[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100611434":3},{"organization":4,"armGroups":7,"interventions":23,"overallOfficials":39,"centralContacts":50,"locations":61,"responsibleParty":80,"collaborators":55,"id":83,"slug":84,"hasResults":85,"nctId":86,"briefTitle":87,"officialTitle":88,"acronym":89,"eligibilityCriteria":90,"healthyVolunteers":85,"sex":91,"minAge":92,"maxAge":93,"enrollmentInfo":94,"targetDuration":55,"studyType":97,"phases":98,"briefSummary":100,"conditions":101,"keywords":105,"overallStatus":117,"whyStopped":55,"lastUpdateSubmitDate":118,"lastUpdatePostDateStruct":119,"startDateStruct":122,"completionDateStruct":124,"leadSponsor":126,"locationsCount":127},{"fullName":5,"class":6},"Universidad de Granada","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"Multimodal Physiotherapy","EXPERIMENTAL","Participants in this group will receive a multimodal physiotherapy program once a week for four weeks. Each session includes thoracic (T4-T7) and cervicothoracic (C7-T1) manipulation, suboccipital inhibition, deep dry needling of the upper trapezius and sternocleidomastoid muscles, specific massage (temporal, paracervical, and SCM muscles), and passive cervical mobilization in rotation and lateral flexion within a pain-free range.",[13],"Other: Multimodal Physiotherapy for Tension-Type Headache",{"label":15,"type":10,"description":16,"interventionNames":17},"Guided Meditation Group","Participants in this group will use the Insight Timer mobile application to perform daily guided meditation sessions lasting approximately 5-7 minutes, focused on mindfulness, stress reduction, and sleep improvement. Only free, Spanish-language content from the app will be used. The program will last four weeks.",[18],"Behavioral: Guided Meditation Using Insight Timer App",{"label":20,"type":10,"description":21,"interventionNames":22},"Combined Multimodal Physiotherapy and Guided Meditation","Participants in this group will receive both interventions: one weekly session of multimodal physiotherapy for four weeks and daily guided meditation using the Insight Timer app (approximately 5-7 minutes per day).",[13,18],[24,31],{"type":6,"name":25,"description":26,"armGroupLabels":27,"otherNames":28},"Multimodal Physiotherapy for Tension-Type Headache","Participants in this group will receive a multimodal physiotherapy program once a week for four weeks. Each session includes thoracic (T4-T7) and cervicothoracic (C7-T1) manipulation, suboccipital inhibition, deep dry needling of the upper trapezius and sternocleidomastoid muscles, specific massage (temporal, paracervical, and SCM muscles), and passive cervical mobilization in rotation and lateral flexion within a pain-free range. All procedures will be performed by an experienced physiotherapist.",[20,9],[29,30],"Physiotherapy Multimodal Program","Manual Therapy plus Dry Needling",{"type":32,"name":33,"description":34,"armGroupLabels":35,"otherNames":36},"BEHAVIORAL","Guided Meditation Using Insight Timer App","Participants in this group will use the Insight Timer mobile application to perform daily guided meditation sessions of approximately 5-7 minutes for four weeks. All sessions will use free Spanish-language content focused on mindfulness, stress reduction, and sleep improvement. Participants will receive written instructions to ensure adherence.",[20,15],[37,38],"Mobile Mindfulness Meditation","Digital Mindfulness Training",[40,44,46],{"name":41,"affiliation":42,"role":43},"Antonio Manuel Fernández Pérez, Pt, phD","Department of Physiotherapy, Faculty of Health Sciences, University of Granada","STUDY_CHAIR",{"name":45,"affiliation":42,"role":43},"Dulce María Romero Ayuso, PhD",{"name":47,"affiliation":48,"role":49},"JIHANE Boudount El Kadaoui, PT, DO, PhD(c)","Doctoral Program in Clinical Medicine and Public Health, University of Granada, Spain","STUDY_DIRECTOR",[51,57],{"name":52,"role":53,"phone":54,"phoneExt":55,"email":56},"Jihane Boudount El Kadaoui, PT, DO, PhD(c)","CONTACT","0034 671767926",null,"e.jihaneb@go.ugr.es",{"name":58,"role":53,"phone":59,"phoneExt":55,"email":60},"Antonio Manuel Fernandez Perez, PhD","0034958248030","fernandez@ugr.es",[62],{"facility":63,"status":55,"city":64,"state":55,"zip":65,"country":66,"countryCode":67,"cosmosGeoPoint":68,"geoPoint":73,"contacts":74},"J&R Global Medical Clinic S.L. (NICA 45193)","Granada","18002","Spain","ES",{"type":69,"coordinates":70},"Point",[71,72],-3.60667,37.18817,{"lat":72,"lon":71},[75,77,78],{"name":52,"role":53,"phone":76,"phoneExt":55,"email":56},"0034671767926",{"name":58,"role":53,"phone":59,"phoneExt":55,"email":60},{"name":52,"role":79,"phone":55,"phoneExt":55,"email":55},"PRINCIPAL_INVESTIGATOR",{"type":79,"investigatorFullName":81,"investigatorTitle":82,"investigatorAffiliation":5,"oldNameTitle":55,"oldOrganization":55},"Jihane Boudount El Kadaoui","Principal Investigator","100611434","efficacy-of-a-multimodal-physiotherapy-program-and-mobile-app-guided-meditation-in-adults-with-frequent-or-chronic-tension-type-headache-100611434",false,"NCT07240532","Efficacy of a Multimodal Physiotherapy Program and Mobile-App Guided Meditation in Adults With Frequent or Chronic Tension-Type Headache","Efficacy of a Multimodal Physiotherapy Program and Mobile-App Guided Meditation in Adults With Frequent or Chronic Tension-Type Headache: A Randomized Clinical Trial","JBE-CEF","Inclusion Criteria:\n\n* Diagnosis of frequent or chronic tension-type headache (TTH) according to the International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria.\n* Ability to understand and communicate in Spanish sufficiently to follow instructions and complete questionnaires.\n* Willingness to provide written informed consent and comply with study procedures.\n\nExclusion Criteria:\n\n* Diagnosis of migraine or other primary or secondary headache disorders.\n* Presence of red flags for manual therapy, including bone pathology, inflammatory disease, malignancy, neurological disorders, vestibular dysfunction, or skin infection in the cervical area.\n* Fibromyalgia, pregnancy, or lactation.\n* Use of pacemakers or implantable defibrillators.\n* Recent medication adjustments, particularly involving psychotropic or chronic pain drugs.\n* Severe psychiatric disorders (major depressive episode, bipolar disorder, schizophrenia, or other psychotic conditions).\n* Previous physical treatment targeting the cranio-cervical region (manual therapy, dry needling, anesthetic blocks) within the last six months.\n* Regular practice of meditation or mindfulness during the last six months.\n* Participation in another clinical trial during the study period.","ALL","18 Years","45 Years",{"count":95,"type":96},78,"ESTIMATED","INTERVENTIONAL",[99],"NA","The goal of this clinical trial is to evaluate whether a multimodal physiotherapy program and guided meditation using a mobile app can help reduce headache pain and improve quality of life in adults with frequent or chronic tension-type headache. The study analyzes the effects of physical and psychological interventions applied both separately and in combination, so that the combined treatment addresses tension-type headache as a multifactorial condition influenced by biopsychophysiological factors, integrating physical and psychological strategies to improve participants' overall well-being.\n\nThe main questions it aims to answer are:\n\n* Does multimodal physiotherapy lower the intensity and frequency of headaches?\n* Does guided meditation through a mobile app help reduce stress and improve emotional well-being?\n* Are the combined effects of physiotherapy and meditation greater than either intervention alone?\n\nThe study will compare:\n\n* A group receiving multimodal physiotherapy sessions once a week for four weeks,\n* A group practicing guided meditation with a mobile app for about 5 to 7 minutes daily,\n* A group combining both physiotherapy and meditation.\n\nParticipants will:\n\n* Attend clinical sessions or use the meditation app depending on group assignment,\n* Complete short questionnaires about pain, stress, sleep, and daily functioning,\n* Record headache episodes in a structured diary during the study period.",[102,103,104],"Tension-Type Headache","Chronic Tension-type Headache","Frequent Episodic Tension-Type Headache",[102,106,9,107,108,109,110,111,112,113,114,115,116],"Chronic Tension-Type Headache","Manual Therapy","Dry Needling","Mindfulness","Guided Meditation","Mobile Application","Non-Pharmacological Treatment","Randomized Controlled Trial","Biopsychophysiological Approach;","Pain Management","Headache Disability","NOT_YET_RECRUITING","2026-05-05",{"date":120,"type":121},"2026-05-11","ACTUAL",{"date":123,"type":96},"2026-07",{"date":125,"type":96},"2027-06",{"name":5,"class":6},1]