[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100468713":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":29,"centralContacts":38,"locations":24,"responsibleParty":47,"collaborators":24,"id":49,"slug":50,"hasResults":51,"nctId":52,"briefTitle":53,"officialTitle":54,"acronym":24,"eligibilityCriteria":55,"healthyVolunteers":51,"sex":56,"minAge":57,"maxAge":58,"enrollmentInfo":59,"targetDuration":24,"studyType":62,"phases":63,"briefSummary":65,"conditions":66,"keywords":68,"overallStatus":78,"whyStopped":24,"lastUpdateSubmitDate":79,"lastUpdatePostDateStruct":80,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":24},{"fullName":5,"class":6},"Iran University of Medical Sciences","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Suboccipital Myofascial Release","EXPERIMENTAL","The therapist places the supinated forearm on the bed and positions the tips of the middle three fingers inferior to the occiput bone and the head is supported by the thenar eminences",[13],"Other: Suboccipital Myofascial Release(MFR) with sham Deep Neck Flexor(DNF)exercise",{"label":15,"type":10,"description":16,"interventionNames":17},"Deep Neck Flexor Exercise","After placing the airbag of PBU under the occiput bone in the supine position and inflating it to a base pressure of 11 mmHg, the participant will increase the pressure to 12 mmHg by nodding action.",[18],"Other: Deep Neck Flexor(DNF)exercise with sham Suboccipital Myofascial Release(MFR)",[20,25],{"type":6,"name":21,"description":22,"armGroupLabels":23,"otherNames":24},"Suboccipital Myofascial Release(MFR) with sham Deep Neck Flexor(DNF)exercise","The treatment includes Suboccipital MFR in the supine position.The therapist places the supinated forearm on the bed and positions the tips of the middle three fingers inferior to the occiput bone and the head is supported by the thenar eminences.The therapist will develop a line of tension through the suboccipital tissues by supinating the forearms and pulling apart two hands from each other;Then, for the second level in the first position of hands,pressure is applied to the anterior and superior direction.The pressure is held and increased until the therapist feels the decrease of muscle tone.These techniques last 10 minutes.\n\nAnother intervention in this group is the sham DNF exercise with a Pressure Biofeedback Unit(PBU).Considering that minimum detective change with PBU is 15 mmHg; After placing the airbag of PBU under the occiput bone in the supine position and inflating it to a base pressure of 11 mmHg,the participant will increase the pressure to 12 mmHg by nodding action.",[9],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Deep Neck Flexor(DNF)exercise with sham Suboccipital Myofascial Release(MFR)","The treatments include the DNF exercise with a PBU. The treatment is performed in the supine position and the airbag is placed under the occiput bone and is inflated to a base pressure of 20 mmHg. The participant will increase and hold the pressure to a special point by nodding action. The exercise is repeated for 3 sets, in each set 2 mm Hg is added to the pressure. The pressure will be increased from 22 to 32 mm Hg during 4-week of treatment, and each goal is held for 10 seconds and repeated 10 times. There will be 5 sec of rest between each repetition and 2 min of rest between each set.\n\nAnother intervention in this group is sham MFR. The therapist's hands will be placed only inferior to the occipital bone and a superficial touch is applied without any upward or lateral pressure. sham treatment in this group, like the opposite group, lasts 10 minutes.",[15],[30,34],{"name":31,"affiliation":32,"role":33},"Mobina Ahmadi, MSc student","MSc student","PRINCIPAL_INVESTIGATOR",{"name":35,"affiliation":36,"role":37},"Mohammadreza Pourahmadi","Professor Assisstant","STUDY_DIRECTOR",[39,43],{"name":31,"role":40,"phone":41,"phoneExt":24,"email":42},"CONTACT","00989039182326","m.oahmadi@ymail.com",{"name":44,"role":40,"phone":45,"phoneExt":24,"email":46},"Mohammadreza Pourahmadi, PhD","00989122245593","Pourahmadi.m@iums.ac.ir",{"type":48,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR","100468713","deep-neck-flexor-exercises-versus-myofascial-release-of-suboccipital-muscles-in-chronic-tension-type-headache-100468713",false,"NCT05383365","Deep Neck Flexor Exercises Versus Myofascial Release of Suboccipital Muscles in Chronic Tension-type Headache","The Effectiveness of Deep Neck Flexor Exercises in Comparison With Myofascial Release of Suboccipital Muscle on Pain and Forward Head Posture in People With Chronic Tension-type Headache and Forward Head Posture","Inclusion Criteria:\n\n1. Age between 18 and 55 years;\n2. based on ICHD-3, Headache that occurs 15 days per month and lasts on average for \\>3 months (180 days per year), lasting hours to days, or unremitting, and has at least two of the following four characteristics recognized as CTTH: bilateral location, pressing or tightening (non-pulsating) quality, mild or moderate intensity, not aggravated by routine physical activity such as walking or climbing stairs and both of the following: no more than one of photophobia, phonophobia or mild nausea, neither moderate or severe nausea nor vomiting;\n3. Dosage and type of prophylactic medication have not changed in the months before the beginning of the trial;\n4. The participant does not intend to change the dosage and type of prophylactic medication during the study;\n5. CVA less than 49 degrees,\n6. Participants have the ability to understand and read Persian to complete the questionnaire.\n\nExclusion Criteria:\n\n1. Participants with infrequent ETTH, or other primary or secondary types of headache;\n2. Pain aggravated by movement of the head;\n3. Severe pain or significant decrease in ROM of the cervical spine;\n4. Previous trauma to the cervical spine;\n5. History of injection, surgery, severe disc protrusion, or neck or shoulder fracture that affects treatment;\n6. Metabolic or Neurological disorders such as Bow hunter's syndrome or epilepsy;\n7. Taking more than 200 pieces of morphine or other strong analgesics per month;\n8. Physiotherapy treatment for headache within 6 months before starting treatment;\n9. Joint stiffness, atherosclerosis, or advanced osteoarthritis;\n10. Manual contraindication includes: (a)The participant has substance or alcohol abuse; (b)For whatever reason, the participant does not want to be touched by the therapist; (c)Symptoms are severe and irritating; (d)Underlying diseases (such as rheumatoid arthritis) or metabolic disorders (such as osteoporosis or soft tissue laxity of the treatment area);\n11. Pregnancy;\n12. Spielberger State-Trait Anxiety Inventory (STAI) scores more than 85;\n13. Absence of two consecutive sessions and more than treatment sessions.","ALL","18 Years","55 Years",{"count":60,"type":61},44,"ESTIMATED","INTERVENTIONAL",[64],"NA","According to the study of the burden of diseases in 2018, tension-type headache(TTH) is the most common type of primary headache and ranks third in terms of prevalence among 328 diseases and injuries in 195 countries from 1990 to 2016. Suffering from this disorder (especially chronic type) reduces the quality of life of patients.\n\nThe main objective of this study is to compare the effects of myofascial release of suboccipital muscles as a bottom-up intervention and Deep Neck Flexor(DNF) exercises with Pressure Biofeedback Unit(PBU) as a top-down intervention on headache parameters, the intensity of Forward Head Posture(FHP), disability, quality of life, and suboccipital Pressure Pain Threshold(PPT) in patients with chronic tension-type headache with forward head posture.",[67],"Chronic Tension-Type Headache",[69,70,71,72,73,74,75,76,77],"Chronic tension-type headache","Chronic primary headache","Forward head posture","Deep neck flexor exercise","Pressure biofeedback","Myofascial release","Pressure pain threshold","Quality of life","Disability","NOT_YET_RECRUITING","2024-09-30",{"date":81,"type":82},"2024-10-01","ACTUAL",{"date":84,"type":61},"2024-11-01",{"date":86,"type":61},"2026-12-01",{"name":5,"class":6}]