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Synergistic Impact of Postural Correction Interventions and Sustained Natural Apophyseal Glides in Migraine

NCT07403175 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 44

Last updated 2026-02-11

No results posted yet for this study

Summary

This study was conducted to evaluate the synergistic impact of postural correction interventions and sustained natural apophyseal glides on severity, quality of life and disability in patients with migraine.

Conditions

Interventions

OTHER

Sustained Natural Apophyseal Glides

Headache SNAG: A posteroanterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of six repetitions were administered. The patient is administered SNAG mobilization by placing the medial border of the thumb's distal phalanx on the spine of one vertebra above while standing behind the patient. The thumb tips were positioned at a 45° angle, and another thumb is used to provide the glides. Glides are performed in 3 sets and 6 times during the session. Reverse Headache SNAG: Anterio-posterior mobilization of the second cervical vertebrae is maintained for 10-30 seconds having the patient comfortably seated on a chair or couch. A maximum of 6 repetitions were administered.

OTHER

Postural Correction Exercises

The main exercises used in this group are stretching, strengthening, and endurance exercise to maintain a healthy posture and correct the faulty posture due to weakened and tightened muscles Each subject will receive 6 treatment sessions spread over 4 consecutive weeks and each treatment session will not extend beyond 30 min. * Stretching exercises * Levator scapulae stretching * Upper trapezius stretching * Scalenes muscle stretching * Pectoralis major stretch * Pectoralis minor stretch * Sternocleidomastoid stretch * Strengthening Exercises * Lower trapezius strengthening * Rhomboids strengthening * Deep cervical flexors strengthening * Endurance Training

OTHER

Conventional Physical Therapy

* Hot pack for 20 minutes on the neck region (upper trapezius) in sitting position. * Soft tissue mobilization includes deep tissue massage locally to the cervical region by applying pressure with fingers and palms. * Isometrics of neck in which the patient is seated on a chair or standing, or in a comfortable position having spine in a neutral position. Placing hands on patient's forehead by asking the patient to gently push head forward while simultaneously resisting the movement therapist's hands. Hold the contraction for 5-10 seconds, then relax. this movement was repeated in all directions.

Sponsors & Collaborators

  • Riphah International University

    lead OTHER

Principal Investigators

  • Rafia Mannan, MS-SPT · Riphah International University

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
22 Years
Max Age
45 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2025-01-10
Primary Completion
2025-10-31
Completion
2025-10-31

Countries

  • Pakistan

Study Locations

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Entities

Diseases

Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07403175 on ClinicalTrials.gov