TC, Dach F, Ferreira Carvalho G. Brazilian Portuguese version of the Headache Disability Inventory: Cross-cultural adaptation, validity, and reliability. Cephalalgia. 2021 Feb;41(2):156-165. doi: 10.1177/0333102420949860. Epub 2020 Aug 20.

    PubMed 32819150
  • de Lira MR, Meziat-Filho N, Zuelli Martins Silva G, Castro J, Fernandez J, Guirro RRJ, Berg R, Chaves TC. Efficacy of cognitive functional therapy for pain intensity and disability in patients with non-specific chronic low back pain: a randomised sham-controlled trial. Br J Sports Med. 2025 Jun 18;59(13):912-920. doi: 10.1136/bjsports-2024-109012.

    PubMed 40049758

Questions about this trial

What is this clinical trial studying?

A study testing Osteopathic Care and Physiotherapy in people with Cervicogenic Headache, run by Centro Universitário Augusto Motta at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 31 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact PAULA O ESTEVES, MSc (+5521992255928, paulaesteves@souunisuam.com.br), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Headache-related Disability (time frame: at baseline and at 6 weeks post-intervention). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07794319, which also lists 8 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 Aug 2026; AzTrials last refreshed its copy on 7 Nov 2026.

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