[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"chronic-tension-type-headache\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:chronic-tension-type-headache":32},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,57],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":31,"overallStatus":44,"whyStopped":4,"lastUpdateSubmitDate":45,"lastUpdatePostDateStruct":46,"startDateStruct":49,"completionDateStruct":51,"leadSponsor":53,"locationsCount":56},"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":21,"type":22},78,"ESTIMATED","INTERVENTIONAL",[25],"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.",[28,29,30],"Tension-Type Headache","Chronic Tension-type Headache","Frequent Episodic Tension-Type Headache",[28,32,33,34,35,36,37,38,39,40,41,42,43],"Chronic Tension-Type Headache","Multimodal Physiotherapy","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":47,"type":48},"2026-05-11","ACTUAL",{"date":50,"type":22},"2026-07",{"date":52,"type":22},"2027-06",{"name":54,"class":55},"Universidad de Granada","OTHER",1,{"id":58,"slug":59,"hasResults":11,"nctId":60,"briefTitle":61,"officialTitle":62,"acronym":4,"eligibilityCriteria":63,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":64,"enrollmentInfo":65,"targetDuration":4,"studyType":23,"phases":67,"briefSummary":68,"conditions":69,"keywords":70,"overallStatus":44,"whyStopped":4,"lastUpdateSubmitDate":80,"lastUpdatePostDateStruct":81,"startDateStruct":83,"completionDateStruct":85,"leadSponsor":87,"locationsCount":4},"100468713","deep-neck-flexor-exercises-versus-myofascial-release-of-suboccipital-muscles-in-chronic-tension-type-headache-100468713","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.","55 Years",{"count":66,"type":22},44,[25],"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.",[32],[71,72,73,74,75,76,77,78,79],"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","2024-09-30",{"date":82,"type":48},"2024-10-01",{"date":84,"type":22},"2024-11-01",{"date":86,"type":22},"2026-12-01",{"name":88,"class":55},"Iran University of Medical Sciences"]